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SOUTHHAVEN ENTERPRISES LLC NPI 1235237462


NPI Information

NPI: 1235237462
Provider Name: SOUTHHAVEN ENTERPRISES, LLC

Doing Business As: SOUTHAVEN NURSING CENTER

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
5300 HOUSTON SCHOOL RD
DALLAS, TX
ZIP 75241
Phone: (214) 372-1496
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SOUTHHAVEN ENTERPRISES, LLC is a nursing facility intermediate care facility in Dallas, 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. SOUTHHAVEN ENTERPRISES, LLC NPI is 1235237462. The provider is registered as an organization entity type.
The provider Is Doing Business As Southaven Nursing Center.

The provider's business location address is:

5300 HOUSTON SCHOOL RD
DALLAS, TX
ZIP 75241-219
Phone: (214) 372-1496
Fax: (214) 374-7333

The provider's authorized official is Dee Bates .
The authorized official title is Owner and has the following contact phone number (940) 864-3619.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/7/2008.


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
1313M00000XNursing Facility/Intermediate Care Facility4917TEXASYes

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
1001012292MEDICAIDTEXAS
2675187MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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

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