Wylie Senior Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WYLIE SENIOR CARE

Doing business as

Wylie Nursing & Rehab

Practice address

721 South Hwy 78
Wylie, TX 75098

Phone

(972) 235-1970

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Praveen Thota

Title

Cfo

Phone

(972) 235-1970

Specialties & licenses 1

Addresses

Other names 1

• Wylie Nursing & Rehab Doing business as

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1619176294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 WINTER PARK DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SOUTH HWY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-235-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-235-1970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wylie ER, LLC (Wylie ER)
• Wylie Fire-Rescue
• Wylie Independent School District
• Wylie Medical Center (First Choice Emergency Room)
• Wylie Pharmacy LLC (Wylie Pharmacy)
• Wylie Smiles PLLC
• Jill Yarbrough, LCSW
• Chantelle Young, LVN/LPN
• Brian Alan Yount, OTR
• Raul Zamudio

• Skilled Nursing Facility in Wylie, TX
• Providers in Wylie, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.