CIBOLO PARK HEALTHCARE LLC - NPI 1366396038 - Assisted Living Facility in Odessa, TX

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Cibolo Park Healthcare Llc NPPES

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

CIBOLO PARK HEALTHCARE LLC (NPI 1366396038), doing business as Parks Assisted Living Center, is a healthcare organization registered as an assisted living facility in Odessa, Texas and active in the NPI registry since February 2026. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1366396038

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCIBOLO PARK HEALTHCARE LLC

Location Address111 PARKS VILLAGE DROdessa, TX 79765-8987

Mailing Address111 Parks Village DrOdessa, TX 79765-8987 · (432) 563-5707 · Fax (949) 540-3007

Phone(432) 563-5707

Fax(949) 540-3007

Organization SubpartNo

Authorized OfficialSoon BurnamSecretary · (949) 540-1249

Enumeration DateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1366396038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

111 PARKS VILLAGE DR, Odessa, TX 79765

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Other Names 1

Doing Business AsParks Assisted Living Center

Other Providers at the Same Location NPPES 5

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

SEARS PERMIAN RETIREMENT CORPORATION

Nursing Facility/Intermediate Care Facility