Provider Demographics
NPI:1922115971
Name:WESTVIEW MANOR HOLDINGS INC
Entity Type:Organization
Organization Name:WESTVIEW MANOR HOLDINGS INC
Other - Org Name:MCGREGOR NURSING HOME INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-840-3281
Mailing Address - Street 1:414 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:MCGREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-1499
Mailing Address - Country:US
Mailing Address - Phone:254-840-3281
Mailing Address - Fax:254-840-3102
Practice Address - Street 1:414 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:MCGREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-1499
Practice Address - Country:US
Practice Address - Phone:254-840-3281
Practice Address - Fax:254-840-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX455554Medicare ID - Type Unspecified