Provider Demographics
NPI:1124015334
Name:J. ROPHE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:J. ROPHE HEALTHCARE, INC.
Other - Org Name:THE SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DELORME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-645-3915
Mailing Address - Street 1:704 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:HUGHES SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75656-2600
Mailing Address - Country:US
Mailing Address - Phone:903-645-3915
Mailing Address - Fax:903-645-7250
Practice Address - Street 1:704 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:HUGHES SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75656-2600
Practice Address - Country:US
Practice Address - Phone:903-645-3915
Practice Address - Fax:903-645-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000495906Medicaid
TX000495906Medicaid