Ticknor Enterprises Hico Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TICKNOR ENTERPRISES HICO ALF, LLC

Doing business as

Hill Country Estates of Hico

Practice address

100 S. Walnut
Hico, TX 76457-0000

Phone

(254) 796-2582

Fax

(254) 796-2151

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By 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

Mr. Greg J Ticknor

Title

Managing Member

Phone

(817) 269-3375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hill Country Estates of Hico Doing business as

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1144638776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. WALNUT",
            "city": "HICO",
            "state": "TX",
            "postal_code": "764570000",
            "telephone_number": "254-796-2582",
            "fax_number": "254-796-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. WALNUT",
            "city": "HICO",
            "state": "TX",
            "postal_code": "764570000",
            "telephone_number": "254-796-2582",
            "fax_number": "254-796-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICKNOR ENTERPRISES HICO ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "TICKNOR",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-269-3375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS FACID#",
            "identifier": "000998",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Estates of Hico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Marie Rugari, LMFT ASSOCIATE
• Yuridiana Santos
• Stephanie Shepherd, FNP
• Cassandra St. Clair
• The Dwelling Place Senior Living, LLC (Hill Country Estates of Hico)
• Touchstone Ranch Recovery Center, LLC
• Trinity Massage Therapy, LLC
• TTCM 1 LP (Hico Care Center)
• Jacqueline Louise Wellborn
• Heather Wyatt, NP

• Assisted Living Facility in Hico, TX
• Providers in Hico, 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 28, 2014; 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.