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ARABELLA OF KILGORE
NPI 1346608700
Assisted Living Facility in Kilgore, TX

Active since February 01, 2016CLIA 45D2194889 · Waiver
2103 CHANDLER ST, KILGORE, TX 75662(903) 984-8839 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arabella Of Kilgore NPPES

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

ARABELLA OF KILGORE (NPI 1346608700) is a healthcare organization registered as an assisted living facility in Kilgore, Texas and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Lawrence Wayne Powell, President, as its authorized official.

NPPES Registry Identity

NPI1346608700
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKILGORE AL MANAGEMENT LLC
Location Address2103 CHANDLER STKilgore, TX 75662-3741
Mailing Address3973 W Vickery BlvdFort Worth, TX 76107-6492 · (817) 386-8888 · Fax (817) 386-8324
Phone(903) 984-8839
Organization SubpartNo
Authorized OfficialLawrence Wayne PowellPresident · (817) 386-8888
Enumeration DateFebruary 1, 2016
✔ NPI 1346608700 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 · 103201
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.
2103 CHANDLER ST, Kilgore, TX 75662
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Other Names 1

Doing Business AsArabella Of Kilgore

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 45D2194889

Arabella Of Kilgore · Kilgore, TX
Active · expires Oct 4, 2026
CLIA Number45D2194889
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorJamie L. Quebedeaux
Laboratory Phone(903) 984-8839
Laboratory LocationArabella Of Kilgore2103 Chandler St, Kilgore, TX 75662
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

VOP ARABELLA KILGORE, LLC
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-8839
KAL 2016, LLC
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-8839
COUNTRY PLACE VILLAGE I LP
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-7827

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 Kilgore Al Management LLC's NPI number?

The NPI number for Kilgore Al Management LLC is 1346608700. It was assigned to this organization in the NPPES registry on February 1, 2016. The provider is doing business as Arabella Of Kilgore.

Where is Kilgore Al Management LLC located?

Kilgore Al Management LLC is located at 2103 Chandler St, Kilgore, TX 75662. The listed phone number is (903) 984-8839.

What is Kilgore Al Management LLC's specialty?

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

Does Kilgore Al Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2194889) is associated with this NPI, valid through October 4, 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 Kilgore Al Management LLC was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.