Irving Long Term Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IRVING LONG TERM CARE LLC

Doing business as

The Casitas at Las Brisas

Practice address

3421 Story Rd W
Irving, TX 75038-3571

Phone

(469) 957-0100

NPI assigned

May 7, 2020

Last updated

May 8, 2020By 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

David Pennybacker

Title

Administrator

Phone

(469) 957-0100

Specialties & licenses 1

Addresses

Other names 1

• The Casitas at Las Brisas Doing business as

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1285256750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 STORY RD W",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383571",
            "telephone_number": "469-957-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 STORY RD W",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383571",
            "telephone_number": "469-957-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "PENNYBACKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-957-0100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Casitas at Las Brisas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irving Family Smiles, PLLC
• Irving Health and Wellness PLLC
• Irving Injury Center LLC
• Irving Isd
• Irving Laboratories PA
• Irving Medical Center PA
• Irving Myotherapy LLC
• Irving Nursing and Rehabilitation LP
• Irving Operations, LLC (Elmcroft of Irving)
• Irving Pharmacy LLC (Irving Pharmacy)

• Assisted Living Facility in Irving, TX
• Providers in Irving, 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 May 8, 2020; 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.