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HOME FOR AGED MASONS CLINIC NURSING CENTER NPI 1316072192


NPI Information

NPI: 1316072192
Provider Name: HOME FOR AGED MASONS CLINIC NURSING CENTER

Doing Business As: TEXAS MASONIC RETIREMENT CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 45D0715739

Address:
1501 W DIVISION ST
ARLINGTON, TX
ZIP 76012
Phone: (817) 275-2893
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HOME FOR AGED MASONS CLINIC NURSING CENTER is a skilled nursing facility in Arlington, TX. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. HOME FOR AGED MASONS CLINIC NURSING CENTER NPI is 1316072192. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Masonic Retirement Center.

The provider's business location address is:

1501 W DIVISION ST
ARLINGTON, TX
ZIP 76012-818
Phone: (817) 275-2893
Fax: (817) 275-1065

The provider's authorized official is Kirby Rudisill .
The authorized official title is Administrator and has the following contact phone number (817) 275-2893.

The CLIA number assigned to this NPI record is 45D0715739 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility0237TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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