Rising Star SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RISING STAR SNF LLC

Practice address

411 S Miller St
Rising Star, TX 76471-5214

Phone

(254) 643-6700

Fax

(254) 643-1723

NPI assigned

Jul 27, 2011

Last updated

Nov 22, 2011By 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

Michael Bumpass

Title

Member

Phone

(254) 399-6788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1467730259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HWY 6",
            "address_2": "SUITE 612",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123984",
            "telephone_number": "254-399-6788",
            "fax_number": "254-399-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MILLER ST",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "764715214",
            "telephone_number": "254-643-6700",
            "fax_number": "254-643-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "BUMPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-399-6788"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rising Star Isd
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• Sheila Renea Senkirik, MS, LPC-A
• Tara Lynn Simmons, LPC
• Woodland Springs Nursing Center, Inc. (Rising Star Nursing Center)

• Skilled Nursing Facility in Rising Star, TX
• Providers in Rising Star, 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 22, 2011; 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.