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WIND CREST NURSING CENTER INC NPI 1043240096


NPI Information

NPI: 1043240096
Provider Name: WIND CREST NURSING CENTER INC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 45D0488132

Address:
607 W AVENUE B
COPPERAS COVE, TX
ZIP 76522
Phone: (254) 547-1033
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WIND CREST NURSING CENTER INC is a nursing care and pediatric skilled nursing facility in Copperas Cove, TX. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. WIND CREST NURSING CENTER INC NPI is 1043240096. The provider is registered as an organization entity type.

The provider's business location address is:

607 W AVENUE B
COPPERAS COVE, TX
ZIP 76522-553
Phone: (254) 547-1033
Fax: (254) 542-3506

The provider's authorized official is Kimberly M Scullark .
The authorized official title is Medicare Coordinator and has the following contact phone number (863) 646-5951.

The CLIA number assigned to this NPI record is 45D0488132 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 6/21/2010.


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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric116809TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000515401MEDICAIDTEXAS
2021431401MEDICAIDTEXAS
3455515MEDICARE OSCAR/CERTIFICATIONTEXAS

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: 4/28/2024

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.