Park Place Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK PLACE SENIOR CARE LLC

Doing business as

Park Place Manor

Practice address

810 E 13TH Ave
Belton, TX 76513-2298

Phone

(254) 741-5929

Fax

(254) 741-5928

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Jack Cook

Title

Member

Phone

(254) 741-5929

Specialties & licenses 1

Addresses

Other names 1

• Park Place Manor Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1467117713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23648",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023648",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 13TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132298",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-741-5929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jack@fourcooks.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "810 E 13th Ave",
            "city": "Belton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765132298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Park Place Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aldo Ortiz
• Os Dentistry - Austin PLLC
• Mario Harsha Padmanabhan
• Caron Palmer
• Kristine Palmer, MD
• Elton Don Parker, M.D.
• Jerry Don Pate, L.A.T., A.T.C.
• Emily Poston Patrick, MS, ATC, LAT
• Erica L Patterson, RN
• Hannah Pavel, PA-C

• Skilled Nursing Facility in Belton, TX
• Providers in Belton, 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 Nov 2, 2021; 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.