# FANNIN COUNTY HOSPITAL AUTHORITY

> 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:** Reunion Plaza Senior Care and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790779452
- **Authorized official:** DENVER SHEDDY (BOARD REPRESENTATIVE)
- **Authorized official phone:** (817) 372-7224

## Contact information

- **Practice address:** 1401 HAMPTON RD, TEXARKANA, TX 75503-4600
- **Practice address phone:** (903) 792-7994
- **Practice address fax:** (903) 792-8583
- **Mailing address:** 1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
- **Mailing address phone:** (972) 899-4401
- **Mailing address fax:** (972) 899-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 115696 | TX | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 02/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1002758 | — | TX |
| 01 | — | 150238701 | MEDICAID CO B | TX |