Caldwell IV Enterprises, LLC
Organization Active NPI Assisted Living Facility · Caldwell, TX
NPI 1356103444 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1356103444
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CALDWELL IV ENTERPRISES, LLC
- Practice address
- 343 Country Club Dr
Caldwell, TX 77836-2328 - Phone
- (979) 567-6400
- Fax
- (979) 567-6434
- NPI assigned
- Jan 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Gary Blake
- Title
- Managing Member
- Phone
- (817) 348-8959
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
343 Country Club Dr
Caldwell, TX 77836-2328
Mailing address
4150 International PLZ Ste 200
Fort Worth, TX 76109-4875
Phone (817) 348-8959
Other names
- Copperas Hollow Assited Living
Other providers in Caldwell, TX
- Burleson St. Joseph Manor
- Sherri Busby
- Caldwell I Enterprises, LLC
- Caldwell II Enterprises, LLC
- Caldwell Isd
- Caldwell Nursing and Rehab Center
- Karla Gail Chaloupka
- John Scott Chennault
- Courtney Jane Chmelar
- Copperas Al Operator LLC
All providers in Caldwell, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.