# NACOGDOCHES COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage at Longview Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871981019
- **Authorized official:** RONALD R PAYNE (MANAGER)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 112 RUTHLYNN DR, LONGVIEW, TX 75605-5634
- **Practice address phone:** (903) 753-8611
- **Practice address fax:** (903) 758-4026
- **Mailing address:** 1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
- **Mailing address phone:** (936) 568-8523
- **Mailing address fax:** (936) 568-8588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 136092 | TX | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 12/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005129 | — | TX |