Organization Active NPI

Grace Care of Texas

  • Skilled Nursing Facility
  • Seymour, TX
National Provider Identifier
1366550543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4421 Issued in TX
Legal business name
GRACE CARE OF TEXAS
Doing business as
Community Care of Baylor County
Practice address
1110 Westview Dr
Seymour, TX 76380-3965
Phone
(940) 889-3176
Fax
(940) 889-8806
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David O Crownson
Title
Receivership
Phone
(972) 278-3566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4421 TX Primary

Addresses

Primary practice location

1110 Westview Dr
Seymour, TX 76380-3965

Mailing address

505 W Centerville Rd
Garland, TX 75041-5445
Phone (972) 278-3566

Other names 1

  • Community Care of Baylor County Doing business as

National Provider Directory

National Provider Directory

Locations

505 W Centerville Rd
Garland, TX 75041
Phone (214) 544-2828

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366550543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W CENTERVILLE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415445",
            "telephone_number": "972-278-3566",
            "fax_number": "972-840-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WESTVIEW DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763803965",
            "telephone_number": "940-889-3176",
            "fax_number": "940-889-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "RECEIVERSHIP",
        "authorized_official_telephone_number": "972-278-3566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care of Baylor County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TX

Sources for this page

  • 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.