Organization Active NPI

Sundal Senior Living

  • Assisted Living Facility
  • Huntsville, TX
National Provider Identifier
1104443050
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNDAL SENIOR LIVING
Practice address
679 I-45 South
Huntsville, TX 77340-7734
Phone
(936) 295-4488
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mitesh Patel
Title
Coo
Phone
(210) 900-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

679 I-45 South
Huntsville, TX 77340-7734

Mailing address

9069 Tamina Rd
Conroe, TX 77385-7978

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1104443050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9069 TAMINA RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773857978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 I-45 SOUTH",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773407734",
            "telephone_number": "936-295-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDAL SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-900-3788"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.