Provider Demographics
NPI:1053725838
Name:PECOS NURSING OPERTAIONS, LLC
Entity type:Organization
Organization Name:PECOS NURSING OPERTAIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-339-6177
Mailing Address - Street 1:306 W 7TH ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-4900
Mailing Address - Country:US
Mailing Address - Phone:817-339-6177
Mailing Address - Fax:817-339-6178
Practice Address - Street 1:306 W 7TH ST
Practice Address - Street 2:SUITE 430
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-4900
Practice Address - Country:US
Practice Address - Phone:817-339-6177
Practice Address - Fax:817-339-6178
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-19
Last Update Date:2014-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility