Silver Star Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SILVER STAR HEALTHCARE LLC

Practice address

1459 VZ County Road 3210
Wills Point, TX 75169-7103

Phone

(870) 703-5022

Fax

(903) 905-2710

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dena Kaye Montgomery, APRNNPI 1952710543

Title

Ceo

Phone

(870) 703-5022

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dena Montgomery, CFNP

  • Gerontology Nurse Practitioner
  • Wills Point, TX
  • NPI 1952710543
  Medicare reassignment NPD Authorized official
• Rachel Reubens, CRNP

  • Nurse Practitioner
  • Strasburg, VA
  • NPI 1508482613
  NPD (past)

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1386461226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 VZ COUNTY ROAD 3210",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751697103",
            "telephone_number": "870-703-5022",
            "fax_number": "903-905-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 VZ COUNTY ROAD 3210",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751697103",
            "telephone_number": "870-703-5022",
            "fax_number": "903-905-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-703-5022",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casie Tenille Savage
• Senior Care Services
• Senior Care Services
• Michael Thomas Serpa, LMSW
• Jeannie Elaine Sherwood, RN
• Janie Lynn Smith
• Rachel Sparks, LVN
• Ronald Brent Taylor, DDS
• Terry Family Dental, PC
• Randell S. Terry, DMD

• Nurse Practitioner in Wills Point, TX
• Providers in Wills Point, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.