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LEGACY LIVING CENTERS
NPI 1689660417
Nursing Facility/Intermediate Care Facility in Devine, TX

Active since September 27, 2005
104 ENTERPRISE AVE, DEVINE, TX 78016(830) 663-4451 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Living Centers NPPES

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

LEGACY LIVING CENTERS (NPI 1689660417) is a healthcare organization registered as a nursing facility/intermediate care facility in Devine, Texas and active in the NPI registry since September 2005. The organization lists Janice Pita, Insurance/medicare, as its authorized official.

NPPES Registry Identity

NPI1689660417
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameDEVINE CONVALESCENT CARE CENTER INC
Location Address104 ENTERPRISE AVEDevine, TX 78016-1807
Mailing Address104 Enterprise AveDevine, TX 78016-1807 · (830) 663-4451
Phone(830) 663-4451
Organization SubpartNo
Authorized OfficialJanice PitaInsurance/medicare · (580) 622-6300
Enumeration DateSeptember 27, 2005
Last NPPES UpdateAugust 28, 2008
✔ NPI 1689660417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in TX · 112767
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
104 ENTERPRISE AVE, Devine, TX 78016
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Other Names 1

Doing Business AsLegacy Living Centers

Other Identifiers 4

Medicare ID-Type Unspecified675489TX · Medicare Provider Number
Other1767741-01TX · Texas Medicaid B
OtherHH027STX · Blue Cross Blue Shield Tx
Medicaid001012206TX

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.

WEST WHARTON COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
104 ENTERPRISE AVE
DEVINE, TX 78016
Medina County (830) 663-4451
VAL VERDE COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
104 ENTERPRISE AVE
DEVINE, TX 78016
Medina County (830) 663-4451
LACY MARIE BEACH COTA
Occupational Therapy Assistant
104 ENTERPRISE AVE
DEVINE, TX 78016
Medina County (830) 663-4451

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 Devine Convalescent Care Center Inc's NPI number?

The NPI number for Devine Convalescent Care Center Inc is 1689660417. It was assigned to this organization in the NPPES registry on September 27, 2005. The provider is doing business as Legacy Living Centers.

Where is Devine Convalescent Care Center Inc located?

Devine Convalescent Care Center Inc is located at 104 Enterprise Ave, Devine, TX 78016. The listed phone number is (830) 663-4451.

What is Devine Convalescent Care Center Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Devine Convalescent Care Center Inc was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.