Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Sherman, TX
NPI 1487770947 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487770947
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 000972 (TX)
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 620 Blanton Drive
Sherman, TX 75092 - Phone
- (903) 892-6937
- Fax
- (903) 870-0279
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Walter A Levonowich
- Title
- Vice President and Controller
- Phone
- (414) 908-8800
Corporate family (same tax ID) 24
Practitioners 1
-
Dan F McCaig, LCSW
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 000972 | TX | Yes |
Addresses
Primary practice location
620 Blanton Drive
Sherman, TX 75092
Mailing address
111 W Michigan Street
9TH Floor
Milwaukee, WI 53203
Phone (414) 908-8800
Other names
- Preston House
NPI Registry JSON
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487770947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN STREET",
"address_2": "9TH FLOOR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53203",
"telephone_number": "414-908-8800",
"fax_number": "414-908-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 BLANTON DRIVE",
"city": "SHERMAN",
"state": "TX",
"postal_code": "75092",
"telephone_number": "903-892-6937",
"fax_number": "903-870-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIVING CONCEPTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVONOWICH",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT AND CONTROLLER",
"authorized_official_telephone_number": "414-908-8800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "000972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preston House",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.