Provider Demographics
NPI:1487716122
Name:ST. ANN'S NURSING HOME
Entity type:Organization
Organization Name:ST. ANN'S NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:806-537-3194
Mailing Address - Street 1:PO BOX 1179
Mailing Address - Street 2:
Mailing Address - City:PANHANDLE
Mailing Address - State:TX
Mailing Address - Zip Code:79068-1179
Mailing Address - Country:US
Mailing Address - Phone:806-537-3194
Mailing Address - Fax:806-537-3003
Practice Address - Street 1:125 SAINT ANN'S DRIVE
Practice Address - Street 2:
Practice Address - City:PANHANDLE
Practice Address - State:TX
Practice Address - Zip Code:79068-1109
Practice Address - Country:US
Practice Address - Phone:806-537-3194
Practice Address - Fax:806-537-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117333313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility