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Organization
PASADENA SCC LLC
Active
Organization
PASADENA SCC LLC
Active
Other names
Paramount Senior Care Centers at Pasadena
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3434 WATTERS RD, PASADENA, TX 77504-2015
(713) 941-9155
(713) 941-9161
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026645
—
TX
01
—
5457 102161
VENDOR ID/FACILITY ID
TX
Enumeration date
01/05/2015
Last updated
03/04/2020
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