Organization Active NPI

SNH SE Tenant TRS, Inc

  • Assisted Living Facility
  • Marble Falls, TX
National Provider Identifier
1003545336
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SE TENANT TRS, INC
Practice address
601 Steve Hawkins Pkwy
Marble Falls, TX 78654-6341
Phone
(830) 693-1903
Fax
(830) 693-1990
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Richard W. Siedel Jr.
Title
Cfo & Treasurer
Phone
(617) 796-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

601 Steve Hawkins Pkwy
Marble Falls, TX 78654-6341

Mailing address

601 Steve Hawkins Pkwy
Marble Falls, TX 78654-6341
Phone (830) 693-1903

Other names 1

  • Gateway Villas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH SE Tenant TRS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1003545336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STEVE HAWKINS PKWY",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546341",
            "telephone_number": "830-693-1903",
            "fax_number": "830-693-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STEVE HAWKINS PKWY",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546341",
            "telephone_number": "830-693-1903",
            "fax_number": "830-693-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "SIEDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "617-796-8350",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Villas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.