Organization Active NPI

Lsref Golden Ops 26 (TX) III, LLC

  • Assisted Living Facility
  • Tyler, TX
National Provider Identifier
1194476317
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LSREF GOLDEN OPS 26 (TX) III, LLC
Practice address
2055 W Grande Blvd
Tyler, TX 75703-0526
Phone
(254) 313-3434
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Stephen J Levy
Title
Agent for Owner
Phone
(312) 673-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2055 W Grande Blvd
Tyler, TX 75703-0526

Mailing address

2055 W Grande Blvd
Tyler, TX 75703-0526
Phone (254) 313-3434

Other names 1

  • Garden Estates of Tyler Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1194476317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030526",
            "telephone_number": "254-313-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030526",
            "telephone_number": "254-313-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSREF GOLDEN OPS 26 (TX) III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENT FOR OWNER",
        "authorized_official_telephone_number": "312-673-4470"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Estates of Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.