Silver Creek Senior Citizen Council

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

SILVER CREEK SENIOR CITIZEN COUNCIL

Practice address

1658 S Main St
Snowflake, AZ 85937-5614

Phone

(928) 536-2222

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Faith Trembley

Title

Manager

Phone

(928) 536-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silver Creek Senior Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1558081885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1495",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859371495",
            "telephone_number": "928-536-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375614",
            "telephone_number": "928-536-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK SENIOR CITIZEN COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "TREMBLEY",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-536-2222"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A19440381",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "silvercreeksrcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Silver Creek Senior Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1658 S Main St",
            "city": "Snowflake",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "859375614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Silver Creek Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Rowles
• Don A Shumway, DPM
• Randal Jordan Shumway, DO
• Sierra Dental, P.C.
• German Antonio Sierra, DDS
• Mark Skousen
• Bethann Smith, SLP
• Snowflake Medical Center, PC
• Snowflake School District
• Snowflake Unified School District #5

• Home Delivered Meals in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Home Delivered Meals in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.