Shamrock Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113622 Issued in TX

Legal business name

SHAMROCK CARE CENTER, INC.

Practice address

3300 W 2ND Ave
Corsicana, TX 75110-2412

Phone

(903) 874-5333

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. Larry L Walker

Title

Administrator

Phone

(903) 874-5333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Oaks West Retirement Village 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": "1598054400000",
    "number": "1730163536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102412",
            "telephone_number": "903-874-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-874-5333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oaks West Retirement Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayna Schwartz
• Leila Dianne Scrivner, PT
• Bailey Wren Scruggs
• Shawkat N Shafik, MD
• Mussarat Shafiq, M.D.
• Grady C Shaw, MD
• Jimmie Jo Shelton, OTA
• Shepherd'S Touch Ministries, Inc
• Constance Pugh Sheriff, OTR
• Thomas H Sheriff, PHD

• Skilled Nursing Facility in Corsicana, TX
• Providers in Corsicana, 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 22, 2020; 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.