Provider Demographics
NPI:1467446856
Name:DISTINGUISHED HEALTH CARE INC
Entity Type:Organization
Organization Name:DISTINGUISHED HEALTH CARE INC
Other - Org Name:MERKEL NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STORMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:254-647-3111
Mailing Address - Street 1:1704 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MERKEL
Mailing Address - State:TX
Mailing Address - Zip Code:79536-3086
Mailing Address - Country:US
Mailing Address - Phone:325-928-5673
Mailing Address - Fax:325-928-3011
Practice Address - Street 1:1704 N 1ST ST
Practice Address - Street 2:
Practice Address - City:MERKEL
Practice Address - State:TX
Practice Address - Zip Code:79536-3086
Practice Address - Country:US
Practice Address - Phone:325-928-5673
Practice Address - Fax:325-928-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4122314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-6053Medicare ID - Type Unspecified