Redstone Park Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000312 Issued in TX

Legal business name

REDSTONE PARK ASSISTED LIVING

Practice address

2410 Song Bird Cir
Brownwood, TX 76801-8413

Phone

(325) 643-9056

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary D. Underwood

Title

Partner

Phone

(940) 374-3804

Specialties & licenses 1

Addresses

Practitioners 1

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

• David A Smith, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Brownwood, TX
  • NPI 1609839364
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104967363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 FM 2210 E",
            "city": "POOLVILLE",
            "state": "TX",
            "postal_code": "764875028",
            "telephone_number": "940-374-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SONG BIRD CIR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018413",
            "telephone_number": "325-643-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTONE PARK ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "940-374-3804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Allen Qunell, M. ED., LPC
• R. Mark Martin, MD PA
• Crystal Michelle Rae, MS-SLP-CCC
• Tina Rangel, PMHNP-BC, IBCLC
• Marci Larae Reagan
• Redstone Park Opco LLC
• William D Reed, CRNA
• Savanah J Reeves, FNP-C
• Regional Employee Assistance Program Inc
• Jordan Elise Remchuk, CNA, LVN, ADN RN

• Assisted Living Facility in Brownwood, TX
• Providers in Brownwood, 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 Aug 22, 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.