Convacare Inc

Skilled Nursing Facility · Lubbock, TX

Organization Active NPI

NPI number 1821091968

Practice location

4403 74TH St
Lubbock, TX 79424-2307
Phone
(806) 795-0668
Fax
(806) 795-4250

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NPI record

NPI
1821091968
Entity type
Organization (Type 2)
Enumeration date
May 23, 2005
Last updated
April 29, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 109070 TX

Authorized official

Name
Ms. Richard Ruble
Title
President
Phone
(806) 780-7000

Other names

  • Lakeridge Rehabliltation and Nursing Center

About Convacare Inc

Convacare Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 4403 74TH St, Lubbock, TX 79424-2307. The NPI number 1821091968 was assigned on May 23, 2005 and the record was last updated on April 29, 2010.

Convacare Inc lists a license in the registry: #109070 (TX) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Richard Ruble, President.

Frequently asked questions

What is the NPI number of Convacare Inc?

The NPI number is 1821091968.

What is the phone number of Convacare Inc?

The phone number listed for the practice location is (806) 795-0668.

Where is Convacare Inc located?

4403 74TH St, Lubbock, TX 79424-2307.

What is the taxonomy code for Convacare Inc?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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