EAST TEXAS AZALEA OPERATING COMPANY LLC
NPI 1770928434
Skilled Nursing Facility in Tyler, TX

Active since May 07, 2013
810 S PORTER AVE, TYLER, TX 75701(903) 593-2463(903) 597-1203 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Texas Azalea Operating Company Llc NPPES

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

EAST TEXAS AZALEA OPERATING COMPANY LLC (NPI 1770928434) is a healthcare organization registered as a skilled nursing facility in Tyler, Texas and active in the NPI registry since May 2013. The organization lists Carla Power, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770928434
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAST TEXAS AZALEA OPERATING COMPANY LLC
Location Address810 S PORTER AVETyler, TX 75701-2300
Mailing Address1901 Rickety Ln, Suite 208Tyler, TX 75703-1702 · (903) 534-0523 · Fax (903) 534-4705
Fax(903) 597-1203
Organization SubpartNo
Authorized OfficialCarla PowerCfo · (903) 534-0523
Enumeration DateMay 7, 2013
Last NPPES UpdateAugust 6, 2013
NPI 1770928434 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.
810 S PORTER AVE, Tyler, TX 75701

Other Identifiers 2

Medicaid001021267TX
Medicare PIN675912TX

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
810 S PORTER AVE
TYLER, TX 75701
Occupational Therapy Assistant
810 S PORTER AVE
TYLER, TX 75701

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 East Texas Azalea Operating Company LLC's NPI number?

The NPI number for East Texas Azalea Operating Company LLC is 1770928434. It was assigned to this organization in the NPPES registry on May 7, 2013.

Where is East Texas Azalea Operating Company LLC located?

East Texas Azalea Operating Company LLC is located at 810 S Porter Ave, Tyler, TX 75701. The listed phone number is (903) 593-2463.

What is East Texas Azalea Operating Company LLC'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 East Texas Azalea Operating Company LLC was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.