Legacy Healthcare Corporation
Skilled Nursing Facility in Madisonville, TX. Organization (NPI-2).
Details
- NPI
- 1780737692
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Healthcare Corporation
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 8, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 116849 | TX | Yes |
Other names
- Riverwood Healthcare And Rehabilitation (Doing Business As)
Practice location
600 Bacon StMadisonville, TX 77864-2511
Phone 936-348-9097 · Fax 936-348-9212
Mailing address
600 Bacon StMadisonville, TX 77864-2511
Phone 936-348-9097 · Fax 936-348-9212
Authorized official
Douglas K Mittleider
President Of Management Company
7706190866
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Skilled Nursing Facility providers in Madisonville, TX
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- Hcc-Healthcare Properties, LLCNPI 1063900751
- Legacy Healthcare CorpNPI 1831113463
- Madisonville II Enterprises, LLCNPI 1952584757
- Madisonville ManagmentNPI 1194761676
- Riverwood-Ltc, LLCNPI 1861854242
- Summit Ltc Madisonville, LLCNPI 1669949525
- West Wharton County Hospital DistrictNPI 1437930880
All 10 Skilled Nursing Facility providers in Madisonville · All 75 providers in Madisonville
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