Organization Active NPI

Calvert Senior Services LLC

  • Nursing Facility/Intermediate Care Facility
  • Calvert, TX
National Provider Identifier
1992098099
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
004365 Issued in TX
Legal business name
CALVERT SENIOR SERVICES LLC
Practice address
701 E Browning St
Calvert, TX 77837-7593
Phone
(979) 364-2391
Fax
(979) 364-2798
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Mr. Alan Duane Peterson
Title
Managing Member
Phone
(817) 919-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 004365 TX Primary

Addresses

Primary practice location

701 E Browning St
Calvert, TX 77837-7593

Mailing address

PO Box 159
Calvert, TX 77837-0159
Phone (979) 364-2391

Other names 1

  • Calvert Nursing Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1992098099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "CALVERT",
            "state": "TX",
            "postal_code": "778370159",
            "telephone_number": "979-364-2391",
            "fax_number": "979-364-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E BROWNING ST",
            "city": "CALVERT",
            "state": "TX",
            "postal_code": "778377593",
            "telephone_number": "979-364-2391",
            "fax_number": "979-364-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-919-7495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "004365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calvert, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.