Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southwest Ltc - Waterton LLC

Organization Skilled Nursing Facility · NPI 1871919431

Southwest Ltc - Waterton LLC is a Skilled Nursing Facility in Tyler, Texas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2875 Shiloh Rd
Tyler, TX 75703-2936
Phone: (903) 561-1300
Fax: (903) 939-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1871919431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Payne — Manager · (469) 916-6100
Other names The Waterton Healthcare & Rehabilitation; The Waterton Healthcare & Rehabilitation
NPI enumeratedMarch 6, 2014
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022
Mailing address5560 Tennyson Pkwy Ste 200, Plano, TX 75024-3582

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