The Woodlands Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104378 Issued in TX

Legal business name

THE WOODLANDS MEMORY CARE, LLC

Doing business as

Autumn Leaves of The Woodlands

Practice address

10700 W Montfair Blvd
The Woodlands, TX 77382-2052

Phone

(832) 764-5324

Fax

(832) 764-5327

NPI assigned

Feb 17, 2012

Last updated

Feb 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of The Woodlands Doing business as

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1205109402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 W MONTFAIR BLVD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822052",
            "telephone_number": "832-764-5324",
            "fax_number": "832-764-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of The Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in The Woodlands, TX
• Providers in The Woodlands, 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 Feb 17, 2012; 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.