Provider Demographics
NPI:1710386040
Name:TITUS COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:TITUS COUNTY HOSPITAL DISTRICT
Other - Org Name:HERITAGE HOUSE AT PARIS REHAB & NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-577-6066
Mailing Address - Street 1:150 47TH ST SE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-7417
Mailing Address - Country:US
Mailing Address - Phone:903-784-3100
Mailing Address - Fax:903-784-4945
Practice Address - Street 1:150 47TH ST SE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-7417
Practice Address - Country:US
Practice Address - Phone:903-784-3100
Practice Address - Fax:903-784-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX004779Medicaid
TX676294Medicare Oscar/Certification