Provider Demographics
NPI:1376524850
Name:C F & H CORPORATION
Entity Type:Organization
Organization Name:C F & H CORPORATION
Other - Org Name:SOUTH DALLAS NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-428-2851
Mailing Address - Street 1:3808 S CENTRAL EXPY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-3701
Mailing Address - Country:US
Mailing Address - Phone:214-428-2851
Mailing Address - Fax:214-428-4074
Practice Address - Street 1:3808 S CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-3701
Practice Address - Country:US
Practice Address - Phone:214-428-2851
Practice Address - Fax:214-428-4074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675440314000000X
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675440Medicare PIN