Organization Active NPI

Cantonhealthcare Center

  • Skilled Nursing Facility
  • Canton, TX
National Provider Identifier
1508853334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CANTONHEALTHCARE CENTER
Practice address
1661 S Buffalo St
Canton, TX 75103-2619
Phone
(903) 567-4135
Fax
(903) 567-1077
NPI assigned
Oct 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori Marie Jones, RN
Title
MDS Coordinator
Phone
(903) 567-4135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

1661 S Buffalo St
Canton, TX 75103-2619

Mailing address

1661 S Buffalo St
Canton, TX 75103-2619
Phone (903) 567-4135

Other identifiers 1

IdentifierTypeStateIssuer
00483606MedicaidTX

Other names 1

  • Senior Living Properties Other name

National Provider Directory

National Provider Directory

Locations

1661 S Buffalo St
Canton, TX 75103
Phone (903) 567-4135

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508853334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 S BUFFALO ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032619",
            "telephone_number": "903-567-4135",
            "fax_number": "903-567-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 S BUFFALO ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032619",
            "telephone_number": "903-567-4135",
            "fax_number": "903-567-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTONHEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MDS COORDINATOR",
        "authorized_official_telephone_number": "903-567-4135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00483606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Living Properties",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.