Provider Demographics
NPI:1932533825
Name:PILOT POINT HEALTHCARE INC
Entity Type:Organization
Organization Name:PILOT POINT HEALTHCARE INC
Other - Org Name:PILOT POINT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-343-1018
Mailing Address - Street 1:901 WILDROSE LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8816
Mailing Address - Country:US
Mailing Address - Phone:956-343-1018
Mailing Address - Fax:949-766-8581
Practice Address - Street 1:208 N PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-4057
Practice Address - Country:US
Practice Address - Phone:940-686-5507
Practice Address - Fax:940-686-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004311314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX004311Medicaid
TX004311Medicaid