VINTAGE SCC LLC (NPI# 1972748630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972748630 |
| Entity Type | Organization |
| Organization Name | VINTAGE SCC LLC |
| Other Organization Name | VINTAGE HEALTH CARE CENTER |
| Practice Address |
205 N Bonnie Brae St Denton TX 76201-3766 |
| Practice Telephone | 9403734766 |
| Practice Fax Number | 9403206645 |
| Mailing Telephone | 9403734766 |
| Mailing Fax Number | 9403206645 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JASON PRICE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9494364343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001016908 | 05 |
| Other Name | Type Code |
|---|---|
| Vintage Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679718407 | Vintage Scc LLC | Assisted Living Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2008-12-08 |
| Street Address |
205 N BONNIE BRAE ST |
| City | DENTON |
| State | TX |
| Zip Code | 76201-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1891358743 | Trina King | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2019-04-16 |
| 1174004923 | Fatemeh Shams Gakieh | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-28 |
| 1447731815 | Cari Craft | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1336620707 | Susan Zeringue Clark | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1730660325 | Erin Kane | Occupational Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1902387517 | Marie Louise Avila | Physical Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1316427297 | Mary Madison Sewell | Speech-Language Pathologist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-20 |
| 1679053672 | Kasey Jo Lantrip-pruett | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-19 |
| 1063911683 | Liveupmedical Pllc | Family Medicine | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| 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 |
|---|---|---|---|---|
| 1396754875 | Mountain Vista Health Park, Inc. | Skilled Nursing Facility | 106 Mt Vista Rd, Denton, NC 27239-8793 | 2006-08-05 |
| 1093702599 | Cottonwood Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2005-09-30 |
| 1821080805 | Caroline Nursing Home, Inc | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2005-08-17 |
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1588668834 | Senior Care Services, Inc | Skilled Nursing Facility | 2244 Brinker Rd, Denton, TX 76208-6120 | 2005-06-01 |
| 1194728220 | Dallas County Hospital District | Skilled Nursing Facility | 2229 N Carroll Blvd, Denton, TX 76201-1833 | 2005-05-23 |
| 1588263750 | Denton I Enterprises, LLC | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2020-10-20 |
| 1932757911 | Axis Health At Caroline Opco LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2019-09-03 |
| 1326513854 | Denton Operator, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2018-10-11 |
| 1396286811 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-03-16 |
| Find all providers in DENTON | ||||
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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.