PREMONT NURSING HOME, INC. – NPI #1366402430
Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

PREMONT NURSING HOME, INC. is a facility located in PREMONT, TX. NPPES has assigned the NPI number 1366402430 to PREMONT NURSING HOME, INC. on March 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 313M00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Facility/Intermediate Care Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMONT NURSING HOME, INC. below.

NPI Profile for
PREMONT NURSING HOME, INC.

NPI Number
1366402430
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMONT NURSING HOME, INC.
Primary location
431 N.W. 3RD STREET
PREMONT, TX 78375
Phone: (361) 348-3553 Fax: (361) 348-3596
Mailing address
PO BOX Q
PREMONT, TX 78375-0260
Phone: (361) 348-3553 Fax: (361) 348-3596
Organization Subpart
No
Authorized Official
RANDI MCCLEERY
ADMINISTRATOR
Phone: (361) 348-3553
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
313M00000X
- Nursing Facility/Intermediate Care Facility (Primary)
TX 4487

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.