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COUNTRY PLACE VILLAGE I LP
NPI 1891817094
Assisted Living Facility in Kilgore, TX

Active since April 06, 2007
2103 CHANDLER ST, KILGORE, TX 75662(903) 984-7827 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Place Village I Lp NPPES

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

COUNTRY PLACE VILLAGE I LP (NPI 1891817094) is a healthcare organization registered as an assisted living facility in Kilgore, Texas and active in the NPI registry since April 2007. The organization lists Brian K Clarke, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1891817094
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY PLACE VILLAGE I LP
Location Address2103 CHANDLER STKilgore, TX 75662-3741
Mailing AddressPo Box 479Tyler, TX 75710-0479 · (903) 566-8500 · Fax (903) 566-8506
Phone(903) 984-7827
Organization SubpartNo
Authorized OfficialBrian K ClarkePresident Ceo · (903) 566-8500
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891817094 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 · 100561
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.
2103 CHANDLER ST, Kilgore, TX 75662
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Other Providers at the Same Location NPPES 3

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

VOP ARABELLA KILGORE, LLC
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-8839
KILGORE AL MANAGEMENT LLC
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-8839
KAL 2016, LLC
Assisted Living Facility
2103 CHANDLER ST
KILGORE, TX 75662
Gregg County (903) 984-8839

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 Country Place Village I LP's NPI number?

The NPI number for Country Place Village I LP is 1891817094. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Country Place Village I LP located?

Country Place Village I LP is located at 2103 Chandler St, Kilgore, TX 75662. The listed phone number is (903) 984-7827.

What is Country Place Village I LP'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 Country Place Village I LP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.