Provider Demographics
NPI:1528141702
Name:UNITED METHODIST RETIREMENT HOME, SHERMAN-MCKINNEY DISTRICT, INC.
Entity type:Organization
Organization Name:UNITED METHODIST RETIREMENT HOME, SHERMAN-MCKINNEY DISTRICT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUSBEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-465-6463
Mailing Address - Street 1:2800 LOY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-5648
Mailing Address - Country:US
Mailing Address - Phone:903-465-6463
Mailing Address - Fax:903-465-6498
Practice Address - Street 1:2800 LOY LAKE RD
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-5648
Practice Address - Country:US
Practice Address - Phone:903-465-6463
Practice Address - Fax:903-465-6498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116847310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility