Organization Active NPI

Senior Care Resources, Inc.

  • Skilled Nursing Facility
  • Decatur, TX
National Provider Identifier
1346419397
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SENIOR CARE RESOURCES, INC.
Practice address
701 Bennett Rd
Decatur, TX 76234-3817
Phone
(940) 626-2800
Fax
(972) 303-9992
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Shane Lewis
Title
Vice President/Cfo
Phone
(972) 303-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

701 Bennett Rd
Decatur, TX 76234-3817

Mailing address

1413 E Interstate 30 Ste 7
Garland, TX 75043-4598
Phone (972) 303-7500

Other identifiers 1

IdentifierTypeStateIssuer
001016444MedicaidTX

Other names 1

  • Senior Care Health & Rehabilitation Center-Decatur Doing business as

National Provider Directory

National Provider Directory

Locations

701 Bennett Rd
Decatur, TX 76234
Phone (940) 239-3674

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1346419397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 E INTERSTATE 30 STE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434598",
            "telephone_number": "972-303-7500",
            "fax_number": "972-303-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BENNETT RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343817",
            "telephone_number": "940-626-2800",
            "fax_number": "972-303-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "972-303-7500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016444",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Health & Rehabilitation Center-Decatur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.