Independent Living of Texarkana, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

118529 Issued in TX

Legal business name

INDEPENDENT LIVING OF TEXARKANA, LLC

Practice address

3120 Smith St
Texarkana, TX 75501-4083

Phone

(903) 831-3911

Fax

(903) 831-4195

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fagie Pinter

Title

Member

Phone

(903) 831-3911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417015322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SMITH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014083",
            "telephone_number": "903-831-3911",
            "fax_number": "903-831-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SMITH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014083",
            "telephone_number": "903-831-3911",
            "fax_number": "903-831-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING OF TEXARKANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINTER",
        "authorized_official_first_name": "FAGIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-831-3911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "118529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Texarkana, TX
• Providers in Texarkana, 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 Aug 22, 2020; 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.