Sandhill Vernon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SANDHILL VERNON, LLC

Practice address

4501 College Dr
Vernon, TX 76384-4093

Phone

(940) 552-8181

Fax

(940) 552-6288

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Prabhas K Kerjriwal

Title

Owner

Phone

(650) 996-7801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eagle Flats Village Doing business as

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1235550591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844093",
            "telephone_number": "940-552-8181",
            "fax_number": "940-552-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844093",
            "telephone_number": "940-552-8181",
            "fax_number": "940-552-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILL VERNON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "KERJRIWAL",
        "authorized_official_first_name": "PRABHAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-996-7801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Flats Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reynaldo T Tolentino MD PLLC
• Nirav Ribadiya, DMD
• Robert H Borchardt MD PA
• Rolling Plains Dentistry of Vernon PC
• Divina Francia Sagum, PT, DPT
• Garima Sandhu
• Sangrada Healthcare
• Randall L. Schaffner, M.D.
• Keziah Shan
• Shelby Cherie Sheffield

• Assisted Living Facility in Vernon, TX
• Providers in Vernon, 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 Jan 3, 2014; 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.