Provider Demographics
NPI:1275549065
Name:HJF MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:HJF MANAGEMENT SERVICES, LLC
Other - Org Name:LEGEND OF THE PLAINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAVA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-839-2102
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:HALE CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:79041-0177
Mailing Address - Country:US
Mailing Address - Phone:806-839-2102
Mailing Address - Fax:806-839-1221
Practice Address - Street 1:202 W THIRD ST
Practice Address - Street 2:
Practice Address - City:HALE CENTER
Practice Address - State:TX
Practice Address - Zip Code:79041-1400
Practice Address - Country:US
Practice Address - Phone:806-839-2102
Practice Address - Fax:806-839-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117634314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4882Medicaid
TX4882Medicaid