SENIOR SUITE CARE & REHAB LLC (NPI# 1730504218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730504218 |
| Entity Type | Organization |
| Organization Name | SENIOR SUITE CARE & REHAB LLC |
| Other Organization Name | THE MELROSE |
| Practice Address |
1501 W 29th St Tyler TX 75702-1404 |
| Mailing Address |
5519 S Collins St Arlington TX 76018-1705 |
| Practice Telephone | 8175572221 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | DENNIS DEAPEN (MANAGER) |
| Authorized Official Telephone | 8175572221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Melrose | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770819377 | Senior Suite Care & Rehab LLC | Skilled Nursing Facility | 983 N Texas St, Emory, TX 75440-2450 | 2009-11-02 |
| Street Address |
1501 W 29TH ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610814 | Melrose Hcc, LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2007-01-03 |
| 1972966166 | Pinecreek Family Lp | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2016-04-04 |
| 1699193912 | Northcreek Healthcare LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2014-04-03 |
| 1588082234 | Northridge Healthcare LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2014-03-31 |
| 1891094462 | Eastwood Care & Rehab LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2011-03-22 |
| 1457681199 | Melrose Hcc, LLC | Nursing Facility/Intermediate Care Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2009-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| 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 |
|---|---|---|---|---|
| 1396291969 | The Center At Grande, LLC | Skilled Nursing Facility | 3219 East Grande Blvd, Tyler, TX 75707 | 2016-09-01 |
| 1972902245 | Titus County Hospital District | Skilled Nursing Facility | 3505 Old Jacksonvil Rd, Tyler, TX 75701-8510 | 2014-08-22 |
| 1104249317 | Rehab Pro Lp | Skilled Nursing Facility | 17521 Us Highway 69 S Ste 120, Tyler, TX 75703-5376 | 2014-01-23 |
| 1801228986 | Touchstone Strategies - Tyler LLC | Skilled Nursing Facility | 2650 Elkton Trl, Tyler, TX 75703-0580 | 2013-07-31 |
| 1790004679 | Touchstone Strategies, LLC | Skilled Nursing Facility | 2650 Elkton Trail, Tyler, TX 75703 | 2010-05-18 |
| 1255654133 | Sears Tyler Methodist Retirement Corporation | Skilled Nursing Facility | 16044 County Road 165, Tyler, TX 75703-7302 | 2010-03-08 |
| 1982886578 | Hsmtx Waterton Plaza, LLC | Skilled Nursing Facility | 2875 Shiloh Rd, Tyler, TX 75703-2936 | 2007-12-05 |
| 1477694545 | Azalea Place Operating Company | Skilled Nursing Facility | 810 S Porter Ave, Tyler, TX 75701-2300 | 2007-02-09 |
| 1629135975 | Park Place Tyler Healthcare, LLC | Skilled Nursing Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2007-01-03 |
| 1477610814 | Melrose Hcc, LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2007-01-03 |
| Find all providers in TYLER | ||||
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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.