Healthcare Provider Details

I. General information

NPI: 1255512067
Provider Name (Legal Business Name): HUNTINGTON HEALTH CARE & REHABILITATION CENTER LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 07/14/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E. ASH STREET
HUNTINGTON TX
75949-5514
US

IV. Provider business mailing address

220 E. ASH STREET
HUNTINGTON TX
75949-5514
US

V. Phone/Fax

Practice location:
  • Phone: 936-876-2273
  • Fax: 936-876-2286
Mailing address:
  • Phone: 936-876-2273
  • Fax: 936-876-2286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number126566
License Number StateTX

VIII. Authorized Official

Name: JEANIE REYNOLDS
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 409-382-3206