SSC North Dallas Operating Company

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

008311 Issued in TX

Legal business name

SSC NORTH DALLAS OPERATING COMPANY

Doing business as

North Dallas Rehabilitation Hospital

Practice address

8383 Meadow Rd
Dallas, TX 75231-3701

Phone

(214) 369-7811

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brent Snelgrove

Title

Evp - Compliance and Audit

Phone

(678) 443-6770

Specialties & licenses 1

Addresses

Other names 1

• North Dallas Rehabilitation Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 453032

Legal name

NORTH DALLAS REHABILITATION HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Oct 26, 2006

Provider type (POS)

Hospital – Rehabilitation

Participating since

Aug 4, 1988

Last certification

Oct 14, 1992

Beds

36

Ownership / control type

Private (for profit)

Most recent change of ownership

Dec 1, 2005 (1 total)

Facility address

8383 Meadow Road
Dallas, TX 75231

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326243072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RAVINIA DR",
            "address_2": "SUITE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303462112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 MEADOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313701",
            "telephone_number": "214-369-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC NORTH DALLAS OPERATING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNELGROVE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EVP - COMPLIANCE AND AUDIT",
        "authorized_official_telephone_number": "678-443-6770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "008311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dallas Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Udayan Srivastava, MD
• Sunti S. Srivathanakul, MD
• Suraphandhu Srivathanakul, M.D
• Amulya Srivatsa, MD
• Praveen Ranga Srungaram, MD
• Jennifer Nassanga Ssedyabane, AGACNP-BC
• SSK Associates Inc. (Dependable Hospice Care)
• St John's Medical Management (St John's Medical Center)
• St Joseph Adolescent and Family Services
• Paul St Laurent, MSN, RN, ACNP

• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.