Provider Demographics
NPI:1285679886
Name:BELL COUNTY NURSING AND REHAB CENTER OF TEMPLE, INC.
Entity Type:Organization
Organization Name:BELL COUNTY NURSING AND REHAB CENTER OF TEMPLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:EWING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-857-1099
Mailing Address - Street 1:2275 WESTPARK CT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3999
Mailing Address - Country:US
Mailing Address - Phone:817-857-1099
Mailing Address - Fax:817-545-4494
Practice Address - Street 1:2222 S 5TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7446
Practice Address - Country:US
Practice Address - Phone:254-773-1641
Practice Address - Fax:254-395-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116015314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-5804Medicare ID - Type UnspecifiedMC PROVIDER NUMBER