Provider Demographics
NPI:1164439931
Name:TOWN HALL ESTATES-HILLSBORO, INC.
Entity Type:Organization
Organization Name:TOWN HALL ESTATES-HILLSBORO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-582-8482
Mailing Address - Street 1:300 HAPPY LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2624
Mailing Address - Country:US
Mailing Address - Phone:254-582-8482
Mailing Address - Fax:254-582-2487
Practice Address - Street 1:300 HAPPY LN
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2624
Practice Address - Country:US
Practice Address - Phone:254-582-8482
Practice Address - Fax:254-582-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115481314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676033Medicare ID - Type UnspecifiedMEDICARE PROVIDER #