Corpus Christi SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORPUS CHRISTI SCC LLC

Practice address

202 Fortune Dr
Corpus Christi, TX 78405-3919

Phone

(361) 289-0889

Fax

(361) 289-7516

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Jason Price

Title

Senior Vice President

Phone

(949) 436-4343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Care of Corpus Christi Doing business as

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1851729610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FORTUNE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053919",
            "telephone_number": "361-289-0889",
            "fax_number": "361-289-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FORTUNE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053919",
            "telephone_number": "361-289-0889",
            "fax_number": "361-289-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-436-4343"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025586",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Care of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.