Senior Health - Villa Haven, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

675279 Issued in TX

Legal business name

SENIOR HEALTH - VILLA HAVEN, LLC

Practice address

300 S Jackson St
Breckenridge, TX 76424-4804

Phone

(254) 559-3386

Fax

(254) 559-7259

NPI assigned

Oct 4, 2005

Last updated

Aug 22, 2020By 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

Larry Snow

Title

Regional Case Manager

Phone

(972) 410-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821085861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244804",
            "telephone_number": "254-559-3386",
            "fax_number": "254-559-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244804",
            "telephone_number": "254-559-3386",
            "fax_number": "254-559-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH - VILLA HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "REGIONAL CASE MANAGER",
        "authorized_official_telephone_number": "972-410-2600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melindia Elaine Pence, LVN
• Todd Martin Pennartz, D.D.S.
• Cynthia Anne Perry, M.D.
• William Elmo Prater, M.D.
• Rachael Kendra Dabelic, M.D. P.a.
• Shackelford County Community Resource Center (ResourceCare Breckenridge)
• Kerry G. Snow, D.M.D.
• Stephens Memorial Hospital
• Stephens Memorial Hospital
• Stephens Memorial Hospital

• Skilled Nursing Facility in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.