Silver Creek Place LTD.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

120021 Issued in TX

Legal business name

SILVER CREEK PLACE LTD.

Practice address

1300 Silver Creek Azle Rd
Azle, TX 76020-3844

Phone

(817) 238-8126

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna June Hettick, B.S. , M.S. IN ED.

Title

President

Phone

(817) 300-7346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235357583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SILVER CREEK AZLE RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203844",
            "telephone_number": "817-238-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SILVER CREEK AZLE RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203844",
            "telephone_number": "817-238-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK PLACE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HETTICK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-300-7346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S. , M.S. IN ED."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "120021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Sewell, DPT
• Kavita Sanjiv Shah, M.D.
• Tiffany Shaw, LAT, C.PH.T
• Shiny Studio PLLC
• Silver Creek Al LLC
• Richard J Smiley, PTA
• Heather M Smith, COTA
• Kody Smith
• Vernon C Smith Jr.
• Chad Spalding, NP

• Assisted Living Facility in Azle, TX
• Providers in Azle, 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 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.