Vincent Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000550 Issued in TX

Legal business name

VINCENT PERSONAL CARE HOME

Practice address

458 LCR 635
Groesbeck, TX 76642-3431

Phone

(254) 729-3157

Fax

(254) 729-2619

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Mrs. Debby Iliene Vincent

Title

Administrator

Phone

(254) 729-3157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508911454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 LCR 635",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423431",
            "telephone_number": "254-729-3157",
            "fax_number": "254-729-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 LCR 635",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423431",
            "telephone_number": "254-729-3157",
            "fax_number": "254-729-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_middle_name": "ILIENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-729-3157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Groesbeck, TX
• Providers in Groesbeck, TX by specialty
• Assisted Living Facility in Texas

• 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.