Active NPI
Aging With Kelley Ann
- Nursing Facility/Intermediate Care Facility
- Seagoville, TX
National Provider Identifier
1730452368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NA08478180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelley Ann Garza
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Seagoville, TX
- NPI 1144597014
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.