Organization Active NPI

Senior Living Properties LLC

Doing business as Eastland Healthcare Center

  • Skilled Nursing Facility
  • Eastland, TX
National Provider Identifier
1235180928
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116585 Issued in TX
Legal business name
SENIOR LIVING PROPERTIES LLC
Doing business as
Eastland Healthcare Center
Practice address
1405 W Commerce St
Eastland, TX 76448-2327
Phone
(254) 629-2686
Fax
(254) 629-8797
NPI assigned
May 15, 2006
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
William Keys
Title
Cfo
Phone
(817) 410-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116585 TX Primary

Addresses

Primary practice location

1405 W Commerce St
Eastland, TX 76448-2327

Mailing address

PO Box 1389
Grapevine, TX 76099-1389
Phone (817) 410-7300

Other identifiers 1

IdentifierTypeStateIssuer
004847OtherTXFACILITY ID NO.

Other names 1

  • Eastland Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1235180928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760991389",
            "telephone_number": "817-410-7300",
            "fax_number": "817-810-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W COMMERCE ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482327",
            "telephone_number": "254-629-2686",
            "fax_number": "254-629-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-410-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "004847",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastland Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.