SH1 Cinco Ranch LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SH1 CINCO RANCH LLC

Doing business as

Cinco Ranch Alzheimer's Special Care Center

Practice address

3206 S Fry Rd
Katy, TX 77450-6233

Phone

(281) 559-3334

Fax

(281) 559-0479

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By 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

Ms. Terri Lynn Baker

Title

Licensing Coordinator

Phone

(503) 998-5810

Specialties & licenses 1

Addresses

Other names 1

• Cinco Ranch Alzheimer's Special Care Center 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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1780344812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NE 82ND AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626343",
            "telephone_number": "360-254-9442",
            "fax_number": "360-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506233",
            "telephone_number": "281-559-3334",
            "fax_number": "281-559-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH1 CINCO RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "503-998-5810",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "Community",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3206 S Fry Rd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774506233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cinco Ranch Alzheimer's Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amit Shah, O.D.
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• Darshi Niloy Shah, NBC-HWC, CNT, CGP
• Mansi Shah
• Payal Vinay Shah

• Assisted Living Facility in Katy, TX
• Providers in Katy, 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 Dec 30, 2021; 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.