MEDICARE: KAUFMAN HEALTHCARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023006723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAUFMAN HEALTHCARE CENTER

Provider Business Mailing Address
First Line	:	3001 S HOUSTON ST
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-3621
Country	:	US
Telephone Number	:	972-932-2118
Fax Number	:	972-932-3219

Provider Business Practice Location Address
First Line	:	3001 S HOUSTON ST
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-3621
Country	:	US
Telephone Number	:	972-932-2118
Fax Number	:	972-932-3219

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN HARLEY BERG
Credential	:	LNFA
Telephone Number	:	972-932-2118

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	08/22/2020

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Directions to “KAUFMAN HEALTHCARE CENTER ” Practice Location

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