East Texas Alf Reunion Inn LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EAST TEXAS ALF REUNION INN LLC

Practice address

1515 Rice Rd
Tyler, TX 75703-3225

Phone

(903) 581-6100

Fax

(903) 581-1119

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Carla Power

Title

Cfo

Phone

(903) 792-0838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1114292570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RICE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033225",
            "telephone_number": "903-581-6100",
            "fax_number": "903-581-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RICE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033225",
            "telephone_number": "903-581-6100",
            "fax_number": "903-581-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS ALF REUNION INN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-792-0838"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tyler, TX
• Providers in Tyler, 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 Mar 19, 2012; 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.