Coppell SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COPPELL SNF OPERATIONS LLC

Practice address

1410 E Sandy Lake Rd
Coppell, TX 75019-3119

Phone

(972) 304-4444

Fax

(972) 462-6605

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Paula Pierce

Title

Authorized Officer

Phone

(972) 899-4401

Specialties & licenses 1

Addresses

Other names 1

• Sandy Lake Rehabilitation and Care Center Doing business as

Locations

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1891118238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193119",
            "telephone_number": "972-304-4444",
            "fax_number": "972-462-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Lake Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Coppell, TX
• Providers in Coppell, 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 Jan 21, 2014; 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.