Organization Active NPI

Hermitage Care Homes LLC

  • Adult Care Home Facility
  • Plano, TX
National Provider Identifier
1699523829
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HERMITAGE CARE HOMES LLC
Practice address
1705 14TH PL
Plano, TX 75074-6403
Phone
(214) 551-6470
NPI assigned
May 13, 2024
Organization subpart
Yes
Parent organization
HERMITAGE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Audrey Elaine Davis, RNNPI 1013618479
Title
Administrator
Phone
(214) 551-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1705 14TH PL
Plano, TX 75074-6403

Mailing address

1705 14TH PL
Plano, TX 75074-6403
Phone (214) 551-6470

Other names 2

  • Hermitage Care Homes Doing business as
  • Hermitage HealthCare LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Hermitage Healthcare LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1699523829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 14TH PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746403",
            "telephone_number": "214-551-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 14TH PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746403",
            "telephone_number": "214-551-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE CARE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERMITAGE HEALTHCARE LLC",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-551-6470",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Care Homes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hermitage HealthCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.