DE SOTO SENIOR LIVING, INC.
NPI 1699280370
Assisted Living Facility in Desoto, TX

Active since December 04, 2017CLIA 45D2144379 · Waiver
747 W PLEASANT RUN RD, DESOTO, TX 75115(972) 274-1700 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Mar 13, 2023, Feb 7, 2022 and 2 more (5 updates tracked since 2017).

About De Soto Senior Living, Inc. NPPES

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

DE SOTO SENIOR LIVING, INC. (NPI 1699280370), doing business as Deer Creek Assisted Living, is a healthcare organization registered as an assisted living facility in Desoto, Texas and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1699280370
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDE SOTO SENIOR LIVING, INC.
Location Address747 W PLEASANT RUN RDDesoto, TX 75115-3852
Mailing Address747 W Pleasant Run RdDesoto, TX 75115-3852 · (972) 274-1700
Organization SubpartNo
Authorized OfficialAmber L TuellerSecretary · (208) 207-2726
Enumeration DateDecember 4, 2017
Last NPPES UpdateJune 11, 20255 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1699280370 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.
747 W PLEASANT RUN RD, Desoto, TX 75115

Other Names 1

Doing Business AsDeer Creek Assisted Living

Accepted Insurance

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 45D2144379

De Soto Senior Living, Inc Dba Deer Creek Senior Living · Desoto, TX
Active · expires Feb 14, 2028
CLIA Number45D2144379
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDejuanna Charles
Laboratory Phone(972) 274-1700
Laboratory LocationDe Soto Senior Living, Inc Dba Deer Creek Senior Living747 West Pleasant Run Rd, Desoto, TX 75115
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

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

Assisted Living Facility
747 W PLEASANT RUN RD
DESOTO, TX 75115

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 De Soto Senior Living, Inc.'s NPI number?

The NPI number for De Soto Senior Living, Inc. is 1699280370. It was assigned to this organization in the NPPES registry on December 4, 2017. The provider is doing business as Deer Creek Assisted Living.

Where is De Soto Senior Living, Inc. located?

De Soto Senior Living, Inc. is located at 747 W Pleasant Run Rd, Desoto, TX 75115. The listed phone number is (972) 274-1700.

What is De Soto Senior Living, Inc.'s specialty?

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

Does De Soto Senior Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2144379) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De Soto Senior Living, Inc. accept?

Health plans from Molina Healthcare list De Soto Senior Living, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for De Soto Senior Living, Inc. was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.