Provider Demographics
NPI:1508999632
Name:BT HEALTH CARE INC.
Entity Type:Organization
Organization Name:BT HEALTH CARE INC.
Other - Org Name:BENDER TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER (PRESIDENT)
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:THELTON
Authorized Official - Last Name:MCNEICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-795-4368
Mailing Address - Street 1:P.O. BOX 16607
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79490
Mailing Address - Country:US
Mailing Address - Phone:806-795-4368
Mailing Address - Fax:806-795-1189
Practice Address - Street 1:4510 - 27TH STREET
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-795-4368
Practice Address - Fax:806-795-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116203313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000407202Medicaid
TX676163Medicare Oscar/Certification