Organization Active NPI

Mount Pleasant Alf Operating Company LLC

  • Assisted Living Facility
  • Mt Pleasant, TX
National Provider Identifier
1043649221
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MOUNT PLEASANT ALF OPERATING COMPANY LLC
Practice address
2009 N Edwards Ave
Mt Pleasant, TX 75455-2010
Phone
(903) 572-8123
NPI assigned
Nov 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Kelle C Santoro
Title
Sr Director Ar
Phone
(832) 467-5728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2009 N Edwards Ave
Mt Pleasant, TX 75455-2010

Mailing address

2009 N Edwards Ave
Mt Pleasant, TX 75455-2010
Phone (903) 572-8123

Other identifiers 1

IdentifierTypeStateIssuer
001025813MedicaidTX

Other names 1

  • Mt Pleasant Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

2009 N Edwards Ave
Mt Pleasant, TX 75455
Phone (903) 572-8123

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1043649221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552010",
            "telephone_number": "903-572-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552010",
            "telephone_number": "903-572-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT ALF OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.