Advanced Living Technologies Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

116076 Issued in TX

Legal business name

ADVANCED LIVING TECHNOLOGIES INC

Doing business as

The Oaks at Brookshire

Practice address

710 Highway 359 South
Brookshire, TX 77423-0638

Phone

(281) 375-5272

Fax

(281) 375-5383

NPI assigned

Apr 17, 2007

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Gray

Title

President

Phone

(512) 345-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Oaks at Brookshire Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1043436298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 MORADO CIR",
            "address_2": "SUITE 3 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595696",
            "telephone_number": "512-345-0700",
            "fax_number": "888-368-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HIGHWAY 359 SOUTH",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774230638",
            "telephone_number": "281-375-5272",
            "fax_number": "281-375-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIVING TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "116076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000450102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks at Brookshire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Skilled Nursing Facility in Brookshire, TX
• Providers in Brookshire, TX by specialty
• Pediatric Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.