MEDICARE: CASCADE SABINE HEALTH SERVICES, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	114218	TX

General Provider Information

NPI Number	:	1376548263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADE SABINE HEALTH SERVICES, LTD

Provider Business Mailing Address
First Line	:	2000 FM HWY 83 WEST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948
Country	:	US
Telephone Number	:	409-787-3342
Fax Number	:	409-787-4132

Provider Business Practice Location Address
First Line	:	2000 FM HWY 83 WEST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948
Country	:	US
Telephone Number	:	409-787-3342
Fax Number	:	409-787-4132

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	MR. RONALD M. HANEY
Credential	:
Telephone Number	:	936-634-6633

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

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