Active NPI
Huntington Creek Capital VI, LLC
- Alzheimer Center (Dementia Center)
- Cedar Park, TX
National Provider Identifier
1619364965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 141265
- Legal business name
- HUNTINGTON CREEK CAPITAL VI, LLC
- Practice address
- 3000 Glacier Pass Lane
Cedar Park, TX 78613-7628 - Phone
- (512) 514-0671
- NPI assigned
- Apr 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacob Murray
- Title
- Executive Director
- Phone
- (512) 813-1318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 141265 | TX | Primary |
Addresses
Primary practice location
3000 Glacier Pass Lane
Cedar Park, TX 78613-7628
Mailing address
3000 Glacier Pass Lane
Cedar Park, TX 78613
Phone (512) 514-0671
Other names 1
- Sundance at Brushy Creek
National Provider Directory
National Provider DirectoryLocations
3000 Glacier Pass
Cedar Park, TX 78613
Phone (512) 514-0671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1619364965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 GLACIER PASS LANE",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "78613",
"telephone_number": "512-514-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 GLACIER PASS LANE",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137628",
"telephone_number": "512-514-0671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON CREEK CAPITAL VI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "512-813-1318",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "TX",
"license": "141265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sundance at Brushy Creek",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.