Organization Active NPI

Senior Suite Care and Rehab

  • General Acute Care Hospital
  • Emory, TX
National Provider Identifier
1720411705
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
815344 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2191198Senior Suite Care & Rehab983 N Texas St, Emory, TX 75440Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Senior Suite Care and Rehab2 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.

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.

Verify at the official NPI Registry.