Organization Active NPI

Seldria Assisted Living, LLC

  • Adult Care Home Facility
  • Arlington, TX
National Provider Identifier
1760843189
Registry record updated Mar 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SELDRIA ASSISTED LIVING, LLC
Practice address
1301 E Bardin Rd
182232
Arlington, TX 76096-4201
Phone
(682) 465-7465
Fax
(801) 720-4753
NPI assigned
Mar 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2016

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

Authorized official

Name
Rebecca S WoodenNPI 1518359041
Title
General Manager
Phone
(682) 465-7465

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)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X TX Primary

Addresses

Primary practice location

1301 E Bardin Rd
182232
Arlington, TX 76096-4201

Mailing address

PO Box 182232
Arlington, TX 76096-2232
Phone (682) 465-7465

Other names 1

  • Seldria Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

1301 E Bardin Rd
Unit 182232
Arlington, TX 76096
Phone (682) 465-7465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1760843189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182232",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760962232",
            "telephone_number": "682-465-7465",
            "fax_number": "801-720-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BARDIN RD",
            "address_2": "182232",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760964201",
            "telephone_number": "682-465-7465",
            "fax_number": "801-720-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELDRIA ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "682-465-7465"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seldria Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.