McKinney Autumn Leaves, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

102401 Issued in TX

Legal business name

MCKINNEY AUTUMN LEAVES, LP

Practice address

175 Plateau Dr
McKinney, TX 75069-7413

Phone

(972) 542-0606

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Anderson

Title

President

Phone

(214) 239-8400

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of McKinney Other name

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1083879993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-239-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PLATEAU DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697413",
            "telephone_number": "972-542-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY AUTUMN LEAVES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-239-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "102401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of McKinney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in McKinney, TX
• Providers in McKinney, 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 Jul 21, 2008; 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.