Keller SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KELLER SNF LLC

Doing business as

Heritage House At Keller Rehab & Nursing

Practice address

1150 Whitley Rd
Keller, TX 76248-3038

Phone

(718) 338-2999

NPI assigned

Nov 5, 2012

Last updated

Nov 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zevi Kohn

Title

Cfo

Phone

(718) 338-2999

Specialties & licenses 1

Addresses

Other names 1

• Heritage House At Keller Rehab & Nursing Doing business as

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1023362597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE",
            "address_2": "SUITE 22",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344340",
            "telephone_number": "718-338-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WHITLEY RD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483038",
            "telephone_number": "718-338-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-338-2999"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House At Keller Rehab & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keller Isd
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• Keller Town Dental
• Brandon Kelley, RD
• Gay S Kelso, LCSW
• Sharidyn Kelton
• Olivia Kendall

• Skilled Nursing Facility in Keller, TX
• Providers in Keller, 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 Nov 12, 2012; 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.