Cedar Crest of Irving LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CEDAR CREST OF IRVING LLC

Practice address

2425 Texas Dr
Irving, TX 75062-7027

Phone

(972) 659-6800

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Travis Wommack

Title

Cfo

Phone

(830) 624-1044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1548829559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CROSS ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305644",
            "telephone_number": "830-624-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 TEXAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627027",
            "telephone_number": "972-659-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST OF IRVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "WOMMACK",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-624-1044"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Irving, TX
• Providers in Irving, 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 Jun 12, 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.