FM 1382 Health Care Center LTD. Co.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FM 1382 HEALTH CARE CENTER LTD. CO.

Doing business as

Crestview Court

Practice address

224 W Pleasant Run Rd
Cedar Hill, TX 75104-5402

Phone

(214) 954-4114

Fax

(214) 871-3057

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Robin F Underhill

Title

Chief Executive

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other names 1

• Crestview Court Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629010350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W PLEASANT RUN RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045402",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM 1382 HEALTH CARE CENTER LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cedar Hill, TX
• Providers in Cedar Hill, 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 Aug 22, 2020; 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.