Silverstone Harborchase Southlake Operating, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SILVERSTONE HARBORCHASE SOUTHLAKE OPERATING, LLC

Practice address

700 E State Highway 114
Southlake, TX 76092-5236

Phone

(682) 305-7022

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Chris Collins

Title

Cfo for Manager

Phone

(772) 492-5002

Specialties & licenses 1

Addresses

Other names 1

• HarborChase of Southlake Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1760028997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 20TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606420",
            "telephone_number": "772-492-5002",
            "fax_number": "772-492-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925236",
            "telephone_number": "682-305-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSTONE HARBORCHASE SOUTHLAKE OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO FOR MANAGER",
        "authorized_official_telephone_number": "772-492-5002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjustice@hraonline.net",
            "affiliation": "N",
            "endpointDescription": "Corporate e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 E State Highway 114",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760925236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HarborChase of Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Talaya Marie Sibley
• Mohammad Zia Siddiqui, MD
• Nicole Siegel, LCSW, LCDC
• Sierra Op TX, LLC
• Silverlake Professional Group
• Brooke V. Simer, MA, CCC-SLP
• Savannah Simerly
• Brian Marc Simmons, LPC
• Simon S Tan, MD PA
• Elizabeth Simon

• Assisted Living Facility in Southlake, TX
• Providers in Southlake, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.