SCC Partners, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SCC PARTNERS, INC.

Doing business as

Senior Care Health and Rehabilitation - Bridgeport

Practice address

2108 15TH St
Bridgeport, TX 76426-2055

Phone

(940) 683-5023

Fax

(940) 683-3184

NPI assigned

Feb 14, 2012

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SCC HEALTHCARE GROUP, LTD.As reported in NPPES

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

Authorized official

Name

Shane Lewis

Title

VP

Phone

(972) 303-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Care Health and Rehabilitation - Bridgeport Doing business as

Tax ID family

SCC Partners Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SCC Partners, Inc.

  dba The Residences at Senior Care

  • Assisted Living Facility
  • Bridgeport, TX
  • NPI 1659508208
  NPD tax ID

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1659644185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 E I 30",
            "address_2": "SUITE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434784",
            "telephone_number": "972-303-7500",
            "fax_number": "972-303-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 15TH ST",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262055",
            "telephone_number": "940-683-5023",
            "fax_number": "940-683-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCC PARTNERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCC HEALTHCARE GROUP, LTD.",
        "enumeration_date": "2012-02-14",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-303-7500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Health and Rehabilitation - Bridgeport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Rowe-Thomas, PHARMD
• S&S Associates (Bridgeport Smiles)
• Jonathon Stanley Scarborough, CRNA
• SCC Partners Inc
• SCC Partners, Inc. (The Residences at Senior Care)
• Dan C Selz, DDS
• Deborah Selz, DDS
• Emily Kathleen Smith, O.D.
• Kelli S. Smith, PT
• Alissa Sobieraj, PAC

• Skilled Nursing Facility in Bridgeport, TX
• Providers in Bridgeport, 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 Nov 24, 2014; 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.