Southwest Care Associates LP

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

112042 Issued in TX

Legal business name

SOUTHWEST CARE ASSOCIATES LP

Practice address

3120 Smith St
Texarkana, TX 75501-4083

Phone

(903) 832-8644

Fax

(903) 838-5982

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Delores Smith

Title

Sec'Y/Treas Ufm Inc-Gen PTR

Phone

(865) 938-4101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INDEPENDENT LIVING CENTER Doing business as

Tax ID family

Independent Living Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Southwest Care Associates LP

  • Skilled Nursing Facility
  • Corsicana, TX
  • NPI 1437143211
  NPD tax ID
• Southwest Care Associates LP

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1760476543
  NPD tax ID

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184618985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12322",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379120322",
            "telephone_number": "865-938-4101",
            "fax_number": "865-938-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SMITH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014083",
            "telephone_number": "903-832-8644",
            "fax_number": "903-838-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARE ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "SEC'Y/TREAS UFM INC-GEN PTR",
        "authorized_official_telephone_number": "865-938-4101"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "112042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE",
            "identifier": "0001432000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDEPENDENT LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladonna Sorenson
• Marney K Sorenson, MD
• Sotto International, Inc.
• Southern Rehab Staffing, LLC
• Southern Sky Vision Center
• Annie Sparks, PA-C
• Matthew Nathan Sparks, PA-C
• Special Health Resources for Texas Incorporated
• Special Health Resources for Texas, Incorporated
• Special Health Resources for Texas, Incorporated

• All providers in Texarkana, TX
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment 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.