Flower Mound Autumn Leaves, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

103044 Issued in TX

Legal business name

FLOWER MOUND AUTUMN LEAVES, LP

Practice address

3201 Karnes Rd
Flower Mound, TX 75022-2727

Phone

(972) 355-5432

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By 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

Chad Anderson

Title

President

Phone

(214) 239-8400

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Flowermound Other name

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1114182078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-239-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KARNES RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222727",
            "telephone_number": "972-355-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER MOUND AUTUMN LEAVES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-239-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "103044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Flowermound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ralph John Fitzgerald, M.D.
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• Taylor Fletcher
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• Flower Mound Chiropractic PLLC
• Flower Mound Chiropractic PLLC
• Flower Mound Counseling, PLLC
• Flower Mound Dental Smiles PLLC (Active Dental Flower Mound)
• Flower Mound Dentistry Divine

• Assisted Living Facility in Flower Mound, TX
• Providers in Flower Mound, 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 Jul 21, 2008; 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.