# DECATUR HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dfw nursing & rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407253511
- **Authorized official:** BRIAN TODD SCROGGINS (CEO)
- **Authorized official phone:** (940) 900-4348

## Contact information

- **Practice address:** 900 W LEUDA ST, FORT WORTH, TX 76104-3002
- **Practice address phone:** (817) 332-7003
- **Practice address fax:** (817) 623-6742
- **Mailing address:** 127 W BROAD ST, SUITE 800, LAKE CHARLES, LA 70601-4393
- **Mailing address phone:** (337) 439-6600
- **Mailing address fax:** (337) 439-6647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 138915 | TX | Yes |

## Other

- **Enumeration date:** 12/04/2014
- **Last updated:** 05/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004002 | — | TX |
| 05 | — | 1026504 | — | TX |