Active NPI
Sundal Senior Living
- Assisted Living Facility
- Huntsville, TX
National Provider Identifier
1104443050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.