Forest Lane Senior Living, LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

FOREST LANE SENIOR LIVING, LLC

Practice address

3344 Forest LN
Farmers Branch, TX 75234-7793

Phone

(972) 433-0569

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Sundeep Jeste

Title

Primary

Phone

(512) 633-2314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1013635069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 FOREST LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 FOREST LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347793",
            "telephone_number": "972-433-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST LANE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "JESTE",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "PRIMARY",
        "authorized_official_telephone_number": "512-633-2314"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.