Organization Active NPI

Seniorlivingproperties

  • Skilled Nursing Facility
  • Eastland, TX
National Provider Identifier
1528056215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110147 Issued in TX
Legal business name
SENIORLIVINGPROPERTIES
Practice address
1405 W Commerce St
Eastland, TX 76448-2327
Phone
(254) 629-2686
Fax
(254) 629-8797
NPI assigned
Oct 7, 2005
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
Mr. Charles H. Stephenson
Title
Adm
Phone
(254) 629-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110147 TX Primary

Addresses

Primary practice location

1405 W Commerce St
Eastland, TX 76448-2327

Mailing address

1405 West Commerce
Eastland, TX 76448-2327
Phone (254) 629-2686

Other names 1

  • EASTLANDHEALTHCARECENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1405 W Commerce St
Eastland, TX 76448
Phone (254) 629-2686

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528056215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WEST COMMERCE",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482327",
            "telephone_number": "254-629-2686",
            "fax_number": "254-629-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W COMMERCE ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482327",
            "telephone_number": "254-629-2686",
            "fax_number": "254-629-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORLIVINGPROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "254-629-2686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTLANDHEALTHCARECENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastland, 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.