S & S Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

S & S RESIDENTIAL LLC

Practice address

411 N Fredonia St Ste 112
Longview, TX 75601-6467

Phone

(430) 625-7410

Fax

(430) 625-7409

NPI assigned

Aug 15, 2009

Organization subpart

No

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

Authorized official

Name

Sheshieka Heard

Title

Program Director

Phone

(430) 625-7410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1457583072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N FREDONIA ST STE 112",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016467",
            "telephone_number": "430-625-7410",
            "fax_number": "430-625-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N FREDONIA ST STE 112",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016467",
            "telephone_number": "430-625-7410",
            "fax_number": "430-625-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "SHESHIEKA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "430-625-7410"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rustic Roots Family Care PLLC
• Amy Michelle Rutland, RBT
• Esperance Uwizeye Rwabukamba
• Ryan Darr DDS PLLC
• Ryan M Guillory MD PA
• S&H Homes Inc
• Julie Ann Saathoff, PT, DPT
• Sabine Valley Regional MHMR Center
• Sabine Valley Regional MHMR Center
• Sabine Valley Regional MHMR Center

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, TX
• Providers in Longview, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.