Provider Demographics
NPI:1255654133
Name:SEARS TYLER METHODIST RETIREMENT CORPORATION
Entity Type:Organization
Organization Name:SEARS TYLER METHODIST RETIREMENT CORPORATION
Other - Org Name:LONGLEAF MEADOWS HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-691-5519
Mailing Address - Street 1:1 VILLAGE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8231
Mailing Address - Country:US
Mailing Address - Phone:328-691-5519
Mailing Address - Fax:325-698-4582
Practice Address - Street 1:16044 COUNTY ROAD 165
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-7302
Practice Address - Country:US
Practice Address - Phone:903-526-5599
Practice Address - Fax:903-526-3717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility