American Eagle Castle Hills LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMERICAN EAGLE CASTLE HILLS LLC

Practice address

1207 Jackson Keller Rd
San Antonio, TX 78213-3210

Phone

(734) 418-9027

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Cory Wake

Title

Associate

Phone

(734) 418-9027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1255819728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 HAWK CREST RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034246",
            "telephone_number": "734-418-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 JACKSON KELLER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133210",
            "telephone_number": "734-418-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EAGLE CASTLE HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "WAKE",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "734-418-9027"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Antonio, TX
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.