Graceland Assisted Living
Organization Active NPI Assisted Living Facility · Garden Ridge, TX
NPI 1508025099 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1508025099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 112410 (TX)
- Legal business name
- GRACELAND ASSISTED LIVING
- Practice address
- 19095 FM 2252
Garden Ridge, TX 78266-2733 - Phone
- (210) 651-6377
- Fax
- (210) 651-0957
- NPI assigned
- Jun 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Tony Overman
- Title
- Owner
- Phone
- (210) 651-4796
National Provider Directory
Locations
19095 FM 2252
Garden Ridge, TX 78266
Phone (210) 651-6377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 112410 | TX | Yes |
Addresses
Primary practice location
19095 FM 2252
Garden Ridge, TX 78266-2733
Mailing address
19095 FM 2252
Garden Ridge, TX 78266-2733
Phone (210) 651-6377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112410 | Other | TX | ALF LICENSE # |
Other providers in Garden Ridge, TX
- Lela Flowers-Brown
- Angela Gallo Garcia
- Garden Ridge Christian Counseling
- Garden Ridge Physical Therapy and Wellness Center, P.C.
- Charity Gegenheimer
- Laura Griffin
- Sallyann P Grisolia
- Daniel Hacker
- Jennifer Irene Hamouz
- Heart Song Christian Counseling, PLLC
All providers in Garden Ridge, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. 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.