NPIMap

Organization Active NPI

Runningwater Draw Care Center

Doing business as Sandhills Village Assisted Living

  • Assisted Living Facility
  • Olton, TX
National Provider Identifier
1497813885
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11097 Issued in TX
Legal business name
RUNNINGWATER DRAW CARE CENTER
Doing business as
Sandhills Village Assisted Living
Practice address
1200 Ave I
Olton, TX 79064-0767
Phone
(806) 285-3356
Fax
(806) 285-2506
NPI assigned
Dec 5, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Rolinda Sue Mathews
Title
Manager
Phone
(806) 285-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11097 TX Primary

Addresses

Primary practice location

1200 Ave I
Olton, TX 79064-0767

Mailing address

PO Box 767
Olton, TX 79064-0767
Phone (806) 285-3356

Other identifiers 1

IdentifierTypeStateIssuer
001001381MedicaidTX

Other names 1

  • Sandhills Village Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Runningwater Draw Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1497813885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640767",
            "telephone_number": "806-285-3356",
            "fax_number": "806-285-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AVE I",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640767",
            "telephone_number": "806-285-3356",
            "fax_number": "806-285-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNINGWATER DRAW CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "ROLINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-285-3356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "11097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.