Healthcare Provider Details

I. General information

NPI: 1952641268
Provider Name (Legal Business Name): PLAINVIEW NURSING OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2013
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W 7TH ST STE 430
FT WORTH TX
76102-4902
US

IV. Provider business mailing address

306 W 7TH ST STE 430
FT WORTH TX
76102-4902
US

V. Phone/Fax

Practice location:
  • Phone: 817-339-6177
  • Fax: 817-339-6178
Mailing address:
  • Phone: 817-339-6177
  • Fax: 817-339-6178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number134182
License Number StateVA

VIII. Authorized Official

Name: RYAN HARRINGTON
Title or Position: PRESIDENT
Credential:
Phone: 817-339-6177