Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Bryan, TX
NPI 1154447639 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154447639
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 000495 (TX)
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 2601 E Villa Maria
Bryan, TX 77802 - Phone
- (979) 823-4446
- Fax
- (970) 776-0675
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Walter A Levonowich
- Title
- Vice President and Controller
- Phone
- (414) 908-8800
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 000495 | TX | Yes |
Addresses
Primary practice location
2601 E Villa Maria
Bryan, TX 77802
Mailing address
111 W Michigan Street
9TH Floor
Milwaukee, WI 53203
Phone (414) 908-8800
Other names
- Millican House
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All providers in Bryan, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.