Provider Demographics
NPI:1104871268
Name:TOWN HALL ESTATES HILLSBORO
Entity type:Organization
Organization Name:TOWN HALL ESTATES HILLSBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-582-8482
Mailing Address - Street 1:300 HAPPY LANE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2645
Mailing Address - Country:US
Mailing Address - Phone:254-582-8482
Mailing Address - Fax:254-852-2479
Practice Address - Street 1:300 HAPPY LANE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2645
Practice Address - Country:US
Practice Address - Phone:254-582-8482
Practice Address - Fax:254-852-2479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251J00000X251J00000X
TX332BP3500X332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251J00000XAgenciesNursing Care
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1042010001Medicare ID - Type Unspecified