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NPI Code Detail

MEDICARE: SILVERADO SENIOR LIVING OF TEXAS

MEDICARE: SILVERADO SENIOR LIVING OF TEXAS
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
1251B00000XCase Management Agency010262TX
2251E00000XHome Health Agency010262TX
3253Z00000XIn Home Supportive Care Agency010262TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010262OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1790922367
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVERADO SENIOR LIVING OF TEXAS
Provider Business Mailing Address
First Line : 13810 CHAMPION FOREST DR
Second Line : SUITE 147
City : HOUSTON
State : TX
Zip : 77069-1844
Country : US
Telephone Number : 832-249-9940
Fax Number : 832-249-9933
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR
Second Line : SUITE 147
City : HOUSTON
State : TX
Zip : 77069-1844
Country : US
Telephone Number : 832-249-9940
Fax Number : 832-249-9933
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. SHERRY W JEROME
Credential : MA, CMC
Telephone Number : 832-249-9940
Provider Enumeration Date : 01/19/2009
Last Update Date : 01/19/2009

Similar Medicare Providers

1306089453 — DR. PETA-GAY CHEN LEDBETTER R.N., LPC, PH.D.
Practice Location Address:
13810 CHAMPION FOREST DR , SUITE 146
HOUSTON, TX
77069-1844
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Practice Fax: 281-444-9554
1184244311 — ANA GARCIA MED, LPC-INTERN, NCC
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HOUSTON, TX
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1700659596 — RATTIKA OU LCSW
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HOUSTON, TX
77069-1844
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1194594853 — MENTAL BREAK COUNSELING SERVICES PLLC
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Directions to “SILVERADO SENIOR LIVING OF TEXAS ” Practice Location

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