Active NPI
Lsref Golden Ops 26 (TX) III, LLC
- Assisted Living Facility
- Tyler, TX
National Provider Identifier
1194476317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.