Provider Demographics
NPI:1609132794
Name:CAMP WOOD SNF, LLC
Entity Type:Organization
Organization Name:CAMP WOOD SNF, LLC
Other - Org Name:CEDAR HILLS GERIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-851-2273
Mailing Address - Street 1:PO BOX 830
Mailing Address - Street 2:
Mailing Address - City:CAMP WOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78833-0830
Mailing Address - Country:US
Mailing Address - Phone:830-597-5445
Mailing Address - Fax:877-334-9483
Practice Address - Street 1:710 HWY 55
Practice Address - Street 2:
Practice Address - City:CAMP WOOD
Practice Address - State:TX
Practice Address - Zip Code:78833
Practice Address - Country:US
Practice Address - Phone:830-597-5445
Practice Address - Fax:877-334-9483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility