Organization Active NPI

Sunflower Park Health Care Providers LP

Doing business as Sunflower Park Providers

  • Skilled Nursing Facility
  • Kaufman, TX
National Provider Identifier
1558395764
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
117626 Issued in TX
Legal business name
SUNFLOWER PARK HEALTH CARE PROVIDERS LP
Doing business as
Sunflower Park Providers
Practice address
1803 E State Highway 243
Kaufman, TX 75142-4118
Phone
(972) 932-7776
Fax
(972) 932-8916
NPI assigned
Jul 11, 2006
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Mr. Shawn L Conley
Title
Cfo
Phone
(817) 303-4089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 117626 TX Primary

Addresses

Primary practice location

1803 E State Highway 243
Kaufman, TX 75142-4118

Mailing address

1803 E State Highway 243
Kaufman, TX 75142-4118
Phone (972) 932-7776

Other identifiers 1

IdentifierTypeStateIssuer
001014223MedicaidTX

Other names 1

  • Sunflower Park Providers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1558395764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E STATE HIGHWAY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751424118",
            "telephone_number": "972-932-7776",
            "fax_number": "972-932-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E STATE HIGHWAY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751424118",
            "telephone_number": "972-932-7776",
            "fax_number": "972-932-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER PARK HEALTH CARE PROVIDERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-303-4089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014223",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Park Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.