SH Opco Good Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SH OPCO GOOD PLACE, LLC

Practice address

7801 N Richland Blvd
North Richland Hills, TX 76180-6415

Phone

(817) 581-6310

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Darla Brown

Title

Ar Manager

Phone

(972) 308-8391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Place Assisted Living Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1417575127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PKWY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544383",
            "telephone_number": "972-308-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N RICHLAND BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806415",
            "telephone_number": "817-581-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH OPCO GOOD PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-308-8391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES COMMISSION",
            "identifier": "147031",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "7801 N Richland Blvd",
            "city": "North Richland Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761806415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select DME LLC
• Lesna Gabrielle Senessie, RPT
• Lucy Kerubo Sereti II, LVN
• Nichole Serio, COTA
• Jill Sexton
• Zeena Vhaj Shaffar, DC
• Amanda Shaffstall, MS CCC/SLP
• Navinchandra K Shah, PT
• Jennifer Shahan, PT, DPT
• Audrey Shea, PT, DPT

• Assisted Living Facility in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.