NPIMap

Organization Active NPI

CSL Leaseco Inc.

Doing business as Covenant Place of Burleson

  • Assisted Living Facility
  • Burleson, TX
National Provider Identifier
1376777391
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0384 Issued in TX
Legal business name
CSL LEASECO INC.
Doing business as
Covenant Place of Burleson
Practice address
611 NE Alsbury Blvd
Burleson, TX 76028-2658
Phone
(817) 447-4477
Fax
(817) 447-4505
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Mr. Bob Hollister, CPA
Title
Property Controller
Phone
(972) 770-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0384 TX Primary

Addresses

Primary practice location

611 NE Alsbury Blvd
Burleson, TX 76028-2658

Mailing address

611 NE Alsbury Blvd
Burleson, TX 76028-2658
Phone (817) 447-4477

Other identifiers 1

IdentifierTypeStateIssuer
001017626MedicaidTX

Other names 1

  • Covenant Place of Burleson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charlotte Square2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1376777391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE ALSBURY BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282658",
            "telephone_number": "817-447-4477",
            "fax_number": "817-447-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NE ALSBURY BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282658",
            "telephone_number": "817-447-4477",
            "fax_number": "817-447-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL LEASECO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PROPERTY CONTROLLER",
        "authorized_official_telephone_number": "972-770-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "0384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017626",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Place of Burleson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.