Organization Active NPI

RJ Meridian Care of El Campo LLC

  • Assisted Living Facility
  • El Campo, TX
National Provider Identifier
1124609789
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RJ MERIDIAN CARE OF EL CAMPO LLC
Practice address
3515 West Loop
El Campo, TX 77437-8009
Phone
(979) 541-5488
Fax
(979) 541-5115
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Alice Flores
Title
Director of Finances
Phone
(210) 827-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3515 West Loop
El Campo, TX 77437-8009

Mailing address

25009 Oakhurst Dr
Spring, TX 77386-1975
Phone (210) 827-5818

Other identifiers 1

IdentifierTypeStateIssuer
030194OtherTXASSISTED LIVING FACILITY

National Provider Directory

National Provider Directory

Locations

3515 West Loop
El Campo, TX 77437
Phone (979) 541-5488

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1124609789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25009 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861975",
            "telephone_number": "210-827-5818",
            "fax_number": "210-767-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WEST LOOP",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774378009",
            "telephone_number": "979-541-5488",
            "fax_number": "979-541-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ MERIDIAN CARE OF EL CAMPO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCES",
        "authorized_official_telephone_number": "210-827-5818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "030194",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.