Cottonwood Long Term Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COTTONWOOD LONG TERM CARE LLC

Doing business as

Cedar Pointe Health and Wellness Suites

Practice address

1301 Cottonwood Creek Trail
Cedar Park, TX 78613

Phone

(410) 773-1000

NPI assigned

Mar 27, 2017

Last updated

Oct 12, 2018By 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

Ron Blasig

Title

President

Phone

(737) 757-3100

Specialties & licenses 1

Addresses

Other names 1

• Cedar Pointe Health and Wellness Suites Doing business as

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1487185732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COTTONWOOD CREEK TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132091",
            "telephone_number": "737-757-3100",
            "fax_number": "737-757-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COTTONWOOD CREEK TRAIL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "410-773-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "BLASIG",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "737-757-3100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Pointe Health and Wellness Suites",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Pointe Health and Wellness Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.