The Villa at Willow Colony LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

121736 Issued in TX

Legal business name

THE VILLA AT WILLOW COLONY LLC

Practice address

26110 Willow Colony LN
Katy, TX 77494-6531

Phone

(281) 395-0139

Fax

(281) 395-6326

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTHLINK GROUP LLCAs reported in NPPES

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

Authorized official

Name

Mr. Paolo Ilagan

Title

President

Phone

(832) 883-9913

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1316113343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26110 WILLOW COLONY LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946531",
            "telephone_number": "281-395-0139",
            "fax_number": "281-395-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26110 WILLOW COLONY LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946531",
            "telephone_number": "281-395-0139",
            "fax_number": "281-395-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLA AT WILLOW COLONY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHLINK GROUP LLC",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ILAGAN",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-883-9913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TX",
            "license": "121736",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "121736",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "121736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Katy, TX
• Providers in Katy, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.