Healthcare Provider Details

I. General information

NPI: 1982256285
Provider Name (Legal Business Name): CENTER AT PARMER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13800 N FM 620 RD # SB
AUSTIN TX
78717-1126
US

IV. Provider business mailing address

13800 N FM 620 RD
AUSTIN TX
78717-1126
US

V. Phone/Fax

Practice location:
  • Phone: 737-236-6400
  • Fax: 737-236-6450
Mailing address:
  • Phone: 737-236-6400
  • Fax: 737-236-6450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER SENKOFF
Title or Position: MANAGER
Credential: MD
Phone: 719-900-1398