# TICKNOR ENTERPRISES STEPHENVILLE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Stephenville Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063760361
- **Authorized official:** MR. LEON EVANS (MANAGER)
- **Authorized official phone:** (682) 305-7150

## Contact information

- **Practice address:** 2311 WEST WASHINGTON STREET, STEPHENVILLE, TX 76401-3805
- **Practice address phone:** (254) 968-3313
- **Practice address fax:** (682) 305-7155
- **Mailing address:** 4150 INTERNATIONAL PLAZA, SUITE 102, FORT WORTH, TX 76109-4846
- **Mailing address phone:** (682) 305-7150
- **Mailing address fax:** (682) 318-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2012
- **Last updated:** 12/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004051 | DADS FACILITY ID | TX |