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Kilgore Manor Inc

Nursing Facility/Intermediate Care Facility in Kilgore, TX · enumerated 2005 · authorized official Janice Pita, Insurance/Medicare.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447246145

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Registry record

Entity type Organization (Type 2)
Legal business name Kilgore Manor Inc
Other name <Unavail>
Practice address 2700 S Henderson Blvd, Kilgore, TX, 75662
Phone (903) 984-3511
Fax (903) 983-1031
Enumeration date Sep 27, 2005
Last updated in NPPES Aug 28, 2008

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 112798 (TX) Primary

Authorized official

Name Janice Pita
Title Insurance/Medicare
Phone (580) 622-6300

Other identifiers

Identifier Type State Issuer
00102185 Medicaid TX -
HH2539 Other TX BLUE CROSS BLUE SHIELD
0220162-01 Other TX TEXAS MEDICAID B

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kilgore Manor Inc?
Kilgore Manor Inc is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-28.