Servants Group Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERVANTS GROUP HOMES, LLC

Practice address

3524 Camden Dr
Melissa, TX 75454-0377

Phone

(314) 226-0676

Fax

(251) 261-0593

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Lashonda Burton

Title

Owner

Phone

(314) 226-0676

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1366071912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 CAMDEN DR",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540377",
            "telephone_number": "314-226-0676",
            "fax_number": "251-261-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 CAMDEN DR",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540377",
            "telephone_number": "314-226-0676",
            "fax_number": "251-261-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTS GROUP HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-226-0676"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT HAVE A NUMBER",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "servantsgrouphomes@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3524 Camden Dr",
            "city": "Melissa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754540377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.