Organization Active NPI

Aging With Kelley Ann

  • Nursing Facility/Intermediate Care Facility
  • Seagoville, TX
National Provider Identifier
1730452368
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NA08478180 Issued in TX
Legal business name
AGING WITH KELLEY ANN
Practice address
531 Judy LN
Seagoville, TX 75159-1713
Phone
(214) 694-5677
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Ms. Kelley Ann GarzaNPI 1144597014
Title
Owner
Phone
(214) 694-5677

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
Nursing Facility/Intermediate Care Facility 313M00000X NA08478180 TX Primary

Addresses

Primary practice location

531 Judy LN
Seagoville, TX 75159-1713

Mailing address

531 Judy LN
Seagoville, TX 75159-1713
Phone (214) 694-5677

National Provider Directory

National Provider Directory

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": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1730452368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 JUDY LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591713",
            "telephone_number": "214-694-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 JUDY LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591713",
            "telephone_number": "214-694-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WITH KELLEY ANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-694-5677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "NA08478180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagoville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.