SH Opco Burleson LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SH OPCO BURLESON LLC

Doing business as

Covenant Place of Burleson

Practice address

611 NE Alsbury Blvd
Burleson, TX 76028-2658

Phone

(817) 447-4477

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Darla Brown

Title

Ar Manager

Phone

(972) 308-8391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant Place of Burleson Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1205454089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PKWY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544383",
            "telephone_number": "972-308-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NE ALSBURY BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282658",
            "telephone_number": "817-447-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH OPCO BURLESON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-308-8391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HELATH AND HUMAN SERVICES",
            "identifier": "147863",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "611 NE Alsbury Blvd",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760282658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Covenant Place of Burleson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenalytics, LLC
• Loren Danielle Session, CCC-SLP
• Joy Suzanne Sessums, RNFA
• Lindsay Bibb Sessums
• SFL Elk Creek Burleson LP
• Hardik Shah
• Kirat Shahiwala, PHARM.D., BSPHARM
• Zareena Shama, MD
• Shannon Nemt, LLC
• Meenu Sharma, MD

• Assisted Living Facility in Burleson, TX
• Providers in Burleson, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.