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NPI Code Detail

MEDICARE: HEBRON OPERATING COMPANY LLC

MEDICARE: HEBRON OPERATING COMPANY LLC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134-5223OTHERNCNORIDIAN

General Provider Information

NPI Number : 1578013876
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEBRON OPERATING COMPANY LLC
Provider Business Mailing Address
First Line : 5300 W SAM HOUSTON PKWY N
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77041-5161
Country : US
Telephone Number : 832-467-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1510 HEBRON RD
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28739-4794
Country : US
Telephone Number : 828-693-8461
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR AR
Name : KELLE C SANTORO
Credential :
Telephone Number : 832-467-5728
Provider Enumeration Date : 10/11/2016
Last Update Date : 11/11/2020

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Directions to “HEBRON OPERATING COMPANY LLC ” Practice Location

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