Organization Active NPI

Silver Pines Nursing and Rehabilitation LP

  • Skilled Nursing Facility
  • Bastrop, TX
National Provider Identifier
1932195708
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
111209 Issued in TX
Legal business name
SILVER PINES NURSING AND REHABILITATION LP
Practice address
503 Old Austin Hwy
Bastrop, TX 78602-5016
Phone
(512) 321-6220
Fax
(512) 321-6616
NPI assigned
Sep 27, 2005
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Mr. Michael A Rich
Title
President
Phone
(940) 387-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 111209 TX Primary

Addresses

Primary practice location

503 Old Austin Hwy
Bastrop, TX 78602-5016

Mailing address

401 N Elm St
Denton, TX 76201-4137
Phone (940) 387-4388

Other identifiers 2

IdentifierTypeStateIssuer
001004520MedicaidTX
021934702OtherTXTMHP CROSSOVER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1932195708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OLD AUSTIN HWY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025016",
            "telephone_number": "512-321-6220",
            "fax_number": "512-321-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PINES NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004520",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP CROSSOVER",
            "identifier": "021934702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.