Crescent Senior Care LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CRESCENT SENIOR CARE LLC

Practice address

1219 Holland Lake Dr
Weatherford, TX 76086-5851

Phone

(817) 599-0000

NPI assigned

Jul 21, 2008

Last updated

Jan 30, 2009By 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

Dennis Deapen

Title

Manager

Phone

(817) 599-0000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1932364882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 HOLLAND LAKE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 HOLLAND LAKE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865851",
            "telephone_number": "817-599-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "DEAPEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-599-0000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Cox, FNP-C
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• Nursing Facility/Intermediate Care Facility in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.