NPIMap

Organization Active NPI

Eckelberry's Elderly Care, Inc

  • Assisted Living Facility
  • Prosper, TX
National Provider Identifier
1083143374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
137829 Issued in TX
Legal business name
ECKELBERRY'S ELDERLY CARE, INC
Practice address
500 Willowview Dr
Prosper, TX 75078-8320
Phone
(972) 347-3069
Fax
(866) 278-8020
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Susan Lorraine Clarkson, R.N.
Title
Manager/Owner
Phone
(641) 210-5756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 137829 TX Primary

Addresses

Primary practice location

500 Willowview Dr
Prosper, TX 75078-8320

Mailing address

500 Willowview Dr
Prosper, TX 75078-8320
Phone (972) 347-3069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083143374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILLOWVIEW DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788320",
            "telephone_number": "972-347-3069",
            "fax_number": "866-278-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WILLOWVIEW DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788320",
            "telephone_number": "972-347-3069",
            "fax_number": "866-278-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKELBERRY'S ELDERLY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "641-210-5756",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "137829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.