Silver Creek Al LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SILVER CREEK AL LLC

Doing business as

Silver Creek Assisted Living

Practice address

1300 Silver Creek Azle Rd
Azle, TX 76020-3844

Phone

(817) 238-8126

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Mitesh Patel

Title

Director of Operations

Phone

(832) 385-2295

Specialties & licenses 1

Addresses

Other names 1

• Silver Creek Assisted Living Doing business as

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1538509054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E HEBRON PKWY STE 100C",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SILVER CREEK AZLE RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203844",
            "telephone_number": "817-238-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK AL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-385-2295"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Sepulveda, CPC-A
• Andrew Sewell, DPT
• Kavita Sanjiv Shah, M.D.
• Tiffany Shaw, LAT, C.PH.T
• Shiny Studio PLLC
• Silver Creek Place LTD.
• Richard J Smiley, PTA
• Heather M Smith, COTA
• Kody Smith
• Vernon C Smith Jr.

• Assisted Living Facility in Azle, TX
• Providers in Azle, 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 Jun 28, 2013; 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.