Active NPI
Senior Suite Care and Rehab
- General Acute Care Hospital
- Emory, TX
National Provider Identifier
1720411705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 815344
- Legal business name
- SENIOR SUITE CARE AND REHAB
- Practice address
- 983 N Texas St
Emory, TX 75440-2450 - Phone
- (903) 473-3752
- NPI assigned
- Aug 14, 2013
- Last updated
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Clark, LBSW, LNFA
- Title
- Facility Adminstrator
- Phone
- (903) 473-3752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 815344 | TX | Primary |
Addresses
Primary practice location
983 N Texas St
Emory, TX 75440-2450
Mailing address
983 N Texas St
Emory, TX 75440-2450
Phone (903) 473-3752
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2191198 | Senior Suite Care & Rehab | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Suite Care and Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1720411705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 N TEXAS ST",
"city": "EMORY",
"state": "TX",
"postal_code": "754402450",
"telephone_number": "903-473-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 N TEXAS ST",
"city": "EMORY",
"state": "TX",
"postal_code": "754402450",
"telephone_number": "903-473-3752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR SUITE CARE AND REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "FACILITY ADMINSTRATOR",
"authorized_official_telephone_number": "903-473-3752",
"authorized_official_credential": "LBSW, LNFA"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "815344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emory, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.