Organization Active NPI

Carrollton Autumn Leaves, LP

  • Assisted Living Facility
  • Carrollton, TX
National Provider Identifier
1205091014
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101033 Issued in TX
Legal business name
CARROLLTON AUTUMN LEAVES, LP
Practice address
1800 King Arthur Blvd
Carrollton, TX 75010-2003
Phone
(972) 492-7700
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Chad Anderson
Title
President
Phone
(214) 239-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101033 TX Primary

Addresses

Primary practice location

1800 King Arthur Blvd
Carrollton, TX 75010-2003

Mailing address

545 E John Carpenter Fwy
Irving, TX 75062-3931
Phone (214) 239-8400

Other names 1

  • Autumn Leaves of Carrollton Other name

National Provider Directory

National Provider Directory

Locations

545 E John Carpenter Fwy
Irving, TX 75062
Phone (888) 523-8268

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1205091014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-239-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 KING ARTHUR BLVD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750102003",
            "telephone_number": "972-492-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON AUTUMN LEAVES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-239-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "101033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Carrollton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.