SH Opco Waxahachie LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SH OPCO WAXAHACHIE LLC

Practice address

401 Solon Rd
Waxahachie, TX 75165-1328

Phone

(972) 923-9911

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Darla Brown

Title

Ar Manager

Phone

(972) 308-8391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant Place of Waxahachie Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1770101552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PKWY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544383",
            "telephone_number": "972-308-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOLON RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651328",
            "telephone_number": "972-923-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH OPCO WAXAHACHIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-308-8391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HELATH AND HUMAN SERVICES",
            "identifier": "148015",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "address_1": "401 Solon Rd",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751651328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Covenant Place of Waxahachie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Segnian BH Services LLC
• Logan Michael Sells, MS, RDN, LD
• Senior Care Management
• Serenity Midwifery & Birth Center
• Seth Atkins, DDS, PLLC
• Brenda Shannon
• Kandi Denise Shaw, LPC
• Ashlee N Sheafer, LPC
• Ivy Lea Shelmadine, PT, DPT
• Michelle Angelina Shelton, PA-C

• Assisted Living Facility in Waxahachie, TX
• Providers in Waxahachie, 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 5, 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.