MEDICARE: CONIFER CARE,INC.

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	11461	TX

General Provider Information

NPI Number	:	1730182528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONIFER CARE,INC.

Provider Business Mailing Address
First Line	:	505 S SYLVAN AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4447
Country	:	US
Telephone Number	:	806-771-4124
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 S SYLVAN AVE
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4447
Country	:	US
Telephone Number	:	806-771-4124
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES W JEWEL
Credential	:
Telephone Number	:	806-771-4124

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/22/2020

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Directions to “CONIFER CARE,INC. ” Practice Location

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