Northwest Senior Housing Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

114476 Issued in TX

Legal business name

NORTHWEST SENIOR HOUSING CORPORATION

Doing business as

The Plaza at Edgemere

Practice address

8502 Edgemere Rd
Dallas, TX 75225-3523

Phone

(214) 615-7045

Fax

(214) 615-7046

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A Trainor, BBA, MES

Title

Accounting Manager

Phone

(214) 615-7035

Specialties & licenses 2

Addresses

Other names 1

• The Plaza at Edgemere Doing business as

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1962400283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 EDGEMERE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752253523",
            "telephone_number": "214-615-7045",
            "fax_number": "214-615-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 EDGEMERE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752253523",
            "telephone_number": "214-615-7045",
            "fax_number": "214-615-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SENIOR HOUSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "TRAINOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "214-615-7035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBA, MES"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "114475",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plaza at Edgemere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.