Lake Jackson Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKE JACKSON OPERATIONS, LLC

Doing business as

Elmcroft of Lake Jackson

Practice address

206 Oak Dr S
Lake Jackson, TX 77566-5782

Phone

(979) 297-5577

Fax

(979) 297-5623

NPI assigned

Sep 12, 2011

Last updated

Sep 12, 2011By 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

Ms. Robin L Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Lake Jackson Doing business as

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1609158187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OAK DR S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665782",
            "telephone_number": "979-297-5577",
            "fax_number": "979-297-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JACKSON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Lake Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Jackson Dialysis and Kidney Center, LTD, LLP
• Lake Jackson Emergency Medical Services, Inc.
• Lake Jackson Endoscopy Center, LP.
• Lake Jackson Family Dentistry PLLC
• Lake Jackson Imaging Center
• Lake Jackson Oral and Maxillofacial Surgery, PLLC
• Lake Jackson Pediatric Speech PLLC
• Lake Jackson Plastic Surgery, PA
• Lake Jackson Rehabilitation and Wellness Center
• Lake Jackson Urology PA

• Assisted Living Facility in Lake Jackson, TX
• Providers in Lake Jackson, 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 12, 2011; 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.