Healthcare Provider Details

I. General information

NPI: 1649082587
Provider Name (Legal Business Name): GHC HAMLIN OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 02/09/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 SW AVENUE F
HAMLIN TX
79520-4615
US

IV. Provider business mailing address

4150 INTERNATIONAL PLZ STE 102
FORT WORTH TX
76109-4846
US

V. Phone/Fax

Practice location:
  • Phone: 325-576-3643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. LEON EVANS
Title or Position: MANAGER
Credential:
Phone: 682-305-7150