Fairpark SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRPARK SCC LLC

Practice address

2815 Martin Luther King Jr Blvd
Dallas, TX 75215-2320

Phone

(214) 421-2159

Fax

(214) 428-2303

NPI assigned

Dec 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Price

Title

Senior Vice President

Phone

(949) 436-4343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Care Health and Rehabilitation Center - Dallas Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1003051855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152320",
            "telephone_number": "214-421-2159",
            "fax_number": "214-428-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152320",
            "telephone_number": "214-421-2159",
            "fax_number": "214-428-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRPARK SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-436-4343"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Health and Rehabilitation Center - Dallas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Care Health and Rehabilitation Center - Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Fairchild, LCSW
• Patrick Anthony Faircloth, LPC
• Kailee Fairclough
• Alexandra Cass Fairey, CRNA
• Fairmount Center, P.a.
• Zainab Faisal
• Faisel Zaman MD LLC
• Faith Ambulatory Surgery Center
• Faith Chiropractic Clinic PLLC
• Faith Home Health

• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.