Elderly Care of Texas

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

014223 Issued in TX

Legal business name

ELDERLY CARE OF TEXAS

Practice address

2839 N Main St Ste 214
Stafford, TX 77477-5550

Phone

(713) 774-0155

Fax

(713) 777-0155

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Cheryl Martin Miller

Title

Administrator

Phone

(713) 774-0155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elderly Care of Texas Former legal business name

Locations

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1104282128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 N MAIN ST STE 214",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775550",
            "telephone_number": "713-774-0155",
            "fax_number": "713-777-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 N MAIN ST STE 214",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775550",
            "telephone_number": "713-774-0155",
            "fax_number": "713-777-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY CARE OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-774-0155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "014223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104282128",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderly Care of Texas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Skilled Nursing Facility in Stafford, TX
• Providers in Stafford, 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 Jan 6, 2016; 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.