P Praxis·MD
● Active Type 2 · Organization

Devine Convalescent Care Center Inc

Nursing Facility/Intermediate Care Facility·Devine, TX· NPI 1689660417 · Enumerated 2005 · 20 years on NPI
Devine Convalescent Care Center Inc is 1 of 201 nursing facility/intermediate care facility organizations in Texas.
NPI age
20 years
Enumerated 2005-09-27
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
104 Enterprise Ave
Devine, TX 780161807
📞 8306634451
Mailing address
104 Enterprise Ave
Devine, TX 780161807
📞 8306634451

Authorized official

Janice Pita
Insurance/medicare
📞 5806226300

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Lacy Beach, COTA Occupational Therapy Assistant NPI 1881175305

Specialties

  • Nursing Facility/Intermediate Care Facility Primary
    An 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...
    TX license #112767 taxonomy 313M00000X

Identifiers

TypeValueNotes
01 (TX) 1767741-01 TEXAS MEDICAID B
05 (TX) 001012206
01 (TX) HH027S BLUE CROSS BLUE SHIELD TX

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Legacy Living Centers
    Type code 3 recorded 2005-09-27

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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