Provider Demographics
NPI:1538246285
Name:TOWN HALL ESTATES ARLINGTON INC
Entity type:Organization
Organization Name:TOWN HALL ESTATES ARLINGTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-465-2222
Mailing Address - Street 1:824 W MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3647
Mailing Address - Country:US
Mailing Address - Phone:817-465-2222
Mailing Address - Fax:817-465-2849
Practice Address - Street 1:824 W MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3647
Practice Address - Country:US
Practice Address - Phone:817-465-2222
Practice Address - Fax:817-465-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115297314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676080Medicare ID - Type Unspecified