Organization
HAMILTON COUNTY HOSPITAL DISTRICT
Active
Other names
The Eden of Las Colinas
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2101 WEST NORTHGATE DR., IRVING, TX 75062-2637
(972) 255-4460
(972) 252-1036
Mailing address
2101 W NORTHGATE DR, IRVING, TX 75062-2650
(972) 255-4460
(972) 258-8084
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
110791
TX
314000000X
Skilled Nursing Facility
130536
TX
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004663
—
TX
01
—
159891401
MEDICAID CO B
TX
Enumeration date
09/08/2005
Last updated
09/29/2022
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