Provider Demographics
NPI:1053691816
Name:PILLANS HEALTHCARE
Entity type:Organization
Organization Name:PILLANS HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:PILLANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-244-4694
Mailing Address - Street 1:322 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:STREETMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75859-3287
Mailing Address - Country:US
Mailing Address - Phone:903-389-5986
Mailing Address - Fax:903-389-6749
Practice Address - Street 1:716 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773-2612
Practice Address - Country:US
Practice Address - Phone:903-569-5366
Practice Address - Fax:903-569-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675981Medicare Oscar/Certification