Organization Active NPI

Royal East Senior Care, LLC

Doing business as Royal Manor

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1033685821
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL EAST SENIOR CARE, LLC
Doing business as
Royal Manor
Practice address
9101 Pantherway
Waco, TX 76712-8614
Phone
(254) 741-5929
Fax
(254) 741-5928
NPI assigned
Oct 18, 2018
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Jack Cook
Title
Member
Phone
(254) 741-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9101 Pantherway
Waco, TX 76712-8614

Mailing address

329 W Hwy 6 Ste C
Waco, TX 76710-5574
Phone (254) 741-5929

Other names 1

  • Royal Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1033685821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W HWY 6 STE C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105574",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PANTHERWAY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128614",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL EAST SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-741-5929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.