Active NPI
Esc II, LP
- Assisted Living Facility
- Dallas, TX
National Provider Identifier
1043434491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 000461
- Legal business name
- ESC II, LP
- Practice address
- 5619 Belmont Ave
Dallas, TX 75206-6701 - Phone
- (214) 826-1113
- Fax
- (214) 826-1943
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noelle Diaz Bickel
- Title
- Licensing Specialist
- Phone
- (206) 298-2909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 000461 | TX | Primary |
Addresses
Primary practice location
5619 Belmont Ave
Dallas, TX 75206-6701
Mailing address
3131 Elliott Ave Ste 500
Seattle, WA 98121-1032
Phone (206) 298-2909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001004656 | Medicaid | TX |
Other names 1
- Emeritus at Vickery Towers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266969600000",
"number": "1043434491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 ELLIOTT AVE STE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211032",
"telephone_number": "206-298-2909",
"fax_number": "206-301-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5619 BELMONT AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752066701",
"telephone_number": "214-826-1113",
"fax_number": "214-826-1943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESC II, LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2010-02-24",
"status": "A",
"authorized_official_last_name": "BICKEL",
"authorized_official_first_name": "NOELLE",
"authorized_official_middle_name": "DIAZ",
"authorized_official_title_or_position": "LICENSING SPECIALIST",
"authorized_official_telephone_number": "206-298-2909"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "000461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001004656",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Emeritus at Vickery Towers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.