Three Rivers Advisors, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THREE RIVERS ADVISORS, LLC

Practice address

11300 Hunters LN
Austin, TX 78753-2652

Phone

(512) 900-3306

Fax

(512) 518-3656

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Leslie Alexis Cochran, LVN

Title

Administrator

Phone

(704) 470-7640

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hunters Lane Memory Care Doing business as

Locations

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1407320385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 HUNTERS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532652",
            "telephone_number": "512-962-9919",
            "fax_number": "512-518-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 HUNTERS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532652",
            "telephone_number": "512-900-3306",
            "fax_number": "512-518-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS ADVISORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-470-7640",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "106824",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunters Lane Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Austin, TX
• Providers in Austin, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.