Organization Active NPI

Mt. Pleasant I Enterprises, LLC

  • Assisted Living Facility
  • Mt Pleasant, TX
National Provider Identifier
1265620033
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MT. PLEASANT I ENTERPRISES, LLC
Practice address
1714 N Edwards Ave
Mt Pleasant, TX 75455-2028
Phone
(903) 577-0759
Fax
(903) 577-8777
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Gary Blake
Title
Managing Member
Phone
(817) 832-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1714 N Edwards Ave
Mt Pleasant, TX 75455-2028

Mailing address

1714 N Edwards Ave
Mt Pleasant, TX 75455-2028
Phone (903) 577-0759

Other names 1

  • Villa of Mt. Pleasant Building 1, 2 Doing business as

National Provider Directory

National Provider Directory

Locations

1714 N Edwards Ave
Mt Pleasant, TX 75455
Phone (903) 577-0759

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1265620033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552028",
            "telephone_number": "903-577-0759",
            "fax_number": "903-577-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552028",
            "telephone_number": "903-577-0759",
            "fax_number": "903-577-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-832-3654"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa of Mt. Pleasant Building 1, 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.