CSL 2015 Winnsboro LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

140884 Issued in TX

Legal business name

CSL 2015 WINNSBORO LLC

Doing business as

Autumn Wind Assisted Living

Practice address

1004 E Coke Rd
Winnsboro, TX 75494-3536

Phone

(903) 342-3388

Fax

(903) 342-3389

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By 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

Lawrence Wayne Powell Jr.

Title

President

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

Other names 1

• Autumn Wind Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1619335080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076492",
            "telephone_number": "817-386-8888",
            "fax_number": "817-386-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943536",
            "telephone_number": "903-342-3388",
            "fax_number": "903-342-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL 2015 WINNSBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-386-8888",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "140884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wind Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Winnsboro, TX
• Providers in Winnsboro, 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 Feb 1, 2016; 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.