Knopp Assisted Living Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

136912 Issued in TX

Legal business name

KNOPP ASSISTED LIVING CENTER, INC

Practice address

202 Billie Dr
Fredericksburg, TX 78624-5056

Phone

(830) 997-7924

Fax

(888) 550-4105

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Rosalind G Cornjeo

Title

Billing Administrator

Phone

(830) 997-3704

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1194124503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BILLIE DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245056",
            "telephone_number": "830-997-7924",
            "fax_number": "888-550-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BILLIE DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245056",
            "telephone_number": "830-997-7924",
            "fax_number": "888-550-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOPP ASSISTED LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "CORNJEO",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "830-997-3704"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "136912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "136912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoon Hang Kim, MD
• Meagan Leigh King, FNP
• Randa Kirchner, LCSW
• Karen M Klein, R.N.
• Magdalena Johana Klein, PA
• Knopp Healthcare & Rehab Center Inc
• Knopp Nursing & Rehabilitation Center Inc
• Raymond Fredrick Knuppel Jr., DDS
• John Radcliffe Kothmann, M.D.
• Lisa Kott-Harrington, FNP-C

• Assisted Living Facility in Fredericksburg, TX
• Providers in Fredericksburg, 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 Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.