Provider Demographics
NPI:1164038253
Name:RESIDENTIAL SENIOR CARE (RSC)
Entity Type:Organization
Organization Name:RESIDENTIAL SENIOR CARE (RSC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-548-1744
Mailing Address - Street 1:4606 FM 1960 RD W STE 640
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4600
Mailing Address - Country:US
Mailing Address - Phone:409-548-1744
Mailing Address - Fax:
Practice Address - Street 1:8040 HONEYWOOD TRIAL
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642
Practice Address - Country:US
Practice Address - Phone:409-548-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility