Organization Active NPI

The Lodge at Gun Barrel City LLC

  • Assisted Living Facility
  • Gun Barrel City, TX
National Provider Identifier
1093426751
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE LODGE AT GUN BARREL CITY LLC
Practice address
155 Dunaway Ave
Gun Barrel City, TX 75156
Phone
(903) 608-9024
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Sheela SingaperumalNPI 1205925849
Title
Owner
Phone
(903) 434-9408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X

Addresses

Primary practice location

155 Dunaway Ave
Gun Barrel City, TX 75156

Mailing address

300 County Road 1048
Mt Pleasant, TX 75455-5277
Phone (903) 434-9408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1093426751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COUNTY ROAD 1048",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754555277",
            "telephone_number": "903-434-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DUNAWAY AVE",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "75156",
            "telephone_number": "903-608-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE AT GUN BARREL CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "SINGAPERUMAL",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-434-9408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.