Provider Demographics
NPI:1811963101
Name:ALTO NURSING CENTER, INC.
Entity type:Organization
Organization Name:ALTO NURSING CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-683-1042
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:1884 LOOP 343 WEST
Mailing Address - City:RUSK
Mailing Address - State:TX
Mailing Address - Zip Code:75785-0534
Mailing Address - Country:US
Mailing Address - Phone:903-683-1042
Mailing Address - Fax:903-683-3834
Practice Address - Street 1:1884 LOOP 343 WEST
Practice Address - Street 2:
Practice Address - City:RUSK
Practice Address - State:TX
Practice Address - Zip Code:75785-0534
Practice Address - Country:US
Practice Address - Phone:903-683-1042
Practice Address - Fax:903-683-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111776314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX455840Medicare ID - Type Unspecified