PARK PLAZA LTC PARTNERS, INC.
NPI 1770727455
Skilled Nursing Facility in San Angelo, TX

Active since April 27, 2009CLIA 45D0674830 · Waiver
2210 HOWARD ST, SAN ANGELO, TX 76901(325) 944-0561(325) 944-0562 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Plaza Ltc Partners, Inc. NPPES

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

PARK PLAZA LTC PARTNERS, INC. (NPI 1770727455) is a healthcare organization registered as a skilled nursing facility in San Angelo, Texas and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Louis Frederick Nicholson, President, as its authorized official.

NPPES Registry Identity

NPI1770727455
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARK PLAZA LTC PARTNERS, INC.
Location Address2210 HOWARD STSan Angelo, TX 76901-1318
Mailing Address2210 Howard StSan Angelo, TX 76901-1318 · (325) 944-0561 · Fax (325) 944-0562
Fax(325) 944-0562
Organization SubpartNo
Authorized OfficialLouis Frederick NicholsonPresident · (832) 489-9944
Enumeration DateApril 27, 2009
Last NPPES UpdateJanuary 14, 2015
NPI 1770727455 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.

2210 HOWARD ST, San Angelo, TX 76901

Other Identifiers 2

Other004561TX · Facility Id
Medicare PIN675982TX

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 45D0674830

Park Plaza Ltc Partners, Inc · San Angelo, TX
Active · expires Aug 31, 2026
CLIA Number45D0674830
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTravis Duffley
Laboratory Phone(325) 944-0561
Laboratory LocationPark Plaza Ltc Partners, Inc2210 Howard St, San Angelo, TX 76901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Occupational Therapy Assistant
2210 HOWARD ST
SAN ANGELO, TX 76901
Skilled Nursing Facility
2210 HOWARD ST
SAN ANGELO, TX 76901
Skilled Nursing Facility
2210 HOWARD ST
SAN ANGELO, TX 76901

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 Park Plaza Ltc Partners, Inc.'s NPI number?

The NPI number for Park Plaza Ltc Partners, Inc. is 1770727455. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Park Plaza Ltc Partners, Inc. located?

Park Plaza Ltc Partners, Inc. is located at 2210 Howard St, San Angelo, TX 76901. The listed phone number is (325) 944-0561.

What is Park Plaza Ltc Partners, Inc.'s specialty?

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

Does Park Plaza Ltc Partners, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0674830) 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 Park Plaza Ltc Partners, Inc. was last updated on January 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.