Senior Living Properties LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122741 Issued in TX

Legal business name

SENIOR LIVING PROPERTIES LLC

Doing business as

Palacios Healthcare Center

Practice address

1414 4TH St
Palacios, TX 77465-3202

Phone

(361) 972-2542

Fax

(361) 972-3468

NPI assigned

Jul 12, 2006

Last updated

Jul 7, 2008By 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

Larry Martin

Title

Cfo

Phone

(817) 410-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Palacios Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1508891847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760991389",
            "telephone_number": "817-410-7300",
            "fax_number": "817-810-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 4TH ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653202",
            "telephone_number": "361-972-2542",
            "fax_number": "361-972-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-410-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "004981",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000498106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palacios Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricca J Riojas
• Katherine Ritter, FNP-BC
• Leigh Ann Roemer, PHARMD
• Kelly Pfeifer Rynchek, DDS
• Kassandra Elizabeth Saldana, M.S., CCC-SLP
• Lillian Solis-Smith, PHD, LPC, LMFT
• W. Wharton County Hospital District D B a Mid Coast Medical Clinic Pal

• Skilled Nursing Facility in Palacios, TX
• Providers in Palacios, 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 Jul 7, 2008; 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.