Provider Demographics
NPI:1598237133
Name:CITY OF WEST
Entity Type:Organization
Organization Name:CITY OF WEST
Other - Org Name:ST. ANTHONY'S CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-826-5351
Mailing Address - Street 1:7501 BAGBY AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6904
Mailing Address - Country:US
Mailing Address - Phone:254-399-6788
Mailing Address - Fax:
Practice Address - Street 1:7501 BAGBY AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6904
Practice Address - Country:US
Practice Address - Phone:254-327-1202
Practice Address - Fax:254-327-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility