VINTAGE SCC LLC (NPI# 1679718407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679718407 |
| Entity Type | Organization |
| Organization Name | VINTAGE SCC LLC |
| Other Organization Name | VINTAGE HEALTH CARE CENTER |
| Practice Address |
205 N Bonnie Brae St Denton TX 76201-3766 |
| Practice Telephone | 9403734766 |
| Practice Fax Number | 9403206645 |
| Mailing Telephone | 9403734766 |
| Mailing Fax Number | 9403206645 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JASON PRICE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9494364343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FACILITY ID | 000544 | 01 |
| TX | 001017205 | 05 |
| Other Name | Type Code |
|---|---|
| Vintage Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972748630 | Vintage Scc LLC | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2008-12-10 |
| Street Address |
205 N BONNIE BRAE ST |
| City | DENTON |
| State | TX |
| Zip Code | 76201-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1891358743 | Trina King | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2019-04-16 |
| 1174004923 | Fatemeh Shams Gakieh | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-28 |
| 1447731815 | Cari Craft | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1336620707 | Susan Zeringue Clark | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1730660325 | Erin Kane | Occupational Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1902387517 | Marie Louise Avila | Physical Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1316427297 | Mary Madison Sewell | Speech-Language Pathologist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-20 |
| 1679053672 | Kasey Jo Lantrip-pruett | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-19 |
| 1063911683 | Liveupmedical Pllc | Family Medicine | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191346 | Choptank Assisted Living LLC | Assisted Living Facility | 1233 Painted Fern Rd, Denton, MD 21629-3049 | 2019-09-03 |
| 1447808134 | Mg Al Denton LLC Dba Mayberry Gardens | Assisted Living Facility | 3636 Teasley Ln, Denton, TX 76210-8470 | 2019-08-27 |
| 1053684258 | Denton Memory Care | Assisted Living Facility | 2505 Brinker Rd, Denton, TX 76208-6430 | 2012-02-17 |
| 1619259892 | Nuhope Eldercare of North Texas | Assisted Living Facility | 920 Dixon Ln, Denton, TX 76207-8117 | 2011-09-14 |
| 1871786616 | Wesleyan Home Care, Inc. | Assisted Living Facility | 410 Colonial Dr, Denton, MD 21629-3055 | 2007-08-24 |
| 1669684759 | The Gables At Caroline Inc | Assisted Living Facility | 701 S 5th Ave, Denton, MD 21629-1364 | 2007-05-03 |
| 1003972340 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2525 N. Hinkle Drive, Denton, TX 76201 | 2006-12-29 |
| 1700942984 | Kgc Operator, Inc. | Assisted Living Facility | 2525 Lillian Miller Pkwy, Denton, TX 76210-2945 | 2006-12-29 |
| 1114311313 | The Gables At Caroline, LLC | Assisted Living Facility | 701 S 5th Ave, Denton, MD 21629-1364 | 2015-03-25 |
| 1871775288 | Senior Care Services | Assisted Living Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2007-11-28 |
| Find all providers in DENTON | ||||
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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.