Seymour SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SEYMOUR SNF LLC

Doing business as

Community Care Center of Baylor County

Practice address

1110 Westview Dr
Seymour, TX 76380-3965

Phone

(940) 889-3176

Fax

(940) 889-8806

NPI assigned

Mar 16, 2010

Last updated

Dec 1, 2016By 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

Mendy Shapiro

Title

Manager

Phone

(732) 961-9000

Specialties & licenses 1

Addresses

Other names 1

• Community Care Center of Baylor County Doing business as

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1639493992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE",
            "address_2": "SUITE 130",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WESTVIEW DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763803965",
            "telephone_number": "940-889-3176",
            "fax_number": "940-889-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-961-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Baylor County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Outreach Health Community Care Services, L.P. (Outreach Health Services)
• Outreach Health Community Care Services, L.P. (Outreach Health Services)
• John H Rose, DO
• Seymour I.S.D
• Seymour Medical Supply, Inc.
• Waymon Shumate
• Jeanne Rae Snyder, MS, CCC/SLP
• Josh Sosolik, FNP
• Tabitha Townley, LM
• Regina Trojacek, FNP-C

• Skilled Nursing Facility in Seymour, TX
• Providers in Seymour, 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 Dec 1, 2016; 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.