Provider Demographics
NPI:1912094343
Name:ALVARADO LTC PARTNERS, INC.
Entity Type:Organization
Organization Name:ALVARADO LTC PARTNERS, INC.
Other - Org Name:ALVARADO MEADOWS NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:III
Authorized Official - Credentials:LNFA
Authorized Official - Phone:832-489-9944
Mailing Address - Street 1:101 N PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009-3724
Mailing Address - Country:US
Mailing Address - Phone:817-790-3304
Mailing Address - Fax:866-354-8161
Practice Address - Street 1:101 N PARKWAY DR
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009-3724
Practice Address - Country:US
Practice Address - Phone:817-790-3304
Practice Address - Fax:866-354-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118423314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4612Medicaid
TX001014519Medicaid
TX455601Medicare PIN