Organization Active NPI

Pittsburg Senior Care, L.L.C.

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1740653633
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
136170 Issued in TX
Legal business name
PITTSBURG SENIOR CARE, L.L.C.
Practice address
6813 Cactus Dr
Waco, TX 76712-6742
Phone
(254) 399-6788
Fax
(254) 772-1110
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Michael Bumpass
Title
Member
Phone
(254) 399-6788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 136170 TX Primary

Addresses

Primary practice location

6813 Cactus Dr
Waco, TX 76712-6742

Mailing address

6813 Cactus Dr
Waco, TX 76712-6742
Phone (254) 399-6788

Other names 1

  • PITTSBURG NURSING CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1740653633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 CACTUS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126742",
            "telephone_number": "254-399-6788",
            "fax_number": "254-772-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 CACTUS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126742",
            "telephone_number": "254-399-6788",
            "fax_number": "254-772-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURG SENIOR CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "BUMPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-399-6788"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "136170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PITTSBURG NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.