SLP Orange LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SLP ORANGE LLC

Doing business as

Pinehurst Nursing and Rehabilitation

Practice address

3000 Cardinal St
Orange, TX 77630-4737

Phone

(409) 883-5727

Fax

(409) 883-9078

NPI assigned

Jun 22, 2020

Last updated

Jul 14, 2020By 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

Cassandra Mistretta

Title

Ceo

Phone

(817) 410-7300

Specialties & licenses 1

Addresses

Other names 1

• Pinehurst Nursing and Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Senior Living Properties LLC

  dba Claystone Healthcare Center

  • Skilled Nursing Facility
  • Ennis, TX
  • NPI 1356397152

  Member Of

  NPD member

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1356967624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR STE 306",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761075746",
            "telephone_number": "817-410-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CARDINAL ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304737",
            "telephone_number": "409-883-5727",
            "fax_number": "409-883-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP ORANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "MISTRETTA",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-410-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• George D Silver, DPM
• Jacie Layne Smith-Hyatt, CCC-SLP
• Chloe Smith
• Jessica Lyn Smith, LMSW
• Kendra L. Smith, PTA
• Tina Maria Smith, LPC

• Skilled Nursing Facility in Orange, TX
• Providers in Orange, 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 Jul 14, 2020; 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.