SHAMOR, INC. (NPI# 1750590584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750590584 |
| Entity Type | Organization |
| Organization Name | SHAMOR, INC. |
| Other Organization Name | COLONIAL LODGE RETIREMENT & ASSISTED LIVING & ALZHEIMER'S FACILITY |
| Practice Address |
3600 Stanford St Greenville TX 75401-5584 |
| Practice Telephone | 9034546636 |
| Practice Fax Number | 9034548182 |
| Mailing Telephone | 9034546636 |
| Mailing Fax Number | 9034548182 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NELDA YOUNG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9034546636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | 118502 | TX | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility | Doing Business As Name - Organization |
| Street Address |
3600 STANFORD ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096333 | Youthful Pro's | Lodging | 5403 Canyon Forest Dr, Houston, TX 77088-2710 | 2020-09-01 |
| 1093347569 | Light Accommodation Foundation | Lodging | 202 S Esplanade Way, Stafford, TX 77477-5435 | 2020-02-12 |
| 1740756774 | Homes for Harmony | Lodging | 1104 Steele Ln, Flower Mound, TX 75022-4327 | 2018-10-17 |
| 1770059933 | Hal's Medical Practice Management Consultant | Lodging | 12514 Berry Laurel Ln, Houston, TX 77014-2445 | 2018-10-15 |
| 1821508524 | Arbor Park Slc LLC | Lodging | 9119 Arbor Park Dr, Dallas, TX 75243-6131 | 2017-10-07 |
| 1558504464 | Carla Riley Burnett | Lodging | 829 Rio Grande Ave, Port Arthur, TX 77642-1521 | 2009-04-08 |
| 1467699835 | Walter Filmore IIi | Lodging | 1404 Summer Brook Cir Apt 228, Arlington, TX 76011-4547 | 2009-01-07 |
| 1780838169 | Elaine Bond | Lodging | 700 Shady Oaks Dr, Kyle, TX 78640-4867 | 2008-11-11 |
| 1326297953 | Billie Joyce Ignot | Lodging | 1847 Poseidon Dr, Lancaster, TX 75134-4175 | 2008-09-18 |
| 1093975179 | Mary H Jenkins | Lodging | 2314 33rd St, Lubbock, TX 79411-1630 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.