CSL Ocm 2016, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL OCM 2016, LLC

Doing business as

The Avenues of Fort Bend
The Avenues of Fort Bend Assisted Living and Memory Care

Practice address

3505 FM 1092 Rd
Missouri City, TX 77459-2255

Phone

(281) 261-1217

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Robin Faehn

Title

Operations Coordinator

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• The Avenues of Fort Bend Doing business as
• The Avenues of Fort Bend Assisted Living and Memory Care Doing business as

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1184273385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 FM 1092 RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592255",
            "telephone_number": "281-261-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 FM 1092 RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592255",
            "telephone_number": "281-261-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL OCM 2016, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "FAEHN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "817-386-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES",
            "identifier": "148151",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Avenues of Fort Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Avenues of Fort Bend Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarsha Crummedyo
• Allea Cruz-Arrieta
• Brandant Isaac Cruz, D.C.
• Crystal Health Services
• Crystal Home Healthcare (N/a)
• Ctel, LLC (CTEL Home Health Services)
• Karyn-Anne B. Cumberbatch, MD
• Evony Cunningham
• Pamela H Cunningham
• Patricia Cunningham, MA,CCC/SLP

• Assisted Living Facility in Missouri City, TX
• Providers in Missouri City, 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 4, 2020; 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.