Organization Active NPI

Senior Care Consultants

Doing business as Summer Ridge Assisted Living and Retirement Community

  • Assisted Living Facility
  • Rockwall, TX
National Provider Identifier
1043424054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
116954 Issued in TX
Legal business name
SENIOR CARE CONSULTANTS
Doing business as
Summer Ridge Assisted Living and Retirement Community
Practice address
3020 Ridge Rd
Rockwall, TX 75032-5805
Phone
(972) 771-2800
Fax
(972) 303-9992
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shane Lewis III
Title
Vice President, Chief Financial Off
Phone
(972) 303-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 116954 TX Primary

Addresses

Primary practice location

3020 Ridge Rd
Rockwall, TX 75032-5805

Mailing address

1413 E Interstate 30 Ste 7
Garland, TX 75043-4598
Phone (972) 771-2800

Other identifiers 1

IdentifierTypeStateIssuer
116954OtherTXSTATE LICENSE

Other names 1

  • Summer Ridge Assisted Living and Retirement Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockwall Nursing Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043424054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 E INTERSTATE 30 STE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434598",
            "telephone_number": "972-771-2800",
            "fax_number": "972-303-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325805",
            "telephone_number": "972-771-2800",
            "fax_number": "972-303-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VICE PRESIDENT, CHIEF FINANCIAL OFF",
        "authorized_official_telephone_number": "972-303-9000",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "116954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "116954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Ridge Assisted Living and Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.