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INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS NPI 1598751166


NPI Information

NPI: 1598751166
Provider Name: INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS

Doing Business As: ODD FELLOW AND REBEKAH NURSING HOME

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
2300 S OAK GROVE RD
ENNIS, TX
ZIP 75119
Phone: (972) 875-8643
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INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS is a nursing facility intermediate care facility in Ennis, TX. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS NPI is 1598751166. The provider is registered as an organization entity type.
The provider Is Doing Business As Odd Fellow And Rebekah Nursing Home.

The provider's business location address is:

2300 S OAK GROVE RD
ENNIS, TX
ZIP 75119-841
Phone: (972) 875-8643
Fax: (972) 875-1179

The provider's authorized official is James M Curtis .
The authorized official title is Grand Secretary and has the following contact phone number (903) 872-7438.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 2/13/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility114389TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1190096101MEDICAIDNEVADA
2000456001MEDICAIDTEXAS

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: 5/5/2024

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