Senior Living Properties LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

123138 Issued in TX

Legal business name

SENIOR LIVING PROPERTIES LLC

Practice address

230 S Clark Rd
Cedar Hill, TX 75104-2750

Phone

(972) 291-7877

Fax

(972) 293-1273

NPI assigned

May 18, 2006

Reactivated

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

James O Rogers IV

Title

Coo

Phone

(817) 410-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cedar Hill Healthcare Center Doing business as

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1063465375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760991389",
            "telephone_number": "817-410-7300",
            "fax_number": "817-810-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CLARK RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042750",
            "telephone_number": "972-291-7877",
            "fax_number": "972-293-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-10-28",
        "deactivation_date": "2006-05-25",
        "reactivation_date": "2006-11-29",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-410-7300",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "123138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000510105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "005101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Scott
• Latora Grant Scott, PHD, RN
• Jayson Scroggins, DDS
• Daryl Jay Seidler, D.D.S.
• Senior Living Properties
• Seniors Helping Seniors Inc
• Seval Gunes MD PA
• Carolyn Homan Shannon, LPC
• Donna Arlene Shannon, M.D.
• Share Wellness Medical Clinic PLLC

• Skilled Nursing Facility in Cedar Hill, TX
• Providers in Cedar Hill, 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 Oct 28, 2008; 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.