Sue'S Country Home & Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FOSTERCARE Issued in TX

Legal business name

SUE'S COUNTRY HOME & CARE

Practice address

195 Private Road 6623
Devine, TX 78016-0096

Phone

(830) 665-5049

Fax

(830) 665-5049

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jammie Sue Dennis

Title

Owner/Manager

Phone

(830) 665-5049

Specialties & licenses 1

Addresses

Other names 1

• Jammie Sue Dennis Doing business as

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1063661155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780160096",
            "telephone_number": "830-665-5049",
            "fax_number": "830-665-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PRIVATE ROAD 6623",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780160096",
            "telephone_number": "830-665-5049",
            "fax_number": "830-665-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE'S COUNTRY HOME & CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "830-665-5049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "FOSTERCARE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jammie Sue Dennis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Morayma Fae Trevino, RN
• Courtney Tschirhart, PT, DPT
• Chelsae Renae Urrabazo, BSN

• All providers in Devine, TX
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.