Cottage Village Living II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COTTAGE VILLAGE LIVING II, LLC

Doing business as

Cottage Village

Practice address

1202 S Cheryl LN
Brownfield, TX 79316-6753

Phone

(806) 637-9066

Fax

(806) 637-6305

NPI assigned

Oct 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David C Karnes

Title

Owner/Manager

Phone

(817) 300-1253

Specialties & licenses 1

Addresses

Other names 1

• Cottage Village Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1003459173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 5TH ST NE",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792014668",
            "telephone_number": "817-300-1253",
            "fax_number": "940-937-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S CHERYL LN",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793166753",
            "telephone_number": "806-637-9066",
            "fax_number": "806-637-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE VILLAGE LIVING II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-300-1253"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ouida Chase, FNP-C
• Paul Farid Chebib, MD
• Childress County Hospital District (Apex Secure Care Brownfield)
• Christopher G Hisel MD PA
• Courtney Noel Clay, CCC-SLP
• Ronald Elijah Debusk, DDS
• Denver City Isd
• Sylvia Jane Dingus, RPH
• Martha Jean Doyle, LVN
• Dr Paul Chebib MD PA

• Assisted Living Facility in Brownfield, TX
• Providers in Brownfield, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.