ITASCA NURSING HOME
NPI 1295891208
Skilled Nursing Facility in Itasca, TX

Active since December 28, 2006CLIA 45D1059283 · Waiver
409 N FILES ST, ITASCA, TX 76055(254) 687-2383(254) 687-2565 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Itasca Nursing Home NPPES

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

ITASCA NURSING HOME (NPI 1295891208) is a healthcare organization registered as a skilled nursing facility in Itasca, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Patricia Diane Ward, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1295891208
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePYRAMID HEALTHCARE CORP
Location Address409 N FILES STItasca, TX 76055-2336
Mailing AddressPo Box 2105Whitney, TX 76692-5105 · (254) 580-9424 · Fax (254) 580-9892
Fax(254) 687-2565
Organization SubpartNo
Authorized OfficialPatricia Diane WardCeo President · (254) 580-9424
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1295891208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 112891
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.
409 N FILES ST, Itasca, TX 76055

Other Names 1

Doing Business AsItasca Nursing Home

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 45D1059283

Itasca Nursing Operations, LLC Dba Homestead Nursing & Rehabilitation Of Itasca · Itasca, TX
Active · expires Sep 25, 2026
CLIA Number45D1059283
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorPaula Fabianke
Laboratory Phone(254) 687-2383
Laboratory LocationItasca Nursing Operations, LLC Dba Homestead Nursing & Rehabilitation Of Itasca409 South Files, Itasca, TX 76055
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
409 N FILES ST
ITASCA, TX 76055

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 Pyramid Healthcare Corp's NPI number?

The NPI number for Pyramid Healthcare Corp is 1295891208. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Itasca Nursing Home.

Where is Pyramid Healthcare Corp located?

Pyramid Healthcare Corp is located at 409 N Files St, Itasca, TX 76055. The listed phone number is (254) 687-2383.

What is Pyramid Healthcare Corp's specialty?

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

Does Pyramid Healthcare Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1059283) is associated with this NPI, valid through September 25, 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 Pyramid Healthcare Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.