MEDICARE: SENIOR CARE LIVING VII, LLC

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
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	150043	OTHER	TX	TEXAS HHSC

General Provider Information

NPI Number	:	1508531278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CARE LIVING VII, LLC

Provider Business Mailing Address
First Line	:	4301 ANCHOR PLAZA PKWY STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7529
Country	:	US
Telephone Number	:	813-330-2660
Fax Number	:	844-808-0071

Provider Business Practice Location Address
First Line	:	1080 W ROUND GROVE RD
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-7990
Country	:	US
Telephone Number	:	469-702-0303
Fax Number	:	844-808-0071

Authorized Official
Title or Position	:	RM & COMPLIANCE MANAGER
Name	:	BILLIE ABREU
Credential	:
Telephone Number	:	813-330-2660

Provider Enumeration Date	:	08/13/2021
Last Update Date	:	08/13/2021

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