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NPI Code Detail

MEDICARE: SENIOR CARE CONSULTANTS

MEDICARE: SENIOR CARE CONSULTANTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility004076TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20945404-01OTHERTXTMHP COINS
30945404-02OTHERTXNHIC COINS
4HH2594OTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1376545517
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE CONSULTANTS
Provider Business Mailing Address
First Line : 1413 EAST I 30
Second Line : STE 7
City : GARLAND
State : TX
Zip : 75043-4598
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Provider Business Practice Location Address
First Line : 206 STORRS ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-4006
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Authorized Official
Title or Position : VP CPO
Name : SHANE LEWIS
Credential :
Telephone Number : 972-303-9000
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/13/2007

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Directions to “SENIOR CARE CONSULTANTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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