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REDSTONE PARK ASSISTED LIVING
NPI 1104967363
Assisted Living Facility in Brownwood, TX

Active since February 09, 2007CLIA 45D2205807 · Waiver
2410 SONG BIRD CIR, BROWNWOOD, TX 76801(325) 643-9056 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Redstone Park Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDSTONE PARK ASSISTED LIVING (NPI 1104967363) is a healthcare organization registered as an assisted living facility in Brownwood, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Gary D. Underwood, Partner, as its authorized official.

NPPES Registry Identity

NPI1104967363
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREDSTONE PARK ASSISTED LIVING
Location Address2410 SONG BIRD CIRBrownwood, TX 76801-8413
Mailing Address9450 Fm 2210 EPoolville, TX 76487-5028 · (940) 374-3804
Phone(325) 643-9056
Organization SubpartNo
Authorized OfficialGary D. UnderwoodPartner · (940) 374-3804
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104967363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 000312
Definition

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.

2410 SONG BIRD CIR, Brownwood, TX 76801
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2205807

Redstone Park Assisted Living · Brownwood, TX
Active · expires Dec 15, 2026
CLIA Number45D2205807
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorJanie Harper
Laboratory Phone(325) 643-9056
Laboratory LocationRedstone Park Assisted Living2410 Songbird Circle, Brownwood, TX 76801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REDSTONE PARK OPCO LLC
Assisted Living Facility
2410 SONG BIRD CIR
BROWNWOOD, TX 76801
Brown County (325) 643-9056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Redstone Park Assisted Living's NPI number?

The NPI number for Redstone Park Assisted Living is 1104967363. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Redstone Park Assisted Living located?

Redstone Park Assisted Living is located at 2410 Song Bird Cir, Brownwood, TX 76801. The listed phone number is (325) 643-9056.

What is Redstone Park Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Redstone Park Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2205807) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Redstone Park Assisted Living was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.