COPPELL SNF OPERATIONS LLC (NPI# 1891118238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891118238 |
| Entity Type | Organization |
| Organization Name | COPPELL SNF OPERATIONS LLC |
| Other Organization Name | SANDY LAKE REHABILITATION AND CARE CENTER |
| Practice Address |
1410 E Sandy Lake Rd Coppell TX 75019-3119 |
| Mailing Address |
1500 Waters Ridge Dr Lewisville TX 75057-6011 |
| Practice Telephone | 9723044444 |
| Practice Fax Number | 9724626605 |
| Mailing Telephone | 9728994401 |
| Mailing Fax Number | 9728994806 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | PAULA PIERCE (AUTHORIZED OFFICER) |
| Authorized Official Telephone | 9728994401 |
| 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 |
|---|---|
| Sandy Lake Rehabilitation and Care Center | Doing Business As Name - Organization |
| Street Address |
1410 E SANDY LAKE RD |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053369470 | Vericare, P.C. | Social Worker | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2006-05-05 |
| 1316413586 | Robert Roy | Occupational Therapist | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2018-10-15 |
| 1235582495 | Mary Kathryn Frith | Nurse Practitioner | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2016-07-22 |
| 1376969535 | Dallas County Hospital District | Skilled Nursing Facility | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2014-03-12 |
| 1033402466 | Star Health & Rehab, Pa | Physical Medicine & Rehabilitation | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2011-05-18 |
| 1609175983 | Star Health & Rehab Pa | Physical Medicine & Rehabilitation | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2011-03-25 |
| 1568799914 | Mason Coppell Op LLC | Skilled Nursing Facility | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| 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 |
|---|---|---|---|---|
| 1376969535 | Dallas County Hospital District | Skilled Nursing Facility | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2014-03-12 |
| 1568799914 | Mason Coppell Op LLC | Skilled Nursing Facility | 1410 E Sandy Lake Rd, Coppell, TX 75019-3119 | 2009-11-05 |
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| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| 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.