Active NPI
Groom Senior Living Inc
- Physical Disabilities Residential Treatment Facility
- Allen, TX
National Provider Identifier
1598076754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 103687
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.