Active NPI
Calvert Senior Services LLC
- Nursing Facility/Intermediate Care Facility
- Calvert, TX
National Provider Identifier
1992098099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 004365
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Bryan, TX
- NPI 1780604322
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.