Active NPI
Pittsburg Senior Care, L.L.C.
- Skilled Nursing Facility
- Waco, TX
National Provider Identifier
1740653633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 136170
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Monika Naomi Pinon
- Lauren Pipkin
- John Pippin, M.S., LPC
- Ashley M Pitts, LCSW
- William R. Pitts, M.D.
- Plains ER Management Harco, LTD
- Planned Parenthood of Greater Texas Family Planning & Preventative Hea
- Planned Parenthood of Greater Texas Surgical Health Services
- Avery Jacqueline Platt, OD
- Wilmaneice Shanta Pleasant
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.