Provider Demographics
NPI:1093886004
Name:HILL COUNTRY NURSING AND REHABILITATION CENTER LTD
Entity Type:Organization
Organization Name:HILL COUNTRY NURSING AND REHABILITATION CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-672-4530
Mailing Address - Street 1:701 N SARAH DEWITT DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:TX
Mailing Address - Zip Code:78629-2813
Mailing Address - Country:US
Mailing Address - Phone:830-672-4530
Mailing Address - Fax:830-672-4543
Practice Address - Street 1:701 N SARAH DEWITT DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:TX
Practice Address - Zip Code:78629-2813
Practice Address - Country:US
Practice Address - Phone:830-672-4530
Practice Address - Fax:830-672-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676138Medicare Oscar/Certification