College Park Rehabilitation and Care Center – Skilled Nursing Facility, NPI 1679721344

College Park Rehabilitation and Care Center is a healthcare provider. based in Weatherford, Texas. specializing in Skilled Nursing Facility. The NPI Number for College Park Rehabilitation and Care Center is 1679721344

Main info

Organization
Name
College Park Rehabilitation and Care Center
NPI
1679721344
Phone
(817) 341-2520
Address
1130 PECAN DR
Authorized Official
RANDY BACUS CEO
Enumeration Date
5 September 2008
Last Update Date
28 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for College Park Rehabilitation and Care Center

  • 1130, Pecan Drive, Weatherford, Parker County, Texas, 76086, United States

    WEATHERFORD, TX 760865774

    Phone: (817) 341-2520

    Fax: (817) 458-3150

    Type: Mailing

  • 1715, Martin Drive, Weatherford, Parker County, Texas, 76086, United States

    WEATHERFORD, TX 760866738

    Phone: (817) 458-3100

    Fax: (817) 458-3150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150408000591OSkilled Nursing FacilityTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76086)

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Reviews

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Frequently asked questions

Where can patients find College Park Rehabilitation and Care Center's NPI?
You can confirm College Park Rehabilitation and Care Center with NPI 1679721344; it appears in the national provider directory.
Is College Park Rehabilitation and Care Center's NPI currently valid?
The extract we use shows College Park Rehabilitation and Care Center as active.
What does College Park Rehabilitation and Care Center treat or focus on?
Patients typically see College Park Rehabilitation and Care Center under the specialty Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What location shows for College Park Rehabilitation and Care Center?
We surface Weatherford, Texas for College Park Rehabilitation and Care Center based on available NPPES addresses.
Is College Park Rehabilitation and Care Center a real provider?
This page reflects official NPPES data for NPI 1679721344. Always confirm identity and privileges with the practice and licensing boards.

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