Treymore, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112140 Issued in TX

Legal business name

TREYMORE, INC.

Doing business as

Cypress Glen Nursing & Rehab

Practice address

7200 9TH Ave
Port Arthur, TX 77642-6405

Phone

(409) 729-8701

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James W Moore Sr.

Title

Owner

Phone

(409) 962-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cypress Glen Nursing & Rehab Doing business as

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1689658494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426405",
            "telephone_number": "409-729-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426405",
            "telephone_number": "409-729-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREYMORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-962-0910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001453",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Glen Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Port Arthur, TX
• Providers in Port Arthur, 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 May 28, 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.