Hsmtx/Waterton Inn, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HSMTX/WATERTON INN, LLC

Doing business as

The Waterton Inn Assisted Living

Practice address

2885 Shiloh Road
Tyler, TX 75703

Phone

(903) 939-9664

Fax

(903) 939-0034

NPI assigned

Dec 26, 2007

Last updated

Oct 30, 2009By 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

Charles A Davis

Title

VP Finance

Phone

(713) 934-7800

Specialties & licenses 1

Addresses

Other names 1

• The Waterton Inn Assisted Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peggy J Davidson, CRNP

  • Licensed Practical Nurse
  • Tyler, TX
  • NPI 1679583793
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1528242617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER ST",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406137",
            "telephone_number": "713-934-7800",
            "fax_number": "713-895-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 SHILOH ROAD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-939-9664",
            "fax_number": "903-939-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSMTX/WATERTON INN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "713-934-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterton Inn Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandler McCarty Hrobar
• HRS Medical PLLC
• Hsmtx Waterton Plaza, LLC (The Waterton Plaza Senior Care)
• Hsmtx/Reunion Inn, LLC
• Hsmtx/Reunion Plaza, LLC (Reunion Plaza Senior Care Center)
• HSW Solutions LLC
• Si Hu
• Dianna Lynn Hubbard, APRN, AGACNP-BC
• James David Hubbard, AGACNP-BC
• J. Chris Hubert, DC

• Assisted Living Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.