San Saba SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN SABA SNF LLC

Doing business as

Eventide Nursing Home

Practice address

1405 W Storey St
San Saba, TX 76877-6422

Phone

(325) 372-5112

Fax

(325) 372-5114

NPI assigned

Jul 27, 2011

Last updated

Nov 21, 2011By 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

Michael Bumpass

Title

Member

Phone

(254) 399-6788

Specialties & licenses 1

Addresses

Other names 1

• Eventide Nursing Home Doing business as

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1093093882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HWY 6",
            "address_2": "SUITE 612",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123984",
            "telephone_number": "254-399-6788",
            "fax_number": "254-399-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W STOREY ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768776422",
            "telephone_number": "325-372-5112",
            "fax_number": "325-372-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN SABA SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "BUMPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-399-6788"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eventide Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Saba County
• San Saba County Emergency Medical Service Inc
• San Saba Indepenent School District
• San Saba Nursing Home, Inc.
• San Saba Rehabilitation, LP
• Scott & White Hospital - Marble Falls (Baylor Scott & White Clinic - San Saba)
• Del Allen Sears, DDS
• Shady Shores of San Saba LLC (Shady Shores of San Saba)
• Vickie Lynn Smith, OTA
• Stephen Swartz

• Skilled Nursing Facility in San Saba, TX
• Providers in San Saba, 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 Nov 21, 2011; 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.