COUNTRY CLUB RETIREMENT COMMUNITY
NPI 1821574856
Assisted Living Facility in Whitney, TX

Q: What is Robert W. Leiske Legacy Centers, Inc.'s specialty?

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

Active since July 12, 2018

4773 FM 933 N, WHITNEY, TX 76692(214) 328-9828(214) 328-3042 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Country Club Retirement Community NPPES

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

COUNTRY CLUB RETIREMENT COMMUNITY (NPI 1821574856) is a healthcare organization registered as an assisted living facility in Whitney, Texas and active in the NPI registry since July 2018. The organization lists Barbara Ecord, Vice President, as its authorized official.

NPPES Registry Identity

NPI1821574856

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameROBERT W. LEISKE LEGACY CENTERS, INC.

Location Address4773 FM 933 NWhitney, TX 76692-4713

Mailing Address745 N Buckner BlvdDallas, TX 75218-2786 · (214) 328-9828 · Fax (214) 328-9828

Phone(214) 328-9828

Fax(214) 328-3042

Organization SubpartNo

Authorized OfficialBarbara EcordVice President · (214) 328-9828

Enumeration DateJuly 12, 2018

✔ NPI 1821574856 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 · 103976

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.

4773 FM 933 N, Whitney, TX 76692

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Other Names 1

Doing Business AsCountry Club Retirement Community

Other Identifiers 1

Medicaid103976TX

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 Robert W. Leiske Legacy Centers, Inc.'s NPI number?

The NPI number for Robert W. Leiske Legacy Centers, Inc. is 1821574856. It was assigned to this organization in the NPPES registry on July 12, 2018. The provider is doing business as Country Club Retirement Community.

Where is Robert W. Leiske Legacy Centers, Inc. located?

Robert W. Leiske Legacy Centers, Inc. is located at 4773 Fm 933 N, Whitney, TX 76692. The listed phone number is (214) 328-9828.

What is Robert W. Leiske Legacy Centers, Inc.'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 Robert W. Leiske Legacy Centers, Inc. was last updated on July 12, 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.