Active NPI
Senior Care Consultants
- Skilled Nursing Facility
- Rockwall, TX
National Provider Identifier
1376545517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 004076
- Legal business name
- SENIOR CARE CONSULTANTS
- Practice address
- 206 Storrs St
Rockwall, TX 75087-4006 - Phone
- (972) 303-9000
- Fax
- (972) 303-9992
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Lewis
- Title
- VP Cpo
- Phone
- (972) 303-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 004076 | TX | Primary |
Addresses
Primary practice location
206 Storrs St
Rockwall, TX 75087-4006
Mailing address
1413 East I 30
Ste 7
Garland, TX 75043-4598
Phone (972) 303-9000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000407605 | Medicaid | TX | |
| 0945404-01 | Other | TX | TMHP COINS |
| 0945404-02 | Other | TX | NHIC COINS |
| HH2594 | Other | TX | BLUE CROSS/BLUE SHIELD |
Other names 1
- Rockwall Nursing Center
National Provider Directory
National Provider Directory- Tax ID family
- Rockwall Nursing Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Rockwall, TX
- NPI 1043424054
-
- Skilled Nursing Facility
- Rockwall, TX
- NPI 1063416303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1376545517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 EAST I 30",
"address_2": "STE 7",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434598",
"telephone_number": "972-303-9000",
"fax_number": "972-303-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 STORRS ST",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874006",
"telephone_number": "972-303-9000",
"fax_number": "972-303-9992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "VP CPO",
"authorized_official_telephone_number": "972-303-9000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "004076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000407605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TMHP COINS",
"identifier": "0945404-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC COINS",
"identifier": "0945404-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "HH2594",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rockwall Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.