MRS. VIRGINIA MARIE HUMANN, COTA - NPI NUMBER 1548591092

Summary

Provider Name: MRS. VIRGINIA MARIE HUMANN, COTA

NPI Number: 1548591092

Clasification: Skilled Nursing Facility (314000000X)

Address:
100 JEFFERY STREET
WACO, TX
ZIP 76710

Phone Number: (254) 399-6910



Detailed Information

MRS. Virginia Marie Humann, COTA is a skilled nursing facility in Waco, 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. The assigned NPI number for this provider is 1548591092 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

100 JEFFERY STREET
WACO, TX
ZIP 76710
Phone: (254) 399-6910

The enumeration date for this NPI number is 1/22/2010 and was last updated on 1/22/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 314000000X Skilled Nursing Facility 210063 TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1548591092
2 Entity Type Code 1
3 Provider Last Name Legal Name HUMANN
4 Provider First Name VIRGINIA
5 Provider Middle Name MARIE
6 Provider Name Prefix Text MRS.
7 Provider Credential Text COTA
8 Provider First Line Business Practice Location Address 100 JEFFERY STREET
9 Provider Business Practice Location Address City Name WACO
10 Provider Business Practice Location Address State Name TX
11 Provider Business Practice Location Address Postal Code 76710
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2543996910
14 Provider Enumeration Date 1/22/2010
15 Last Update Date 1/22/2010
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 314000000X
18 Provider License Number 1 210063
19 Provider License Number State Code 1 TX
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.