Organization Active NPI

Appaloosa Healthcare, Inc.

Doing business as Crestwood Assisted Living

  • Assisted Living Facility
  • Wills Point, TX
National Provider Identifier
1043853724
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
APPALOOSA HEALTHCARE, INC.
Doing business as
Crestwood Assisted Living
Practice address
1440 Houston St
Wills Point, TX 75169-3135
Phone
(903) 873-3400
Fax
(903) 873-4011
NPI assigned
Oct 24, 2019
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1440 Houston St
Wills Point, TX 75169-3135

Mailing address

1440 Houston St
Wills Point, TX 75169-3135
Phone (903) 873-3400

Other identifiers 1

IdentifierTypeStateIssuer
307683OtherTXTXHHSC ASSISTED LIVING LICENSE

Other names 1

  • Crestwood Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1043853724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HOUSTON ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751693135",
            "telephone_number": "903-873-3400",
            "fax_number": "903-873-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOUSTON ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751693135",
            "telephone_number": "903-873-3400",
            "fax_number": "903-873-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALOOSA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXHHSC ASSISTED LIVING LICENSE",
            "identifier": "307683",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wills Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.