Healthcare Provider Details

I. General information

NPI: 1083661144
Provider Name (Legal Business Name): LIMESTONE HEALTHCARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W YEAGUA ST
GROESBECK TX
76642-3529
US

IV. Provider business mailing address

2524 AUSTIN AVE
WACO TX
76710-7418
US

V. Phone/Fax

Practice location:
  • Phone: 254-729-3366
  • Fax: 254-729-3475
Mailing address:
  • Phone: 254-753-7367
  • Fax: 254-753-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number113044
License Number StateTX

VIII. Authorized Official

Name: MR. ROBERT SCOTT MARWITZ
Title or Position: PRESIDENT, COO LHCR INC. GEN. PTR.
Credential:
Phone: 254-753-7367