Organization Active NPI

The Lodge at Mt Pleasant LLC

  • Assisted Living Facility
  • Mt Pleasant, TX
National Provider Identifier
1366828972
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE LODGE AT MT PLEASANT LLC
Practice address
1880 W 16TH St
Mt Pleasant, TX 75455-2180
Phone
(903) 575-9896
Fax
(903) 575-9064
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Dr. Sheela Singaperumal, MDNPI 1205925849
Title
Owner
Phone
(903) 575-9896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 142096 TX

Addresses

Primary practice location

1880 W 16TH St
Mt Pleasant, TX 75455-2180

Mailing address

1880 W 16TH St
Mt Pleasant, TX 75455-2180
Phone (903) 575-9896

Other names 1

  • The Lodge Assisted Living & Memory Care Doing business as

National Provider Directory

National Provider Directory

Locations

1880 W 16th St
Mt Pleasant, TX 75455
Phone (903) 575-9896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1366828972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W 16TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552180",
            "telephone_number": "903-575-9896",
            "fax_number": "903-575-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W 16TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552180",
            "telephone_number": "903-575-9896",
            "fax_number": "903-575-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE AT MT PLEASANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "SINGAPERUMAL",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-575-9896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TX",
            "license": "142096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge Assisted Living & Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lodge Assisted Living & Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.