Organization Active NPI

Abbey-Georgetown Alf, LLC

Doing business as The Oscar at Georgetown

  • Assisted Living Facility
  • Georgetown, TX
National Provider Identifier
1407631807
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABBEY-GEORGETOWN ALF, LLC
Doing business as
The Oscar at Georgetown
Practice address
3810 Williams Dr
Georgetown, TX 78628-2417
Phone
(512) 359-9801
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Brian Haddock
Title
Executive Director
Phone
(126) 730-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3810 Williams Dr
Georgetown, TX 78628-2417

Mailing address

2222 Arlington Ave S Ste 200
Birmingham, AL 35205-4004

Other names 1

  • The Oscar at Georgetown Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2320113Oscar at Georgetown, the3810 Williams Dr, Georgetown, TX 78628Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

2222 Arlington Ave S
Ste 200
Birmingham, AL 35205

3810 Williams Dr
Georgetown, TX 78628
Phone (512) 359-9801

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1407631807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ARLINGTON AVE S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282417",
            "telephone_number": "512-359-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEY-GEORGETOWN ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "126-730-2715"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oscar at Georgetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.