NPI age
20 years
Enumerated 2005-09-27
● Active Type 2 · Organization
Kilgore Manor Inc
Kilgore Manor Inc is 1 of 201 nursing facility/intermediate care facility organizations in Texas.
Primary specialty
Nursing Facility/Intermediate Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pita
Insurance/medicare
Last NPPES update
2008-08-28
Source: monthly bulk 2026-05
How this organization compares
Across 201 active nursing facility/intermediate care facility providers in Texas.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2700 S Henderson Blvd
Kilgore, TX 756624033
Mailing address
2700 S Henderson Blvd
Kilgore, TX 756624033
Authorized official
Janice Pita
Insurance/medicare
📞 5806226300
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Angela Almanza, COTA Occupational Therapy Assistant NPI 1922589563
- Curtis Evans, PTA Physical Therapy Assistant NPI 1013498666
- Tashata Jackson, COTA Occupational Therapy Assistant NPI 1053892604
Specialties
-
Nursing Facility/Intermediate Care Facility PrimaryAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 00102185 | |
| 01 (TX) | HH2539 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 0220162-01 | TEXAS MEDICAID B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Legacy Living Centers
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.