LEGACY OAKS OF AZLE
NPI 1720574825
Assisted Living Facility in Azle, TX
About Legacy Oaks Of Azle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY OAKS OF AZLE (NPI 1720574825) is a healthcare organization registered as an assisted living facility in Azle, Texas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Tanner Stierwalt, Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 45D2197995
Legacy Oaks Of Azle · Azle, TXFrequently 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 Csl Azle 2016, LLC's NPI number?
The NPI number for Csl Azle 2016, LLC is 1720574825. It was assigned to this organization in the NPPES registry on July 2, 2018. The provider is doing business as Legacy Oaks Of Azle.
Where is Csl Azle 2016, LLC located?
Csl Azle 2016, LLC is located at 1364 Southeast Pkwy, Azle, TX 76020. The listed phone number is (817) 629-5136.
What is Csl Azle 2016, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Csl Azle 2016, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2197995) is associated with this NPI, valid through October 28, 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 Csl Azle 2016, LLC was last updated on July 2, 2018. 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.
# Legacy Oaks Of Azle · NPI 1720574825
Assisted Living Facility organization in Azle, Texas. Organization record, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1720574825 (Entity type: Organization)
- **Enumerated:** July 2, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Csl Azle 2016, Llc
- **Organization subpart:** No
- **Authorized official:** Tanner Stierwalt, OPERATIONS
## Practice location
- **Address:** 1364 SOUTHEAST PKWY, Azle, TX 76020-3920
- **Phone:** (817) 629-5136
## Record status
- **NPPES last updated:** July 2, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720574825) · Data from the CMS NPPES public registry.