Sunset Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNSET NURSING HOME INC.

Doing business as

Creekside Village Healthcare

Practice address

914 Brazosport Blvd N
Clute, TX 77531-3720

Phone

(979) 230-0407

Fax

(979) 233-2604

NPI assigned

Apr 4, 2011

Last updated

Mar 10, 2015By 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. Guindal A Smith

Title

President/Owner

Phone

(979) 230-0407

Specialties & licenses 1

Addresses

Other names 1

• Creekside Village Healthcare Doing business as

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1548559263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 KINGS DR",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775417700",
            "telephone_number": "979-230-0407",
            "fax_number": "979-233-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BRAZOSPORT BLVD N",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775313720",
            "telephone_number": "979-230-0407",
            "fax_number": "979-233-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUINDAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "979-230-0407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Village Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Clute, TX
• Providers in Clute, 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 Mar 10, 2015; 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.