Sal 2016 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAL 2016 LLC

Doing business as

Long Creek Assisted Living and Memory Care

Practice address

301 T. C. Lupton Blvd
Sunnyvale, TX 75182

Phone

(469) 563-7899

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Lawrence Wayne Powell Jr.

Title

Member

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

Other names 1

• Long Creek Assisted Living and Memory Care Doing business as

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1407389075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 W VICKERY BLVD",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076492",
            "telephone_number": "817-386-8888",
            "fax_number": "817-386-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 T. C. LUPTON BLVD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "75182",
            "telephone_number": "469-563-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAL 2016 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-386-8888",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Creek Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calvin Rushing, DPM
• Ryan Constantine MD PLLC
• Ryan Ryf, DPT
• S Talati MD PA
• Janet Melissa Saenz, PA
• Citlally Ruby Salazar
• Cristal E Sanchez Escoffie
• Denise Sanchez, DDS
• Maritza Sanchez
• Soumya Sanil, OTR/L

• Assisted Living Facility in Sunnyvale, TX
• Providers in Sunnyvale, 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 Apr 10, 2017; 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.