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Gardendale Rehabilitation & Nursing Center, L.P.

Skilled Nursing Facility in Jacksonville, TX · enumerated 2005 · authorized official Peter Licari, President of General Partner.

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

National Provider Identifier

1659361251

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Registry record

Entity type Organization (Type 2)
Legal business name Gardendale Rehabilitation & Nursing Center, L.P.
Other name <Unavail>
Practice address 1521 E. Rusk, Jacksonville, TX, 75766
Fax (903) 586-2133
Enumeration date Oct 25, 2005
Last updated in NPPES Oct 26, 2007

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 115251 (TX) Primary
332BN1400X Nursing Facility Supplies (DME) Suppliers · License 115251 (TX) Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License 115251 (TX) Secondary

Authorized official

Name Peter Licari
Title President of General Partner

Other identifiers

Identifier Type State Issuer
004986 Medicaid TX -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-26. Verify at npiregistry.cms.hhs.gov.
Where is Gardendale Rehabilitation & Nursing Center, L.P. located?
The practice location on file with NPPES is in Jacksonville, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-26.