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CITY OF ENNIS NPI 1700307964


NPI Information

NPI: 1700307964
Provider Name: CITY OF ENNIS

Doing Business As: KILLEEN NURSING & REHABILITATION

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

CLIA Number: 45D2164945

Address:
5000 THAYER DR
KILLEEN, TX
ZIP 76549
Phone: (254) 221-6380
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CITY OF ENNIS is a skilled nursing facility in Killeen, 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. CITY OF ENNIS NPI is 1700307964. The provider is registered as an organization entity type.
The provider Is Doing Business As Killeen Nursing & Rehabilitation.

The provider's business location address is:

5000 THAYER DR
KILLEEN, TX
ZIP 76549
Phone: (254) 221-6380

The provider's authorized official is Stephen Barnes .
The authorized official title is Finance Director and has the following contact phone number (972) 875-1234.

The CLIA number assigned to this NPI record is 45D2164945 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 4/27/2020.


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 FacilityYes

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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