NPIMap

Organization Active NPI

Tenaha Creek LLC

  • Assisted Living Facility
  • Center, TX
National Provider Identifier
1295032464
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
131183 Issued in TX
Legal business name
TENAHA CREEK LLC
Practice address
1468 Loop 500
Center, TX 75935
Phone
(936) 590-9300
Fax
(936) 590-9315
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Mr. Mark Saintignan
Title
Administrator/Owner
Phone
(936) 590-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 131183 TX Primary

Addresses

Primary practice location

1468 Loop 500
Center, TX 75935

Mailing address

1468 Loop 500
Center, TX 75935
Phone (936) 590-9300

Other names 1

  • LAKESIDE VILLAGE ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

Locations

1468 Loop 500 E
Center, TX 75935
Phone (936) 590-9300

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1295032464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 LOOP 500",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "75935",
            "telephone_number": "936-590-9300",
            "fax_number": "936-590-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 LOOP 500",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "75935",
            "telephone_number": "936-590-9300",
            "fax_number": "936-590-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENAHA CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "SAINTIGNAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "936-590-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "131183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE VILLAGE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.