OrganizationActive
Southwest Ltc - Waterton LLC
NPI 1871919431 · Skilled Nursing Facility · Tyler, TX
Southwest Ltc - Waterton LLC is a Skilled Nursing Facility organization in Tyler, TX (NPI 1871919431).
Provider details
- NPI number
- 1871919431
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Payne, Manager(469) 916-6100
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2875 Shiloh Rd
Tyler, TX 75703-2936
Phone: (903) 561-1300
Fax: (903) 939-1754
Street-level locationGet directions
Mailing address
5560 Tennyson Pkwy Ste 200
Plano, TX 75024-3582
Other names (DBA / former)
- Doing business as
- The Waterton Healthcare & Rehabilitation
- Doing business as
- The Waterton Healthcare & Rehabilitation
Registry dates
- Enumerated
- 2014-03-06
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Frequently asked questions
- What is Southwest Ltc - Waterton LLC's NPI number?
- Southwest Ltc - Waterton LLC's National Provider Identifier (NPI) is 1871919431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Ltc - Waterton LLC?
- Southwest Ltc - Waterton LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Southwest Ltc - Waterton LLC located?
- Southwest Ltc - Waterton LLC's practice location on file with NPPES is 2875 Shiloh Rd, Tyler, TX 75703-2936.
- What is Southwest Ltc - Waterton LLC's phone number?
- The practice phone number listed in the NPPES registry for Southwest Ltc - Waterton LLC is (903) 561-1300.
- Who is the authorized official for Southwest Ltc - Waterton LLC?
- The authorized official listed on Southwest Ltc - Waterton LLC's NPPES record is Ronald Payne, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Ltc - Waterton LLC's NPI active?
- Yes — Southwest Ltc - Waterton LLC's NPI (1871919431) is active in the NPPES registry as of the last update on 2022-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.