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.
Organization
NACOGDOCHES CSNHC ENTERPRISES, LLC
Active
Organization
NACOGDOCHES CSNHC ENTERPRISES, LLC
Active
Other names
Willowbrook Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
227 RUSSELL BLVD, NACOGDOCHES, TX 75965-1238
(936) 564-4596
(936) 564-6824
Mailing address
227 RUSSELL BLVD, NACOGDOCHES, TX 75965-1238
(936) 564-4596
(936) 564-6824
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015998
—
TX
01
—
005225
VENDOR STATE
TX
Enumeration date
02/27/2008
Last updated
02/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers