Silver Leaf Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SILVER LEAF ASSISTED LIVING LLC

Practice address

4318 W Crawford St
Denison, TX 75020-3829

Phone

(914) 643-6335

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Dan Blackburn

Title

Sole Member

Phone

(914) 643-6335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1568038214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LEGACY DR STE 2000",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345992",
            "telephone_number": "914-643-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W CRAWFORD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203829",
            "telephone_number": "914-643-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LEAF ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "914-643-6335"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukesh R. Sheth, MD
• Bill Edward Shultz, RPH
• Kristin Ann Sicard, OT
• Adarsh Sidda, M.D.
• Viola Mae Sides
• Christopher Lynn Simmons, RN
• Anil Singh, MD
• John B Sissney, D.O.
• Donald Melvin Skelton, DDS
• Jane Skief, FNP

• Assisted Living Facility in Denison, TX
• Providers in Denison, 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 2, 2021; 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.