Basic Information
| Provider Information | |||||||||
| NPI: | 1922115971 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WESTVIEW MANOR HOLDINGS INC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | MCGREGOR NURSING HOME INC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 414 JOHNSON DR | ||||||||
| Address2: | |||||||||
| City: | MCGREGOR | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766571499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548403281 | ||||||||
| FaxNumber: | 2548403102 | ||||||||
| Practice Location | |||||||||
| Address1: | 414 JOHNSON DR | ||||||||
| Address2: | |||||||||
| City: | MCGREGOR | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766571499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548403281 | ||||||||
| FaxNumber: | 2548403102 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ELLIOTT | ||||||||
| AuthorizedOfficialFirstName: | RAY | ||||||||
| AuthorizedOfficialMiddleName: | DEAN | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2548403281 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | TX | X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 314000000X | TX | X | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.