Organization
LEGEND GREENVILLE HEALTHCARE, LLC
Active
Other names
Legend Healthcare and Rehabilitation - Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
2300 JACK FINNEY BLVD, GREENVILLE, TX 75402-3763
(903) 455-7942
(903) 455-0472
Mailing address
1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914
(210) 564-0100
(210) 564-0157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004084
—
TX
Enumeration date
09/25/2006
Last updated
03/25/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us