AUTUMN LEAVES OF PEARLAND
NPI 1073887196
Assisted Living Facility in Pearland, TX
- Organization
- Assisted Living Facility
About AUTUMN LEAVES OF PEARLAND
This page provides the complete NPI Profile along with additional information for Autumn Leaves Of Pearland, a provider established in Pearland, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073887196 assigned on March 2012. The practitioner's primary taxonomy code is 310400000X with license number 104926 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Autumn Leaves Of Pearland. The authorized official of this NPI record is Mr. Chad Anderson (President)
- NPI
- 1073887196 Verify this NPI
- Provider Legal Name
- PEARLAND MEMORY CARE, LLC
- Other Organization Name
- AUTUMN LEAVES OF PEARLAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11200 DISCOVERY BAY DRIVE PEARLAND, TX 77584
- Location Phone
- (713) 436-3941
- Location Fax
- (713) 436-4159
- Mailing Address
- 545 E JOHN CARPENTER FWY SUITE 500 IRVING, TX 75062
- Mailing Phone
- (214) 845-4500
- Mailing Fax
- (214) 845-4501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2012
- Last Update Date
- 03-07-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 104926
- License State
- TX
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073887196, enumerated as an "organization" on March 07, 2012.
The provider is located at 11200 DISCOVERY BAY DRIVE PEARLAND, TX 77584 and the phone number is (713) 436-3941.
Assisted Living Facility with taxonomy code 310400000X.
