COMMUNITY CARE CENTER OF STAMFORD – NPI #1760432538
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COMMUNITY CARE CENTER OF STAMFORD is a skilled nursing facility (SNF) located in STAMFORD, TX. NPPES has assigned the NPI number 1760432538 to COMMUNITY CARE CENTER OF STAMFORD on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY CARE CENTER OF STAMFORD” is a dba name, the actual legal business name for this organization is AMBASSADOR MEDICAL SUPPLY OF TEXAS INC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing 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 COMMUNITY CARE CENTER OF STAMFORD below.

NPI Profile for
AMBASSADOR MEDICAL SUPPLY OF TEXAS INC

NPI Number
1760432538
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
AMBASSADOR MEDICAL SUPPLY OF TEXAS INC
Doing Business As (dba): COMMUNITY CARE CENTER OF STAMFORD
Primary location
1003 COLUMBIA STREET
STAMFORD, TX 79553
Phone: (325) 773-3671 Fax: (325) 773-5751
Mailing address
1714 TEASLEY LANE
DENTON, TX 76205
Phone: (940) 220-6440 Fax: (940) 220-6443
Organization Subpart
No
Authorized Official
JUSTIN FREEBOURN
PRESIDENT
Phone: (940) 220-6440
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
314000000X
- Skilled Nursing Facility (Primary)
TX 120372

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.