Cleburne Country LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLEBURNE COUNTRY LLC

Doing business as

Summer Place Nursing & Rehabilitation

Practice address

2485 S. Major Drive
Beaumont, TX 77707-5019

Phone

(409) 861-4611

NPI assigned

Dec 17, 2008

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James W Moore Sr.

Title

President

Phone

(409) 962-0910

Specialties & licenses 1

Addresses

Other names 1

• SUMMER PLACE NURSING & REHABILITATION Doing business as

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1174769483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MAIN AVE",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194712",
            "telephone_number": "409-962-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 S. MAJOR DRIVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777075019",
            "telephone_number": "409-861-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE COUNTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-962-0910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMER PLACE NURSING & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Contreras Clarke, RD, CSSD
• Clarus Imaging (Beaumont), LP
• Bobby Clay, PHARMD.
• Dylan James Clay, PHARMD
• Gary R Clayton, M.D.
• Heather Clement
• Brooke Nicole Cleveland
• Leila Elizabeth Cleveland, AU.D.
• Client Support Services, Inc.
• Kathy Jo Cline, COTA/L

• Skilled Nursing Facility in Beaumont, TX
• Providers in Beaumont, 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 Feb 3, 2009; 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.