Collin Creek Assisted Living Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

030165 Issued in TX

Legal business name

COLLIN CREEK ASSISTED LIVING CENTER, INC

Doing business as

DaySpring Assisted Living Center

Practice address

6400 Cheyenne TRL
Plano, TX 75023-3774

Phone

(972) 769-1109

Fax

(972) 769-1113

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By 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

Mrs. Tiffany Duncan

Title

Facility Director

Phone

(972) 769-1109

Specialties & licenses 1

Addresses

Other names 1

• DaySpring Assisted Living Center Doing business as

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619022704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CHEYENNE TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750233774",
            "telephone_number": "972-769-1109",
            "fax_number": "972-769-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CHEYENNE TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750233774",
            "telephone_number": "972-769-1109",
            "fax_number": "972-769-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN CREEK ASSISTED LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "972-769-1109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "030165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaySpring Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Plano, TX
• Providers in Plano, 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 Aug 22, 2020; 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.