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

Active since February 20, 2026
111 PARKS VILLAGE DR, ODESSA, TX 79765(432) 563-5707(949) 540-3007 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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
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

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.

Skilled Nursing Facility
111 PARKS VILLAGE DR
ODESSA, TX 79765
Occupational Therapist
111 PARKS VILLAGE DR
ODESSA, TX 79765
Physical Medicine & Rehabilitation
111 PARKS VILLAGE DR
ODESSA, TX 79765
Nursing Facility/Intermediate Care Facility
111 PARKS VILLAGE DR
ODESSA, TX 79765
Skilled Nursing Facility
111 PARKS VILLAGE DR
ODESSA, TX 79765

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 Cibolo Park Healthcare LLC's NPI number?

The NPI number for Cibolo Park Healthcare LLC is 1366396038. It was assigned to this organization in the NPPES registry on February 20, 2026. The provider is doing business as Parks Assisted Living Center.

Where is Cibolo Park Healthcare LLC located?

Cibolo Park Healthcare LLC is located at 111 Parks Village Dr, Odessa, TX 79765. The listed phone number is (432) 563-5707.

What is Cibolo Park Healthcare LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cibolo Park Healthcare LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.