Organization Active NPI

Green Oaks SCC LLC

Doing business as Green Oaks Nursing & Rehab

  • Skilled Nursing Facility
  • Arlington, TX
National Provider Identifier
1336427129
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREEN OAKS SCC LLC
Doing business as
Green Oaks Nursing & Rehab
Practice address
3033 W Green Oaks Blvd
Arlington, TX 76016-2261
Phone
(817) 222-6000
Fax
(817) 417-1737
NPI assigned
Jul 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Michael Templeton
Title
Chief Operations Officer
Phone
(214) 252-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3033 W Green Oaks Blvd
Arlington, TX 76016-2261

Mailing address

14841 Dallas Pkwy
Dallas, TX 75254-7685
Phone (214) 252-7600

Other identifiers 1

IdentifierTypeStateIssuer
001019880MedicaidTX

Other names 1

  • Green Oaks Nursing & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

3033 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 222-6000

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1336427129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547685",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162261",
            "telephone_number": "817-222-6000",
            "fax_number": "817-417-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Oaks Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.