Organization Active NPI

Groom Senior Living Inc

  • Physical Disabilities Residential Treatment Facility
  • Allen, TX
National Provider Identifier
1598076754
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
103687 Issued in TX
Legal business name
GROOM SENIOR LIVING INC
Practice address
100 Allentown Pkwy
Ste 214
Allen, TX 75002-4200
Phone
(214) 383-9077
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Mr. David Groom
Title
President
Phone
(214) 383-9077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 103683 TX
Physical Disabilities Residential Treatment Facility 320700000X 103687 TX Primary

Addresses

Primary practice location

100 Allentown Pkwy
Ste 214
Allen, TX 75002-4200

Mailing address

100 Allentown Parkway
Ste 214
Allen, TX 75002
Phone (214) 383-9077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1598076754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PARKWAY",
            "address_2": "STE 214",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-383-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY",
            "address_2": "STE 214",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024200",
            "telephone_number": "214-383-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOM SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-383-9077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "103683",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "103687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.