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Vintage Scc LLC

Vintage Scc LLC is a healthcare organization registered as Assisted Living Facility in Denton, TX, holding Type 2 (organization) NPI 1679718407 since 2008. The authorized official on file is Jason Price, Senior Vice President.

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NPI 1679718407
Entity type Organization (Type 2)
Legal business name Vintage Scc LLC
Other name <Unavail>
Practice address 205 N BONNIE BRAE ST, Denton, TX, 76201
Phone 9403734766
Fax 9403206645
Enumeration date 2008-12-08
Last updated in NPPES 2020-09-04

Authorized official

Name Jason Price
Title Senior Vice President
Phone 9494364343

Taxonomy & classification

Taxonomy code Specialty Primary License State
310400000X Assisted Living Facility Primary TX

Other identifiers

Identifier Type State Issuer
001017205 Medicaid TX
000544 Other TX FACILITY ID
Copy-ready billing details
Provider: Vintage Scc LLC
NPI: 1679718407
Taxonomy: 310400000X (Assisted Living Facility)
Address: 205 N BONNIE BRAE ST, Denton, TX, 76201

Providers at this address

NPI Name Type Specialty Location
1124022470 Senior Care Services Organization Skilled Nursing Facility Denton, TX
1871775288 Senior Care Services Organization Assisted Living Facility Denton, TX
1942459706 Kenyuna Sullivan Individual Speech-Language Pathologist Denton, TX
1972748630 Vintage Scc LLC Organization Skilled Nursing Facility Denton, TX
1063911683 Liveupmedical Pllc Organization Family Medicine Physician Denton, TX
1679053672 Kasey Lantrip-Pruett Individual Physical Therapy Assistant Denton, TX
1316427297 Mary Madison Sewell Individual Speech-Language Pathologist Denton, TX
1730660325 Erin Kane Individual Occupational Therapy Assistant Denton, TX

Verify this record

Cross-check NPI 1679718407 against the authoritative CMS record: view Vintage Scc LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-04. Verify at npiregistry.cms.hhs.gov.
Where is Vintage Scc LLC located?
The practice location on file with NPPES is in Denton, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-04.