NPIMap

Organization Active NPI

Senior Care Services

Doing business as Vintage Assisted Living Center

  • Assisted Living Facility
  • Denton, TX
National Provider Identifier
1871775288
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
118868 Issued in TX
Legal business name
SENIOR CARE SERVICES
Doing business as
Vintage Assisted Living Center
Practice address
205 N Bonnie Brae St
Denton, TX 76201-3766
Phone
(940) 383-2361
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Shane Lreis
Title
VP/Cfo
Phone
(972) 303-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 118868 TX Primary

Addresses

Primary practice location

205 N Bonnie Brae St
Denton, TX 76201-3766

Mailing address

1413 East I 30 Ste 7
Garland, TX 75043-4598
Phone (972) 303-9000

Other names 1

  • Vintage Assisted Living Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crestwood Assisted Living Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1871775288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 EAST I 30 STE 7",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434598",
            "telephone_number": "972-303-9000",
            "fax_number": "972-303-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BONNIE BRAE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013766",
            "telephone_number": "940-383-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LREIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-303-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "118868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.