Organization Active NPI

The Gardens of Richardson Retirement Center, LTD

  • Nursing Facility/Intermediate Care Facility
  • Richardson, TX
National Provider Identifier
1376527093
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
109658 Issued in TX
Legal business name
THE GARDENS OF RICHARDSON RETIREMENT CENTER, LTD
Practice address
1111 W Shore Dr
Richardson, TX 75080-4046
Phone
(972) 783-8000
Fax
(972) 783-4267
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mike Hawker
Title
Chief Financial Officer
Phone
(210) 340-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 109658 TX Primary

Addresses

Primary practice location

1111 W Shore Dr
Richardson, TX 75080-4046

Mailing address

845 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 582-3716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376527093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 PROTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584203",
            "telephone_number": "210-582-3716",
            "fax_number": "210-582-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SHORE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804046",
            "telephone_number": "972-783-8000",
            "fax_number": "972-783-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS OF RICHARDSON RETIREMENT CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "210-340-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "109658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.