Senior Support

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SENIOR SUPPORT

Practice address

160 N Ridgeway Dr Ste 107
Cleburne, TX 76033-4113

Phone

(817) 487-5966

Fax

(817) 556-0394

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Misti L Matthews

Title

Administrator

Phone

(817) 487-5966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1316121890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760330474",
            "telephone_number": "817-487-5966",
            "fax_number": "817-556-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N RIDGEWAY DR STE 107",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334113",
            "telephone_number": "817-487-5966",
            "fax_number": "817-556-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-487-5966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.