Organization Active NPI

Bright Living Lewisville, LLC

  • Assisted Living Facility
  • Lewisville, TX
National Provider Identifier
1083206122
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIGHT LIVING LEWISVILLE, LLC
Practice address
400 Highland Dr
Lewisville, TX 75067-3871
Phone
(972) 315-1532
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Travis Wommack
Title
Cfo/MGR
Phone
(830) 730-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

400 Highland Dr
Lewisville, TX 75067-3871

Mailing address

302 Cross St
New Braunfels, TX 78130-5644
Phone (830) 730-4472

Other names 1

  • Cedar Crest of Lewisville Doing business as

National Provider Directory

National Provider Directory

Locations

302 Cross St
New Braunfels, TX 78130
Phone (830) 609-2233

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1083206122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CROSS ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305644",
            "telephone_number": "830-730-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673871",
            "telephone_number": "972-315-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIVING LEWISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "WOMMACK",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CFO/MGR",
        "authorized_official_telephone_number": "830-730-4470"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Crest of Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.