PONDEROSA NURSING AND REHABILIATION
NPI 1376094284
Skilled Nursing Facility in De Kalb, TX

Active since October 17, 2016
12520 FM 1840, DE KALB, TX 75559(903) 667-2572 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ponderosa Nursing And Rehabiliation NPPES

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

PONDEROSA NURSING AND REHABILIATION (NPI 1376094284) is a healthcare organization registered as a skilled nursing facility in De Kalb, Texas and active in the NPI registry since October 2016. The organization lists Beverly Hagood, Administator, as its authorized official.

NPPES Registry Identity

NPI1376094284
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePONDEROSA NURSING AND REHABILIATION
Location Address12520 FM 1840De Kalb, TX 75559-1929
Mailing Address12520 Fm 1840De Kalb, TX 75559-1929 · (903) 667-2572
Organization SubpartNo
Authorized OfficialBeverly HagoodAdministator · (903) 667-2572
Enumeration DateOctober 17, 2016
✔ NPI 1376094284 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 · 001021048
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.
12520 FM 1840, De Kalb, TX 75559

Other Identifiers 1

Medicaid001021048TX

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
12520 FM 1840
DE KALB, TX 75559
Skilled Nursing Facility
12520 FM 1840
DE KALB, TX 75559
Nursing Facility/Intermediate Care Facility
12520 FM 1840
DE KALB, TX 75559

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 Ponderosa Nursing And Rehabiliation's NPI number?

The NPI number for Ponderosa Nursing And Rehabiliation is 1376094284. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Ponderosa Nursing And Rehabiliation located?

Ponderosa Nursing And Rehabiliation is located at 12520 Fm 1840, De Kalb, TX 75559. The listed phone number is (903) 667-2572.

What is Ponderosa Nursing And Rehabiliation'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 Ponderosa Nursing And Rehabiliation was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.