S-H Opco Pecan Park, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

S-H OPCO PECAN PARK, LLC

Doing business as

Brookdale Pecan Park

Practice address

915 N Fielder Rd
Arlington, TX 76012-3147

Phone

(817) 265-6900

NPI assigned

Apr 21, 2023

Last updated

Apr 21, 2023By 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

Joanne Leskowicz

Title

Assistant Corporate Secretary

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Pecan Park Doing business as

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": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1811684640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123147",
            "telephone_number": "817-265-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123147",
            "telephone_number": "817-265-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H OPCO PECAN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ASSISTANT CORPORATE SECRETARY",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Pecan Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charne Iman Rutherford, PHARMD
• Mark Rutowski
• Ryan Adam Pharma LLC (Rx pharmacy)
• Melissa Benton Rybak, FNP-C
• S & J Direct Primary Care, PLLC (Durham Direct Primary Care)
• S&S Life Scan Corp
• Marina Christine Saad, MD
• Salwa Saad IV
• Yasasvi Sabbineni, DO
• Stephen Landon Sackett, DPT

• Assisted Living Facility in Arlington, TX
• Providers in Arlington, 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 Apr 21, 2023; 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.