THE WATERTON HEALTHCARE & REHABILITATION
NPI 1871919431
Skilled Nursing Facility in Tyler, TX

Q: What is Southwest Ltc - Waterton LLC's NPI number?

The NPI number for Southwest Ltc - Waterton LLC is 1871919431. It was assigned to this organization in the NPPES registry on March 6, 2014. The provider is doing business as The Waterton Healthcare & Rehabilitation.

Q: What is Southwest Ltc - Waterton LLC's specialty?

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

Active since March 06, 2014

2875 SHILOH RD, TYLER, TX 75703(903) 561-1300(903) 939-1754 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2022, Feb 23, 2016 (2 updates tracked since 2016).

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About The Waterton Healthcare & Rehabilitation NPPES

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

THE WATERTON HEALTHCARE & REHABILITATION (NPI 1871919431) is a healthcare organization registered as a skilled nursing facility in Tyler, Texas and active in the NPI registry since March 2014. The organization lists Ronald Payne, Manager, as its authorized official.

NPPES Registry Identity

NPI1871919431

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameSOUTHWEST LTC - WATERTON LLC

Location Address2875 SHILOH RDTyler, TX 75703-2936

Mailing Address5560 Tennyson Pkwy Ste 200Plano, TX 75024-3582 · (469) 916-6100 · Fax (469) 916-6105

Phone(903) 561-1300

Fax(903) 939-1754

Organization SubpartNo

Authorized OfficialRonald PayneManager · (469) 916-6100

Enumeration DateMarch 6, 2014

Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1871919431 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.

2875 SHILOH RD, Tyler, TX 75703

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Other Names 1

Doing Business AsThe Waterton Healthcare & Rehabilitation

Other Identifiers 1

Medicaid103323TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 6

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

SARAH COLLEEN BROGAN-HAAN

Physical Therapist