Sears Brazos Retirement Corporation

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

113492 Issued in TX

Legal business name

SEARS BRAZOS RETIREMENT CORPORATION

Practice address

1700 Woodgate Dr
Waco, TX 76712-8600

Phone

(254) 666-5454

NPI assigned

Nov 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Randall Crosswhte, CPA

Title

Vice President/Asst. Cfo

Phone

(325) 691-5519

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wesley Woods Alzheimer's Care Center Doing business as

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1649253303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR",
            "address_2": "SUITE 400",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-691-5519",
            "fax_number": "325-698-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODGATE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128600",
            "telephone_number": "254-666-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS BRAZOS RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "CROSSWHTE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VICE PRESIDENT/ASST. CFO",
        "authorized_official_telephone_number": "325-691-5519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "113492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SNF",
            "identifier": "67-6211",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Woods Alzheimer's Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SE Smile by Design
• Jennifer Margarita Seale, MD
• Jonathan Seale, MD
• Bailey Searcy, MAT, LAT, ATC
• Searles Brinegar Family Home Care LLC.
• Seaside Dental PLLC
• Seating and Mobility Solutions LLC
• Alexandrea Sebastian
• Seed & Sow PLLC
• Sarah Seelye, FNP

• Alzheimer Center (Dementia Center) in Waco, TX
• Providers in Waco, TX by specialty
• Alzheimer Center (Dementia Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.