MY BEACH HOUSE LLC (NPI# 1730370883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730370883 |
| Entity Type | Organization |
| Organization Name | MY BEACH HOUSE LLC |
| Practice Address |
508 S Donald St Seymour TX 76380-2812 |
| Practice Telephone | 9408894911 |
| Practice Fax Number | 9408894912 |
| Mailing Telephone | 9408894911 |
| Mailing Fax Number | 9408894912 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | MRS. GLENNA JO DECKER (MANAGER) |
| Authorized Official Telephone | 9408894911 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 113832 | TX | Nursing & Custodial Care Facilities |
| Street Address |
508 S DONALD ST |
| City | SEYMOUR |
| State | TX |
| Zip Code | 76380-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982146932 | Bethany Burgess | Speech-Language Pathologist | 508 S Donald St, Seymour, TX 76380-2812 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720188774 | Michael J Newman | Dentist | 103 E Nevada, Seymour, TX 76380 | 2006-09-22 |
| 1356387641 | John H Rose | Family Medicine | 201 Stadium Drive, Seymour, TX 76380 | 2006-06-22 |
| 1699765974 | Eloisa Yu Banez | Internal Medicine | 200 Stadium Drive, Seymour, TX 76380 | 2005-10-26 |
| 1861605107 | Larry Howard | Physician Assistant | 201 Stadium Drive, Seymour, TX 76380 | 2007-05-07 |
| 1790844470 | Baylor County Hospital District | Medicare Defined Swing Bed Unit | 200 Stadium Drive, Seymour, TX 76380 | 2006-12-08 |
| 1740358803 | Baylor County Hospital District | Clinic/Center | 201 Stadium Drive, Seymour, TX 76380 | 2006-11-30 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1457959314 | Just Like Home Seymour, LLC | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1235658691 | Jeanne Rae Snyder | Speech-Language Pathologist | 1136 W California St, Seymour, TX 76380-1553 | 2017-09-15 |
| 1861929796 | Matthew David Rose | Physician Assistant | 801 N Donald St, Seymour, TX 76380-1637 | 2017-05-23 |
| Find all providers in zip 76380 | ||||
| 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 |
|---|---|---|---|---|
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1013102698 | Assisted Living Concepts Inc | Assisted Living Facility | 2288 Nicholas Court, Seymour, IN 47274 | 2007-09-07 |
| 1861691578 | Shepherd Hill, Inc. | Assisted Living Facility | 2475 N County Road 1000 E, Seymour, IN 47274-9248 | 2007-07-12 |
| 1235106725 | Good Shepherd Home, Ltd | Assisted Living Facility | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2006-03-02 |
| 1457959314 | Just Like Home Seymour, LLC | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
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|---|---|---|---|---|
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| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| 1790399525 | Springfield Senior Living LLC | Assisted Living Facility | 1817 Royal Crest Drive, Garland, TX 75043-1023 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.