Provider Demographics
NPI:1255329603
Name:BORGER HEALTHCARE CENTER
Entity Type:Organization
Organization Name:BORGER HEALTHCARE CENTER
Other - Org Name:SENIOR LIVING PROPERTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLINE
Authorized Official - Middle Name:NMI
Authorized Official - Last Name:BURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LFNA
Authorized Official - Phone:806-273-3785
Mailing Address - Street 1:1316 S FLORIDA ST
Mailing Address - Street 2:NONE
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-6306
Mailing Address - Country:US
Mailing Address - Phone:806-273-3785
Mailing Address - Fax:806-274-5976
Practice Address - Street 1:1316 S FLORIDA ST
Practice Address - Street 2:NONE
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-6306
Practice Address - Country:US
Practice Address - Phone:806-273-3785
Practice Address - Fax:806-274-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110513314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00504406Medicaid