Provider Demographics
NPI:1922083492
Name:WTCS HEALTHCARE CENTER INC.
Entity Type:Organization
Organization Name:WTCS HEALTHCARE CENTER INC.
Other - Org Name:ASHTON PARKE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-683-0220
Mailing Address - Street 1:210 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2819
Mailing Address - Country:US
Mailing Address - Phone:409-935-0300
Mailing Address - Fax:409-908-0301
Practice Address - Street 1:210 GULF FWY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2819
Practice Address - Country:US
Practice Address - Phone:409-935-0300
Practice Address - Fax:409-908-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001012229314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012229Medicaid
TX676057Medicare ID - Type UnspecifiedPROVIDER NUMBER