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AUTUMN LEAVES OF CLEAR LAKE
NPI 1881954592
Assisted Living Facility in Irving, TX

Active since May 29, 2012
545 E JOHN CARPENTER FWY, SUITE 500, IRVING, TX 75062(214) 845-4500(214) 845-4501 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Leaves Of Clear Lake NPPES

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

AUTUMN LEAVES OF CLEAR LAKE (NPI 1881954592) is a healthcare organization registered as an assisted living facility in Irving, Texas and active in the NPI registry since May 2012. The organization lists Chad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1881954592
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLEAR LAKE MEMORY CARE, LLC
Location Address545 E JOHN CARPENTER FWY, SUITE 500Irving, TX 75062-3931
Mailing Address545 E John Carpenter Fwy, Suite 500Irving, TX 75062-3931 · (214) 845-4500 · Fax (214) 845-4501
Phone(214) 845-4500
Fax(214) 845-4501
Organization SubpartNo
Authorized OfficialChad AndersonPresident · (214) 845-4500
Enumeration DateMay 29, 2012
✔ NPI 1881954592 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 · 105048
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.
545 E JOHN CARPENTER FWY, Irving, TX 75062
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Other Names 1

Doing Business AsAutumn Leaves Of Clear Lake

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.

JAMIENNE PRICE, DC
Chiropractor
545 E JOHN CARPENTER FWY, SUITE 300
IRVING, TX 75062
Dallas County (804) 306-0783
DR. CHARMINAE NICOLE BARNES D.C.
Chiropractor
545 E JOHN CARPENTER FWY, SUITE 300
IRVING, TX 75062
Dallas County (972) 719-9040
CHARTONE, INC
Clinic/Center
545 E JOHN CARPENTER FWY, SUITE 700
IRVING, TX 75062
Dallas County (972) 546-4500
MS. AMANDA METCALF FNP
Nurse Practitioner (Family)
545 E JOHN CARPENTER FWY
IRVING, TX 75062
Dallas County (888) 523-8268
CONSTANT CARE HOSPICE LLC
Home Health
545 E JOHN CARPENTER FWY, SUITE 500
IRVING, TX 75062
Dallas County (214) 845-4500

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 Clear Lake Memory Care, LLC's NPI number?

The NPI number for Clear Lake Memory Care, LLC is 1881954592. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Autumn Leaves Of Clear Lake.

Where is Clear Lake Memory Care, LLC located?

Clear Lake Memory Care, LLC is located at 545 E John Carpenter Fwy Suite 500, Irving, TX 75062. The listed phone number is (214) 845-4500.

What is Clear Lake Memory Care, 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 Clear Lake Memory Care, LLC was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.