Senior Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4463 Issued in TX

Legal business name

SENIOR VILLAGE

Doing business as

MSC Associates

Practice address

3101 S Main St
Perryton, TX 79070-5345

Phone

(806) 435-5403

NPI assigned

Oct 13, 2005

Last updated

Aug 22, 2020By 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

Marsha L Jarrell

Title

Assistant Admin

Phone

(806) 435-5403

Specialties & licenses 1

Addresses

Other names 1

• MSC ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184612012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S MAIN ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705345",
            "telephone_number": "806-435-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S MAIN ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705345",
            "telephone_number": "806-435-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT ADMIN",
        "authorized_official_telephone_number": "806-435-5403"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "4463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ricky Allen Siewert, D.O
• Cynthia M Smith, M.S., L.P.C.
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• Skilled Nursing Facility in Perryton, TX
• Providers in Perryton, 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 Aug 22, 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.