Healthcare Provider Details

I. General information

NPI: 1659300911
Provider Name (Legal Business Name): PREFERRED HOSPITAL LEASING ELDORADO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N. NORTH US HIGHWAY 277
ELDORADO TX
76936-1246
US

IV. Provider business mailing address

102 N US HIGHWAY 277 P.O. BOX V
ELDORADO TX
76936-4010
US

V. Phone/Fax

Practice location:
  • Phone: 325-853-2507
  • Fax:
Mailing address:
  • Phone: 325-853-2507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number008340
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: DONALD A FREEMAN
Title or Position: PRESIDENT
Credential:
Phone: 405-878-0202