Provider Demographics
NPI:1255512067
Name:HUNTINGTON HEALTH CARE & REHABILITATION CENTER LTD.
Entity type:Organization
Organization Name:HUNTINGTON HEALTH CARE & REHABILITATION CENTER LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-382-3206
Mailing Address - Street 1:220 E. ASH STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:75949-5514
Mailing Address - Country:US
Mailing Address - Phone:936-876-2273
Mailing Address - Fax:936-876-2286
Practice Address - Street 1:220 E. ASH STREET
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:TX
Practice Address - Zip Code:75949-5514
Practice Address - Country:US
Practice Address - Phone:936-876-2273
Practice Address - Fax:936-876-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126566314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001015874Medicaid
TX001015874Medicaid