West Side Campus of Care LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116174 Issued in TX

Legal business name

WEST SIDE CAMPUS OF CARE LP

Practice address

1950 Las Vegas Trail South
White Settlement, TX 76108

Phone

(817) 246-4995

Fax

(817) 246-1025

NPI assigned

May 5, 2006

Last updated

Aug 22, 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

Eddie Parades

Title

Sr Vice President of Operations

Phone

(210) 493-3165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366490856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAS VEGAS TRAIL SOUTH",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "76108",
            "telephone_number": "817-246-4995",
            "fax_number": "817-246-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAS VEGAS TRAIL SOUTH",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "76108",
            "telephone_number": "817-246-4995",
            "fax_number": "817-246-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CAMPUS OF CARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADES",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "210-493-3165"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.