Dallas Health Care Center L L C
NPI 1902140171ActiveOrganization· Skilled Nursing Facility· Dallas, OR
Skilled Nursing Facility in Dallas, Oregon, registered in NPPES in November 2012, part of Dallas Mennonite Retirement Community, Inc. The authorized official on file is Joy A. Haverkost, Director Of Business Services. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1902140171 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dallas Mennonite Retirement Community, Inc. |
| NPI issued | Nov 12, 2012 |
| Last updated in NPPES | Jun 3, 2022 |
| Certified by provider | Jun 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (OR) |
|---|
Other Skilled Nursing Facility providers in Dallas
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