Crockett SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROCKETT SNF LLC

Doing business as

Community Care Center of Crockett

Practice address

1150 E Loop 304
Crockett, TX 75835-1810

Phone

(936) 544-2051

NPI assigned

May 13, 2013

Last updated

May 28, 2013By 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

Zevi Kohn

Title

Cfo

Phone

(718) 338-2999

Specialties & licenses 1

Addresses

Other names 1

• Community Care Center of Crockett Doing business as

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1437595824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE",
            "address_2": "SUITE 22",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344340",
            "telephone_number": "718-338-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-544-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-338-2999"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Crockett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crockett Dental Care PLLC
• Crockett Health Care Associates, Inc. (Houston County Nursing Home)
• Crockett Independent School District
• Crockett Medical Center, LLC (Crockett Medical Center Clinic)
• Crockett Senior Care LLC (Community Care Center of Crockett)
• Crockett Therapy Services
• Kevin Alan Curran, M.D.
• D&C Medical Associates
• Roland Reese Daigle, CRNA
• Daniel M Gold MD PA

• Skilled Nursing Facility in Crockett, TX
• Providers in Crockett, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.