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DOUBLE CREEK ASSISTED LIVING AND MEMORY CARE
NPI 1407361561
Assisted Living Facility in Round Rock, TX

Active since December 11, 2017CLIA 45D2196717 · Waiver
3200 LOUIS HENNA BLVD., ROUND ROCK, TX 78664(817) 386-8888 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Double Creek Assisted Living And Memory Care NPPES

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

DOUBLE CREEK ASSISTED LIVING AND MEMORY CARE (NPI 1407361561) is a healthcare organization registered as an assisted living facility in Round Rock, Texas and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Sam Kumar, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1407361561
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDOUBLE CREEK ASSISTED LIVING LP
Location Address3200 LOUIS HENNA BLVD.Round Rock, TX 78664
Mailing Address777 Main St Ste 2300Fort Worth, TX 76102-5304
Phone(817) 386-8888
Organization SubpartNo
Authorized OfficialSam KumarManaging Member · (817) 386-8888
Enumeration DateDecember 11, 2017
✔ NPI 1407361561 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 · 107007
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.
3200 LOUIS HENNA BLVD., Round Rock, TX 78664
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Other Names 1

Doing Business AsDouble Creek Assisted Living And Memory Care

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 45D2196717

Double Creek Assisted Living & Memory Care · Round Rock, TX
Active · expires Oct 18, 2026
CLIA Number45D2196717
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorNathan R. Presley
Laboratory Phone(512) 520-1555
Laboratory LocationDouble Creek Assisted Living & Memory Care2300 Louis Henna Blvd, Round Rock, TX 78664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Double Creek Assisted Living LP's NPI number?

The NPI number for Double Creek Assisted Living LP is 1407361561. It was assigned to this organization in the NPPES registry on December 11, 2017. The provider is doing business as Double Creek Assisted Living And Memory Care.

Where is Double Creek Assisted Living LP located?

Double Creek Assisted Living LP is located at 3200 Louis Henna Blvd., Round Rock, TX 78664. The listed phone number is (817) 386-8888.

What is Double Creek Assisted Living LP's specialty?

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

Does Double Creek Assisted Living LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2196717) is associated with this NPI, valid through October 18, 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 Double Creek Assisted Living LP was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.