SCC PARTNERS, INC. (NPI# 1659644185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659644185 |
| Entity Type | Organization |
| Organization Name | SCC PARTNERS, INC. |
| Other Organization Name | SENIOR CARE HEALTH AND REHABILITATION - BRIDGEPORT |
| Practice Address |
2108 15th St Bridgeport TX 76426-2055 |
| Mailing Address |
1413 E I 30 Suite 7 Garland TX 75043-4784 |
| Practice Telephone | 9406835023 |
| Practice Fax Number | 9406833184 |
| Mailing Telephone | 9723037500 |
| Mailing Fax Number | 9723039700 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | SHANE LEWIS (VP) |
| Authorized Official Telephone | 9723037500 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCC HEALTHCARE GROUP, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001017174 | 05 |
| Other Name | Type Code |
|---|---|
| Senior Care Health and Rehabilitation - Bridgeport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083958862 | Scc Partners, Inc. | Skilled Nursing Facility | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2012-11-19 |
| 1659508208 | Scc Partners, Inc. | Assisted Living Facility | 2106 15th St, Bridgeport, TX 76426-2073 | 2009-06-22 |
| Street Address |
2108 15TH ST |
| City | BRIDGEPORT |
| State | TX |
| Zip Code | 76426-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295777902 | West 380 Nursing Center | Assisted Living Facility | 2108 15th St, Bridgeport, TX 76426 | 2006-06-10 |
| 1952853194 | City of Ennis | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426-2055 | 2016-11-03 |
| 1740417914 | Michaelyn Stainton | Speech-Language Pathologist | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-06-16 |
| 1396972568 | Brenda Norwood | Speech-Language Pathologist | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-06-16 |
| 1790912962 | Winona Shackelford | Physical Therapy Assistant | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-06-16 |
| 1780810234 | Scc Partners Inc | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426 | 2009-06-10 |
| 1053546192 | Laurie Briggle | Physical Therapy Assistant | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-05-19 |
| 1114152246 | Julie Gold-morgan | Physical Therapy Assistant | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-05-19 |
| 1588899777 | Traci Lockhart | Speech-Language Pathologist | 2108 15th St, Bridgeport, TX 76426-2055 | 2009-05-18 |
| 1407092695 | West 380 Nursing Home Facility | Hospice Care, Community Based | 2108 15th St, Bridgeport, TX 76426-2055 | 2008-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1710252572 | Jonathon Stanley Scarborough | Nurse Anesthetist, Certified Registered | 1509 Dr. Hospital Drive, Bridgeport, TX 76426 | 2012-03-13 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1578636411 | 34hha, Inc | Home Health | 401 Center Ct., Bridgeport, TX 76426 | 2006-11-16 |
| 1477175628 | Noemi Araceli Meza | Non-emergency Medical Transport (VAN) | 1006 Newby Ave, Bridgeport, TX 76426-2030 | 2020-05-11 |
| 1992013692 | Bridgeport Isd | Local Education Agency (LEA) | 2107 15th St, Bridgeport, TX 76426-2052 | 2010-09-16 |
| 1861821209 | Andrea Megan Deloera | Physician Assistant | 808 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2013-11-06 |
| 1881751287 | Longbines Pharmacy Inc | Pharmacy | 810 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2007-01-03 |
| 1639105356 | Bridgeport Ambulatory Surgery Center | Clinic/Center | 806 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2006-06-24 |
| Find all providers in zip 76426 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205171626 | Part Avenue Medical Associates, LLC | Skilled Nursing Facility | 80 Hooker Rd, Bridgeport, CT 06610-1316 | 2012-12-11 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| 1982918470 | Emericare Heritage LLC | Skilled Nursing Facility | Route 4, 17, Bridgeport, WV 26330-9804 | 2010-07-27 |
| 1376795146 | Robert Barry | Skilled Nursing Facility | 1413 Old Town Rd, Bridgeport, CT 06606-1442 | 2008-10-10 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| 1104946813 | The New Coleman Park | Skilled Nursing Facility | 62 Coleman St, Bridgeport, CT 06604-3419 | 2007-03-29 |
| 1003909623 | Bridgeport Health Care Center, Inc | Skilled Nursing Facility | 540 Bond Street, Bridgeport, CT 06610 | 2006-10-02 |
| 1891803490 | Heritage of Bridgeport, Inc | Skilled Nursing Facility | 505 O St, Bridgeport, NE 69336-4045 | 2006-08-25 |
| 1679515183 | Heartland-lansing of Bridgeport Oh LLC | Skilled Nursing Facility | 68222 Commercial Dr, Bridgeport, OH 43912-1520 | 2006-06-11 |
| 1558314955 | Northbridge Health Care Center, Inc. | Skilled Nursing Facility | 2875 Main Street, Bridgeport, CT 06606 | 2006-05-18 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 76426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.