GARDENDALE HEALTHCARE RESIDENCE
NPI 1093371064
Skilled Nursing Facility in Jacksonville, TX

Active since May 15, 2019
1521 E RUSK ST, JACKSONVILLE, TX 75766(903) 586-3626(903) 586-2766 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2019, May 15, 2019 (2 updates tracked since 2019).

About Gardendale Healthcare Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDENDALE HEALTHCARE RESIDENCE (NPI 1093371064) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Texas and active in the NPI registry since May 2019. The organization lists Michael Little, Manager, as its authorized official.

NPPES Registry Identity

NPI1093371064
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGARDENDALE HH OPCO LLC
Location Address1521 E RUSK STJacksonville, TX 75766-5505
Mailing Address1521 E Rusk StJacksonville, TX 75766-5505 · (888) 396-3462 · Fax (214) 396-3482
Fax(903) 586-2766
Organization SubpartNo
Authorized OfficialMichael LittleManager · (888) 396-3462
Enumeration DateMay 15, 2019
Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration
NPI 1093371064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
1521 E RUSK ST, Jacksonville, TX 75766

Other Names 1

Doing Business AsGardendale Healthcare Residence

Other Identifiers 1

Other004986TX · State Facility License

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1521 E RUSK ST
JACKSONVILLE, TX 75766
Skilled Nursing Facility
1521 E RUSK ST
JACKSONVILLE, TX 75766
Skilled Nursing Facility
1521 E RUSK ST
JACKSONVILLE, TX 75766
Physical Therapy Assistant
1521 E RUSK ST
JACKSONVILLE, TX 75766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gardendale Hh Opco LLC's NPI number?

The NPI number for Gardendale Hh Opco LLC is 1093371064. It was assigned to this organization in the NPPES registry on May 15, 2019. The provider is doing business as Gardendale Healthcare Residence.

Where is Gardendale Hh Opco LLC located?

Gardendale Hh Opco LLC is located at 1521 E Rusk St, Jacksonville, TX 75766. The listed phone number is (903) 586-3626.

What is Gardendale Hh Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Gardendale Hh Opco LLC was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.