Alzcare Waco, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

103448 Issued in TX

Legal business name

ALZCARE WACO, LLC

Doing business as

Sodalis Elder Living

Practice address

4308 N 19TH St
Waco, TX 76708-1143

Phone

(254) 152-1008

Fax

(254) 752-3929

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Shawn Corzine

Title

Ceo

Phone

(830) 624-1044

Specialties & licenses 1

Addresses

Other names 1

• Sodalis Elder Living Doing business as

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1376903096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S ACADEMY AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305607",
            "telephone_number": "830-624-1044",
            "fax_number": "830-629-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N 19TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081143",
            "telephone_number": "254-152-1008",
            "fax_number": "254-752-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZCARE WACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "CORZINE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-624-1044"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "103448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sodalis Elder Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Alonso
• Katherine Elizabeth Horton Altahif, MD
• Ricardo G Altahif Jr., OTD
• Rolando Alvarado, MD
• Alyce Danielle Alven, O.D
• Nnewueze Stella Amaechi, M.D
• Amanda Ibanez Counseling
• Ashley Amar, MD
• Meera Amar, M.D.
• Neil Kanth Amar, M.D.

• Alzheimer Center (Dementia Center) in Waco, TX
• Providers in Waco, TX by specialty
• Alzheimer Center (Dementia Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.