Healthcare Provider Details

I. General information

NPI: 1285679886
Provider Name (Legal Business Name): BELL COUNTY NURSING AND REHAB CENTER OF TEMPLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 5TH ST
TEMPLE TX
76504-7446
US

IV. Provider business mailing address

2275 WESTPARK CT SUITE 203
EULESS TX
76040-3999
US

V. Phone/Fax

Practice location:
  • Phone: 254-773-1641
  • Fax: 254-395-8974
Mailing address:
  • Phone: 817-857-1099
  • Fax: 817-545-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116015
License Number StateTX

VIII. Authorized Official

Name: STEPHEN MICHAEL EWING
Title or Position: PRESIDENT
Credential:
Phone: 817-857-1099