Alice II Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALICE II ENTERPRISES, LLC

Doing business as

The Premier Memory Care of Alice

Practice address

800-B Coyote Trail
Alice, TX 78332

Phone

(361) 666-3801

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By 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

Gary Blake

Title

Managing Member

Phone

(817) 348-8959

Specialties & licenses 1

Addresses

Other names 1

• The Premier Memory Care of Alice Doing business as

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1104416049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800-B COYOTE TRAIL",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-666-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE II ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-348-8959"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Premier Memory Care of Alice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice Cancer Care Management LLC
• Alice Cost Containment LLC
• Alice Counseling Center
• Alice Dental PLLC (Dental World)
• Alice Health Medical Clinic
• Alice III Enterprises, LLC (The Premier Assisted Living of Alice)
• Alice Independent School District
• Alice Medical and Diagnostic Center, P.a. (Alice Medical and Diagnostic Center)
• Alice OBGYN Specialty Clinic, PA
• Alice Sleep Lab Inc

• Assisted Living Facility in Alice, TX
• Providers in Alice, 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 Jan 25, 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.