Organization Active NPI

SQLC Senior Living Center at Corpus Christi, Inc.

  • Skilled Nursing Facility
  • Corpus Christi, TX
National Provider Identifier
1649578642
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI, INC.
Practice address
5857 Timbergate Dr
Corpus Christi, TX 78414-4234
Phone
(361) 994-0900
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Charles Brewer
Title
Ceo
Phone
(469) 916-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5857 Timbergate Dr
Corpus Christi, TX 78414-4234

Mailing address

7201 S Staples St
Corpus Christi, TX 78413-5500

Other names 1

  • Mirador Doing business as

National Provider Directory

National Provider Directory

Locations

7201 S Staples St
Corpus Christi, TX 78413
Phone (361) 232-5046

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1649578642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 TIMBERGATE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144234",
            "telephone_number": "361-994-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-916-8958"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirador",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.