Provider Demographics
NPI:1962497487
Name:GARRETT-BECK CORPORATION
Entity Type:Organization
Organization Name:GARRETT-BECK CORPORATION
Other - Org Name:GOOSE CREEK REHABILITATION AND HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:GARRETT-MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:281-427-1644
Mailing Address - Street 1:1106 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-2322
Mailing Address - Country:US
Mailing Address - Phone:281-427-1644
Mailing Address - Fax:281-427-7054
Practice Address - Street 1:1106 PARK ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2322
Practice Address - Country:US
Practice Address - Phone:281-427-1644
Practice Address - Fax:281-427-7054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676032314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676032Medicare ID - Type Unspecified