Basic Information
Provider Information
NPI: 1942299664
EntityType: 2
ReplacementNPI:  
OrganizationName: SENIOR MANAGEMENT SERVICES OF KATY INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName: OAKMONT NURSING & REHABILITATION CENTER
OtherOrganizationType: 3
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 W ARBROOK BLVD
Address2: STE 210
City: ARLINGTON
State: TX
PostalCode: 760154327
CountryCode: US
TelephoneNumber: 8174681991
FaxNumber: 8174683133
Practice Location
Address1: 1525 TULL DR
Address2:  
City: KATY
State: TX
PostalCode: 774495099
CountryCode: US
TelephoneNumber: 2815781600
FaxNumber: 2818293562
Other Information
ProviderEnumerationDate: 10/14/2005
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CLANTON
AuthorizedOfficialFirstName: TROY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8174681991
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X114213TXY Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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