Healthcare Provider Details

I. General information

NPI: 1376548263
Provider Name (Legal Business Name): CASCADE SABINE HEALTH SERVICES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 FM HWY 83 WEST
HEMPHILL TX
75948
US

IV. Provider business mailing address

2000 FM HWY 83 WEST
HEMPHILL TX
75948
US

V. Phone/Fax

Practice location:
  • Phone: 409-787-3342
  • Fax: 409-787-4132
Mailing address:
  • Phone: 409-787-3342
  • Fax: 409-787-4132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number114218
License Number StateTX

VIII. Authorized Official

Name: MR. RONALD M. HANEY
Title or Position: GENERAL PARTNER
Credential:
Phone: 936-634-6633