Senior Care Mangement

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

005113 Issued in TX

Legal business name

SENIOR CARE MANGEMENT

Doing business as

Senior Care Beltline

Practice address

106 Belt Line Rd
Garland, TX 75040-4104

Phone

(972) 303-9000

Fax

(972) 303-9992

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Shane Lewis

Title

VP Cfo

Phone

(972) 303-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Care Beltline Doing business as

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1124020250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 EAST I 30",
            "address_2": "STE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434598",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BELT LINE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404104",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE MANGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "972-303-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "005113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH2368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Beltline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Garland, TX
• Providers in Garland, 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 13, 2007; 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.