Cottage Village Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COTTAGE VILLAGE LIVING, LLC

Doing business as

Cottage Village

Practice address

204 5TH St NE
Childress, TX 79201-4668

Phone

(817) 300-1253

Fax

(940) 937-2517

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By 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

Mr. David Carl Karnes

Title

Owner

Phone

(817) 300-1253

Specialties & licenses 1

Addresses

Other names 1

• Cottage Village Doing business as

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1528616489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 5TH ST NE",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792014668",
            "telephone_number": "817-300-1253",
            "fax_number": "940-937-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 5TH ST NE",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792014668",
            "telephone_number": "817-300-1253",
            "fax_number": "940-937-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE VILLAGE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-300-1253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childress Living Center, Inc, (The Living Center of Childress)
• Childress Meals on Wheels (Meals on Wheels)
• Childress Regional Medical Center
• Clutch Diagnostics, LLC (Clutch Health)
• Clutch Health Pharmacy Inc. (Clutch Health)
• Deane Nicole Crim, PA
• Jacob Thomas Darter, MD
• Thomas Craig Darter, M.D.
• Lyndsy Donnell, MS, LPC-ASSOCIATE
• Dr Lendon Davis

• Assisted Living Facility in Childress, TX
• Providers in Childress, 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 Sep 3, 2019; 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.