NPI age
19 years
Enumerated 2006-11-15
● Active Type 2 · Organization
Southwest Ltc Crockett I, Ltd.
Southwest Ltc Crockett I, Ltd. is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Payne
Managing Member
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1116 East Loop 304
Crockett, TX 758351810
Mailing address
17760 Preston Rd, Suite 310
Dallas, TX 752525663
Authorized official
Ronald R. Payne
Managing Member
📞 4699166100
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 4428 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Whitehall Nursing Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.