Organization Active NPI

Carroll Partners Investment No. 2 Inc

  • Assisted Living Facility
  • Livingston, TX
National Provider Identifier
1285718031
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARROLL PARTNERS INVESTMENT NO. 2 INC
Practice address
601 Garden Ridge Dr
Livingston, TX 77351-5002
Phone
(936) 327-3141
Fax
(903) 769-9019
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Mr. Osma Carroll
Title
President
Phone
(903) 638-3880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 120362 TX
Assisted Living Facility 310400000X 120361 TX
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

601 Garden Ridge Dr
Livingston, TX 77351-5002

Mailing address

945 County Road 2310
Mineola, TX 75773
Phone (903) 638-3880

Other identifiers 1

IdentifierTypeStateIssuer
0008550MedicaidTX

Other names 1

  • The Gardens at Livingston Doing business as

National Provider Directory

National Provider Directory

Locations

653 W Broad St
Mineola, TX 75773

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1285718031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 COUNTY ROAD 2310",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "75773",
            "telephone_number": "903-638-3880",
            "fax_number": "903-569-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GARDEN RIDGE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515002",
            "telephone_number": "936-327-3141",
            "fax_number": "903-769-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PARTNERS INVESTMENT NO. 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "OSMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-638-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "120362",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "120361",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008550",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at Livingston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Gardens at Livingston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.