The Avenues of Park Forest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

141503 Issued in TX

Legal business name

THE AVENUES OF PARK FOREST

Practice address

3344 Forest LN
Farmers Branch, TX 75234-7793

Phone

(972) 616-0124

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Lawrence Wayne Powell Jr.

Title

President

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1174072524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 FOREST LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347793",
            "telephone_number": "972-616-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 FOREST LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347793",
            "telephone_number": "972-616-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AVENUES OF PARK FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-386-8888",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "141503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Farmers Branch, TX
• Providers in Farmers Branch, 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 Jan 31, 2019; 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.