Thi of Texas at Swan Manor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

117545 Issued in TX

Legal business name

THI OF TEXAS AT SWAN MANOR, LLC

Doing business as

Swan Manor Assisted Living

Practice address

2508 Ward Rd
Baytown, TX 77520-8103

Phone

(281) 422-9030

Fax

(281) 420-0780

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Virginia Walters

Title

President

Phone

(281) 422-9030

Specialties & licenses 2

Addresses

Other names 1

• Swan Manor Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831286020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WARD RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775208103",
            "telephone_number": "281-422-9030",
            "fax_number": "281-420-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF TEXAS AT SWAN MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-422-9030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "117545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swan Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Baytown, TX
• Providers in Baytown, 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 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.