=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780681916
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAN NURSING AND REHAB OF PLAINVIEW LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 224 SAINT LOUIS ST
-----------------------------------------------------
City | PLAINVIEW
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79072-8938
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-293-5201
-----------------------------------------------------
Fax | 806-293-9521
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1919 OAKWELL FARMS PKWY SUITE 255
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78218-1777
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-572-0701
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JEFF REEH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-572-0701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | 109568
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------