Seago Health Care Center LTD. Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109485 Issued in TX

Legal business name

SEAGO HEALTH CARE CENTER LTD. CO

Practice address

2416 Elizabeth LN
Seagoville, TX 75159-2702

Phone

(972) 287-2491

Fax

(972) 287-6693

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Underhill

Title

Chief Executive

Phone

(214) 954-4114

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• The Manor at Seagoville Doing business as

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1124014428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 ELIZABETH LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592702",
            "telephone_number": "972-287-2491",
            "fax_number": "972-287-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGO HEALTH CARE CENTER LTD. CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109485",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH284S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004490",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159098601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Seagoville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Cecile Richardson
• Janette Rodriguez, FNP-C
• Tabitha Michelle Rupard, LPC
• Salfiti Seagoville Pharmacy, LLC
• Satisfy Home Health Services LLC
• Seago Rsvga PLLC
• Seagoville Dental Group PLLC
• Seagoville Mirror Lake Dentistry PLLC
• Seagoville Womens Clinic, LLC
• Darla Ann Shlensky, R.PH.

• Skilled Nursing Facility in Seagoville, TX
• Providers in Seagoville, 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 Sep 17, 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.