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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 Facility004158TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH2605OTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1376545541
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 : 101 REESE DR
Second Line :
City : RED OAK
State : TX
Zip : 75154-2376
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9000
Authorized Official
Title or Position : VP-CFO
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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