MEDICARE: SENIOR CARE CONSULTANTS, INC

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	314000000X	Skilled Nursing Facility	005054	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0226862-01	OTHER	TX	NHIC COINS
2	0219305-01	OTHER	TX	TMHP COINS
3	HH2606	OTHER	TX	BLUE CROSS/BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790787950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CARE CONSULTANTS, INC

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	:	2815 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-2320
Country	:	US
Telephone Number	:	972-303-9000
Fax Number	:	972-303-9992

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	:	11/14/2008

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Directions to “SENIOR CARE CONSULTANTS, INC ” Practice Location

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