Ms Cinco Ranch SH LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MS CINCO RANCH SH LLC

Practice address

21939 Cinco Ranch Blvd
Katy, TX 77450-1797

Phone

(281) 240-0500

Fax

(281) 240-0551

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Cavallaro

Title

Executive Director

Phone

(281) 240-0500

Specialties & licenses 1

Addresses

Other names 1

• MS Cinco Ranch SH LLC Doing business as

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1033801824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21939 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501797",
            "telephone_number": "281-240-0500",
            "fax_number": "281-240-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21939 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501797",
            "telephone_number": "281-240-0500",
            "fax_number": "281-240-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS CINCO RANCH SH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-240-0500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MS Cinco Ranch SH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Katy, TX
• Providers in Katy, 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 Dec 17, 2024; 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.