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SH OPCO WAXAHACHIE LLC NPI 1770101552


NPI Information

NPI: 1770101552
Provider Name: SH OPCO WAXAHACHIE LLC

Doing Business As: COVENANT PLACE OF WAXAHACHIE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
401 SOLON RD
WAXAHACHIE, TX
ZIP 75165
Phone: (972) 923-9911
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SH OPCO WAXAHACHIE LLC is an assisted living facility in Waxahachie, TX. The provider is 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. SH OPCO WAXAHACHIE LLC NPI is 1770101552. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Place Of Waxahachie.

The provider's business location address is:

401 SOLON RD
WAXAHACHIE, TX
ZIP 75165-328
Phone: (972) 923-9911

The provider's authorized official is Darla Brown .
The authorized official title is Ar Manager and has the following contact phone number (972) 308-8391.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 11/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148015OTHERTEXASTEXAS HELATH AND HUMAN SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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