Shamor, Inc.

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

118502 Issued in TX

Legal business name

SHAMOR, INC.

Doing business as

Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility

Practice address

3600 Stanford St
Greenville, TX 75401-5584

Phone

(903) 454-6636

Fax

(903) 454-8182

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelda Young

Title

Executive Director

Phone

(903) 454-6636

Specialties & licenses 1

Addresses

Other names 1

• Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility Doing business as

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750590584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 STANFORD ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015584",
            "telephone_number": "903-454-6636",
            "fax_number": "903-454-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 STANFORD ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015584",
            "telephone_number": "903-454-6636",
            "fax_number": "903-454-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NELDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-454-6636"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "TX",
            "license": "118502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shahram Jamalabadi
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• Sherry G. Sheffield, LCSW-S
• Christopher Timothy Sherman, MD
• Stacy A Shock, LPC
• Meera Shreedhara Vasudha, MD
• Abigail Shreve

• Lodging Provider in Greenville, TX
• Providers in Greenville, TX by specialty
• Lodging Provider 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.