LUBBOCK HEALTH CARE CENTER
NPI 1093705634
Skilled Nursing Facility in Lubbock, TX

Active since October 25, 2005CLIA 45D0705919 · Waiver
4120 22ND PLACE, LUBBOCK, TX 79410(806) 793-3252(806) 791-5364 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lubbock Health Care Center NPPES

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

LUBBOCK HEALTH CARE CENTER (NPI 1093705634) is a healthcare organization registered as a skilled nursing facility in Lubbock, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter J Licari, President Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1093705634
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLUBBOCK NURSING CENTER, L.P.
Location Address4120 22ND PLACELubbock, TX 79410-1196
Mailing Address200 Dryden Road, Suite 2000Dresher, PA 19025 · (215) 441-7700 · Fax (215) 441-4255
Fax(806) 791-5364
Organization SubpartNo
Authorized OfficialPeter J LicariPresident Of General Partner · (215) 441-7700
Enumeration DateOctober 25, 2005
Last NPPES UpdateOctober 29, 2007
NPI 1093705634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 108208
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.
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 114914 (TX)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 114914 (TX)
4120 22ND PLACE, Lubbock, TX 79410

Other Names 1

Doing Business AsLubbock Health Care Center

Other Identifiers 3

Medicare OSCAR/certification455942TX
Medicaid005138TX
Medicare NSC4534340001TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0705919

Lubbock Nh Snf LLC D/B/A Lubbock Health Care Center · Lubbock, TX
Active · expires Aug 31, 2026
CLIA Number45D0705919
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrenda Baker
Laboratory Phone(806) 793-3252
Laboratory LocationLubbock Nh Snf LLC D/B/A Lubbock Health Care Center4120 22nd Place, Lubbock, TX 79410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lubbock Nursing Center, L.P.'s NPI number?

The NPI number for Lubbock Nursing Center, L.P. is 1093705634. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as Lubbock Health Care Center.

Where is Lubbock Nursing Center, L.P. located?

Lubbock Nursing Center, L.P. is located at 4120 22nd Place, Lubbock, TX 79410. The listed phone number is (806) 793-3252.

What is Lubbock Nursing Center, L.P.'s specialty?

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

Does Lubbock Nursing Center, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0705919) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lubbock Nursing Center, L.P. was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.