SSR Medical Temps, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011339 Issued in TX

Legal business name

SSR MEDICAL TEMPS, LLC

Doing business as

SSR Medical Temps

Practice address

1712 N Frazier St
213
Conroe, TX 77301-1347

Phone

(832) 482-2450

Fax

(832) 550-2075

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By 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. Stephanie Deatherage

Title

Administrator

Phone

(832) 482-2450

Specialties & licenses 1

Addresses

Other names 1

• SSR Medical Temps Doing business as

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1841485307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 N FRAZIER ST",
            "address_2": "213",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011347",
            "telephone_number": "832-482-2450",
            "fax_number": "832-550-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 N FRAZIER ST",
            "address_2": "213",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011347",
            "telephone_number": "832-482-2450",
            "fax_number": "832-550-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSR MEDICAL TEMPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "DEATHERAGE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-482-2450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSR Medical Temps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.