Provider Demographics
NPI:1982256285
Name:CENTER AT PARMER, LLC
Entity Type:Organization
Organization Name:CENTER AT PARMER, LLC
Other - Org Name:THE CENTER AT PARMER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SENKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-900-1398
Mailing Address - Street 1:13800 N FM 620 RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-1126
Mailing Address - Country:US
Mailing Address - Phone:737-236-6400
Mailing Address - Fax:737-236-6450
Practice Address - Street 1:13800 N FM 620 RD # SB
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-1126
Practice Address - Country:US
Practice Address - Phone:737-236-6400
Practice Address - Fax:737-236-6450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility