Organization · Type 2 NPI

Gardendale HH Opco LLC

Skilled Nursing Facility · Jacksonville, TX

NPI number 1093371064 Active

Practice location

1521 E Rusk St
Jacksonville, TX 75766-5505

Fax (903) 586-2766

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1093371064
Entity type: Organization (Type 2)
Issued: May 15, 2019
Last updated: Aug 21, 2019
Status: Active

Other names

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Gardendale Healthcare Residence · doing business as
Gardendale Healthcare Residence · doing business as

Authorized official

Michael Little
Manager
(888) 396-3462

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093371064

Gardendale HH Opco LLC's National Provider Identifier is 1093371064, issued on May 15, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jacksonville, TX. The record was last updated on Aug 21, 2019.