Active NPI
Seniorlivingproperties
- Skilled Nursing Facility
- Eastland, TX
National Provider Identifier
1528056215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 110147
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.