Sulphur Springs I Enterprises, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SULPHUR SPRINGS I ENTERPRISES, LLC

Doing business as

Sunny Springs Nursing & Rehab

Practice address

1200 Jackson St N
Sulphur Springs, TX 75482-2104

Phone

(903) 885-6571

Fax

(903) 885-8710

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gary R Blake

Title

Managing Member

Phone

(817) 348-8841

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sunny Springs Nursing & Rehab Doing business as

Locations

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1679812929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JACKSON ST N",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822104",
            "telephone_number": "903-885-6571",
            "fax_number": "903-885-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JACKSON ST N",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822104",
            "telephone_number": "903-885-6571",
            "fax_number": "903-885-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULPHUR SPRINGS I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-348-8841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS FACID",
            "identifier": "005060",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Springs Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sulphur Bluff Isd
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• Sulphur Springs Chiropractic Associates Inc
• Sulphur Springs Elite Holdings, Inc (Sunny Springs Nursing & Rehab)
• Sulphur Springs Health & Rehabilitation, L.P. (Sulphur Springs Health & Rehabilitation)
• Sulphur Springs Imaging Center LTD
• Sulphur Springs Isd
• Sulphur Springs Vision Center
• Summer Flora Counseling, PLLC
• Sunny Springs Nursing & Rehab, Inc

• Skilled Nursing Facility in Sulphur Springs, TX
• Providers in Sulphur Springs, 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 15, 2013; 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.