Hearthstone SCC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEARTHSTONE SCC, LLC

Practice address

401 Oakwood Blvd
Round Rock, TX 78681-4067

Phone

(512) 388-7494

Fax

(512) 388-2166

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hearthstone SN Health Center Doing business as

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1154656304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OAKWOOD BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814067",
            "telephone_number": "512-388-7494",
            "fax_number": "512-388-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE SCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthstone SN Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hearthstone SN Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthy Life and Times
• Heart and Soul Counseling PLLC
• Heart and Vascular of Central Texas PA
• Hearthstone
• Hearthstone Health Center
• Michael David Heath, CPHT
• Jarom Cooper Heaton, D.D.S.
• Brittlyn Hebert, MOT, OTR
• Katelyn Elizabeth Heck, RN, MSN, CRNP
• Jessica Dawn Hector, LCSW

• Skilled Nursing Facility in Round Rock, TX
• Providers in Round Rock, 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 Mar 4, 2020; 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.