Organization Active NPI

Martin Senior Citizens Center, Inc.

  • In Home Supportive Care Agency
  • Trinity, TX
National Provider Identifier
1124428842
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARTIN SENIOR CITIZENS CENTER, INC.
Practice address
400 Walker Street
Trinity, TX 75862
Phone
(936) 594-2625
Fax
(936) 594-7456
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Ms. Susan Mann
Title
Volunteer Treasurer
Phone
(936) 594-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

400 Walker Street
Trinity, TX 75862

Mailing address

Post Office Box 1999
400 Walker Street
Trinity, TX 75862
Phone (936) 594-2625

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1124428842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 1999",
            "address_2": "400 WALKER STREET",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "75862",
            "telephone_number": "936-594-2625",
            "fax_number": "936-594-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WALKER STREET",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "75862",
            "telephone_number": "936-594-2625",
            "fax_number": "936-594-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VOLUNTEER TREASURER",
        "authorized_official_telephone_number": "936-594-2625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.