Senior Living Properties LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122531 Issued in TX

Legal business name

SENIOR LIVING PROPERTIES LLC

Practice address

2000 E School St
Kermit, TX 79745-5205

Phone

(432) 586-6665

Fax

(432) 586-8849

NPI assigned

Oct 7, 2005

Last updated

Feb 6, 2008By 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

James Rogers

Title

Coo

Phone

(817) 410-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kermit Healthcare Center Other name

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1881682433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760991389",
            "telephone_number": "817-410-7300",
            "fax_number": "817-810-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SCHOOL ST",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797455205",
            "telephone_number": "432-586-6665",
            "fax_number": "432-586-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-410-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "004877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kermit Healthcare Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wallace L Phillips, O.D.
• Abigail Canava Quiroz, FNP
• Hector Reyes Jr., MPH, MD
• Jenoveva Romo
• Stanly T Selby, M.D.
• Jazmin Torres, LAT
• Cecilia Towns
• Viral Patel Dental PC (Kermit Smiles)
• Wallace L Phillips (Phillips Eye Clinic)
• Jo Nell Wilkinson, RPH

• Skilled Nursing Facility in Kermit, TX
• Providers in Kermit, 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 Feb 6, 2008; 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.