Provider Demographics
NPI:1083661144
Name:LIMESTONE HEALTHCARE LTD
Entity Type:Organization
Organization Name:LIMESTONE HEALTHCARE LTD
Other - Org Name:WINDSOR HEALTHCARE RESIDENCE LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, COO LHCR INC. GEN. PTR.
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MARWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-753-7367
Mailing Address - Street 1:2524 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7418
Mailing Address - Country:US
Mailing Address - Phone:254-753-7367
Mailing Address - Fax:254-753-5776
Practice Address - Street 1:1025 W YEAGUA ST
Practice Address - Street 2:
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642-3529
Practice Address - Country:US
Practice Address - Phone:254-729-3366
Practice Address - Fax:254-729-3475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113044314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675139Medicare ID - Type Unspecified