Provider Demographics
NPI:1760471478
Name:SENIOR MANAGEMENT SERVICES OF TREEMONT INC
Entity Type:Organization
Organization Name:SENIOR MANAGEMENT SERVICES OF TREEMONT INC
Other - Org Name:TREEMONT NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-468-1991
Mailing Address - Street 1:800 W ARBROOK BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4327
Mailing Address - Country:US
Mailing Address - Phone:817-468-1991
Mailing Address - Fax:817-468-3133
Practice Address - Street 1:5550 HARVEST HILL RD
Practice Address - Street 2:SUITE 500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1684
Practice Address - Country:US
Practice Address - Phone:972-661-1862
Practice Address - Fax:972-980-6731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113549314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX455823Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER