PROVIDENCE PARK REHABILITATION AND SKILLED NURSING
NPI 1770752172
Skilled Nursing Facility in Tyler, TX

Active since February 29, 2008
5505 NEW COPELAND RD, TYLER, TX 75703(903) 939-2443(903) 939-2479 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2020, Jan 8, 2020, Oct 30, 2019 and 3 more (6 updates tracked since 2016).

About Providence Park Rehabilitation And Skilled Nursing NPPES

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

PROVIDENCE PARK REHABILITATION AND SKILLED NURSING (NPI 1770752172) is a healthcare organization registered as a skilled nursing facility in Tyler, Texas and active in the NPI registry since February 2008. The organization lists Larry N. Price, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770752172
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH LIMESTONE HOSPITAL DISTRICT
Location Address5505 NEW COPELAND RDTyler, TX 75703-3955
Mailing Address1500 Waters Ridge Dr Ste 200Lewisville, TX 75057-6056 · (214) 899-4126
Fax(903) 939-2479
Organization SubpartNo
Authorized OfficialLarry N. PriceCeo · (254) 729-3281
Enumeration DateFebruary 29, 2008
Last NPPES UpdateApril 6, 20206 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
NPI 1770752172 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 · 124617
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.
5505 NEW COPELAND RD, Tyler, TX 75703

Other Names 1

Doing Business AsProvidence Park Rehabilitation And Skilled Nursing

Other Identifiers 2

Medicaid001021325TX
Other197010501TX · Mcd Co B

Accepted Insurance

Other Providers at the Same Location NPPES 19

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

Skilled Nursing Facility
5505 NEW COPELAND RD
TYLER, TX 75703
Nurse Practitioner (Primary Care)
5505 NEW COPELAND RD
TYLER, TX 75703
Occupational Therapist
5505 NEW COPELAND RD
TYLER, TX 75703
Physical Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Occupational Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Occupational Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Physical Therapist
5505 NEW COPELAND RD
TYLER, TX 75703
Skilled Nursing Facility
5505 NEW COPELAND RD
TYLER, TX 75703

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 South Limestone Hospital District's NPI number?

The NPI number for South Limestone Hospital District is 1770752172. It was assigned to this organization in the NPPES registry on February 29, 2008. The provider is doing business as Providence Park Rehabilitation And Skilled Nursing.

Where is South Limestone Hospital District located?

South Limestone Hospital District is located at 5505 New Copeland Rd, Tyler, TX 75703. The listed phone number is (903) 939-2443.

What is South Limestone Hospital District's specialty?

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

What insurance does South Limestone Hospital District accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list South Limestone Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Limestone Hospital District was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.