Senior Care Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004939 Issued in TX

Legal business name

SENIOR CARE SERVICES

Practice address

205 N Bonnie Brae St
Denton, TX 76201-3766

Phone

(972) 303-9000

Fax

(972) 303-9992

NPI assigned

Jun 2, 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

• The Vintage Health Care Center Doing business as

Tax ID family

Senior Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vintage SCC LLC

  • Assisted Living Facility
  • Denton, TX
  • NPI 1679718407
  NPD tax ID

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1124022470",
    "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": "205 N BONNIE BRAE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013766",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "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": "004939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH2663",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vintage Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly S Selby, R.PH., F.I.A.C.P.
• Nancy Penn Selby, RPH
• Select Unit Management - Ip Rehab
• Kimberlee Sell, DMD
• Claybra N Selmon
• Senior Care Services
• Senior Care Services, Inc
• Seniors 1St Home Health LLC
• Katherine Serabian
• Serene Pharmacy LLC

• Skilled Nursing Facility in Denton, TX
• Providers in Denton, 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.