Jack Henry Arlington, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

JACK HENRY ARLINGTON, LLC

Doing business as

Meadowbrook Memory Care Community

Practice address

2300 Little Rd
Arlington, TX 76016

Phone

(817) 451-9700

Fax

(817) 451-9701

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 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. Emmett Aaron Koelsch

Title

Managing Member

Phone

(360) 867-1900

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook Memory Care Community Doing business as

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1043585615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST NE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011008",
            "telephone_number": "360-867-1900",
            "fax_number": "360-867-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76016",
            "telephone_number": "817-451-9700",
            "fax_number": "817-451-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK HENRY ARLINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "KOELSCH",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-867-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J&D Healthkonnet Enterprises PLLC (Cooper Specialty Pharmacy)
• J&J Home Care
• Abdulatif Jabi, MD
• Jack County Hospital District (Arlington Residence and Rehabilitation Center)
• Jack G Brooks MD PA
• Jack Jones Hearing Centers, Inc. (AudioNova)
• Jack Jordan Jones Enterprises
• Roselyn Addy Jack, BSC,CFTS
• Toddy Jack, CEO
• Tonsel Jack

• Alzheimer Center (Dementia Center) in Arlington, TX
• Providers in Arlington, TX by specialty
• Alzheimer Center (Dementia Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.