Provider Demographics
NPI:1366186959
Name:HCRI SUN III TENANT, LP
Entity type:Organization
Organization Name:HCRI SUN III TENANT, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR REIMBURSEMENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-854-0830
Mailing Address - Street 1:4800 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1937
Mailing Address - Country:US
Mailing Address - Phone:972-985-9181
Mailing Address - Fax:972-985-9196
Practice Address - Street 1:4800 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1937
Practice Address - Country:US
Practice Address - Phone:972-985-9181
Practice Address - Fax:972-985-9196
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCRI SUN III TENANT, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-21
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)