NPIMap

Organization Active NPI

Twenty Two Pack Management Corp.

  • Assisted Living Facility
  • Plano, TX
National Provider Identifier
1497965495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
119488 Issued in TX
Legal business name
TWENTY TWO PACK MANAGEMENT CORP.
Practice address
3000 Midway Rd
Plano, TX 75093-6121
Phone
(972) 473-7400
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chuck Olson
Title
Executive Director
Phone
(972) 473-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 119488 TX Primary

Addresses

Primary practice location

3000 Midway Rd
Plano, TX 75093-6121

Mailing address

3000 Midway Rd
Plano, TX 75093-6121
Phone (972) 473-7400

Other identifiers 1

IdentifierTypeStateIssuer
11948OtherTXASSISTED LIVING FACILITY

Other names 1

  • EdenBrook of Plano Other name

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497965495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MIDWAY RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936121",
            "telephone_number": "972-473-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MIDWAY RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936121",
            "telephone_number": "972-473-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY TWO PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-473-7400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "11948",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EdenBrook of Plano",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • 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.