Six Palms at Damoor Estates, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

136883 Issued in TX

Legal business name

SIX PALMS AT DAMOOR ESTATES, LLC

Doing business as

Six Palms

Practice address

5815 Avenue a
Rosharon, TX 77583-7107

Phone

(281) 543-9458

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By 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

Ms. Jackie L. Moore

Title

Owner

Phone

(281) 543-9458

Specialties & licenses 1

Addresses

Other names 1

• Six Palms Doing business as

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1083054365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 CROIX RD",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 AVENUE A",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775837107",
            "telephone_number": "281-543-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX PALMS AT DAMOOR ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-543-9458",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "136883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Six Palms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naty Jane Demonteverde Shackelford, RN BSN, AG-ACNP
• Shephda Signature Mobile Wound Care PLLC
• Silver Riders Trans LLC
• Sinclaire Cares LLC
• Sip and Sweets Solutions LLC
• Quanasha Small
• Ashley Smalls, LMSW
• Carol Smeltz, MD, PHD, MS, RD, LD
• Amber Vashonn Smith
• Lenard Smith Jr.

• Assisted Living Facility in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.