Tyler I Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TYLER I ENTERPRISES, LLC

Practice address

3323 Garden Valley Rd
Tyler, TX 75702-3704

Phone

(903) 592-8852

Fax

(903) 533-1565

NPI assigned

Sep 25, 2007

Organization subpart

No

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) 348-8959

Specialties & licenses 1

Addresses

Other names 1

• The Fountains of Tyler Doing business as

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1326234246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094875",
            "telephone_number": "817-348-8959",
            "fax_number": "903-533-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 GARDEN VALLEY RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757023704",
            "telephone_number": "903-592-8852",
            "fax_number": "903-533-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-348-8959"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fountains of Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Family Circle of Care
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• Tyler Group Health, LLC
• Tyler Hematology Oncology, P.a.
• Tyler Hospitalists, P.a.
• Tyler Independent School District
• Tyler Inpatient Management Specialists, PA
• Tyler Integrated Physical Therapy, LLC
• Tyler Integrative Health and Wellness, LLC
• Tyler Internal Medicine Associates, P.a.

• Assisted Living Facility in Tyler, TX
• Providers in Tyler, 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 20, 2024; 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.