Meyerland Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

135713 Issued in TX

Legal business name

MEYERLAND MEMORY CARE, LLC

Doing business as

Autumn Leaves of Meyerland

Practice address

4710 W Bellfort Street
Houston, TX 77035

Phone

(713) 360-0000

Fax

(713) 360-0001

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Meyerland Doing business as

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1326383134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W BELLFORT STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77035",
            "telephone_number": "713-360-0000",
            "fax_number": "713-360-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERLAND MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "135713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Meyerland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larissa A Meyer, MD
• Mikaela Meyer, DPT
• Teaira A Meyer
• Thomas Daniel Meyer, PH.D.
• Meyerland Family Dentistry PC
• Meyerland Modern Dentistry, PC
• Meyerland Pharmacy, LLC
• Meyerland Tso PA
• Martha E Meyers
• Priscilla Meyers, NNP-BC

• Assisted Living Facility in Houston, TX
• Providers in Houston, 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 Dec 5, 2012; 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.