Governors Ridge Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOVERNORS RIDGE OPCO LLC

Practice address

300 E Devereaux St
Decatur, TX 76234-3075

Phone

(940) 627-1104

NPI assigned

Nov 3, 2025

Organization subpart

No

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

Authorized official

Name

Joe Hagan

Title

Director

Phone

(636) 226-7970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1083583587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N COLLINS ST STE 433",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DEVEREAUX ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343075",
            "telephone_number": "940-627-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNORS RIDGE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-226-7970"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Anne Gilley, FNP-C
• Kushal Giri
• Catherine Givens
• Juan Godinez, MD
• Martha Janeth Gomez
• William W. Grimes, D.O.
• David Grudzinski, PT, DPT
• John Scott Gwilliam, PT, CWS
• Agha Zia Haider, M.D.
• Irfan Hameed, MD

• Assisted Living Facility in Decatur, TX
• Providers in Decatur, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.