Senior Care Management

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004939 Issued in TX

Legal business name

SENIOR CARE MANAGEMENT

Doing business as

Pleasant Manor Health & Rehabilitation Center

Practice address

3650 S I 35
Waxahachie, TX 75165-5427

Phone

(972) 303-9000

Fax

(972) 303-9992

NPI assigned

Jun 1, 2005

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane Lewis

Title

VP Cfo

Phone

(972) 303-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pleasant Manor Health & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1265434393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 EAST I 30",
            "address_2": "STE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434598",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S I 35",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655427",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "972-303-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH2119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Manor Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Waxahachie, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.