Organization Active NPI

Brown Family Ranch LLC

Doing business as Peaceful Pines Assisted Living

  • Assisted Living Facility
  • New Waverly, TX
National Provider Identifier
1609610203
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROWN FAMILY RANCH LLC
Doing business as
Peaceful Pines Assisted Living
Practice address
5885 Mount Zion Rd
New Waverly, TX 77358-2423
Phone
(936) 718-6225
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Shelby Brown
Title
Owner
Phone
(936) 718-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5885 Mount Zion Rd
New Waverly, TX 77358-2423

Mailing address

5885 Mount Zion Rd
New Waverly, TX 77358-2423

Other names 1

  • Peaceful Pines Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1609610203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MOUNT ZION RD",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773582423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 MOUNT ZION RD",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773582423",
            "telephone_number": "936-718-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-718-6225"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Pines Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Waverly, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.