Provider Demographics
NPI:1588080519
Name:BELTERRA HEALTH & REHAB, LLC
Entity type:Organization
Organization Name:BELTERRA HEALTH & REHAB, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-268-8103
Mailing Address - Street 1:2208 HIGHWAY 121
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5981
Mailing Address - Country:US
Mailing Address - Phone:817-268-8103
Mailing Address - Fax:817-282-5967
Practice Address - Street 1:2170 NORTH LAKE FOREST DRIVE
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5156
Practice Address - Country:US
Practice Address - Phone:817-268-8103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility