Echelon Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ECHELON SENIOR LIVING LLC

Practice address

140 N Mitchell Rd
Mansfield, TX 76063-5407

Phone

(972) 588-4306

Fax

(972) 588-4306

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Celestina Ufondu, RN

Title

Owner

Phone

(972) 588-4306

Specialties & licenses 1

Addresses

Other names 1

• ECHELON PLACE Doing business as

Locations

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1215630561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E CHURCH ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505713",
            "telephone_number": "972-588-4306",
            "fax_number": "972-588-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N MITCHELL RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635407",
            "telephone_number": "972-588-4306",
            "fax_number": "972-588-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHELON SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "UFONDU",
        "authorized_official_first_name": "CELESTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-588-4306",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECHELON PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Margaret Edimo, NP

• Assisted Living Facility in Mansfield, TX
• Providers in Mansfield, 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 Apr 14, 2023; 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.