Active NPI
Anjanette Jo Gardner-Lynch
- Adult Day Care Clinic/Center
- Willis, TX
National Provider Identifier
1619852670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Practice address
- 13291 Hidden Trail CT
Willis, TX 77318-4282 - Phone
- (936) 647-8429
- NPI assigned
- Aug 8, 2025
- Last updated
- Aug 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | TX | Primary |
Addresses
Primary practice location
13291 Hidden Trail CT
Willis, TX 77318-4282
Mailing address
609 N Campbell St Unit 66
Willis, TX 77378-6223
Phone (936) 647-8429
Other practice location 1
13840 Bronte Courts Dr
Willis, TX 77378-3065
Phone (936) 647-8429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalliope's Ranch Corporation | Adult Day Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Day Care Clinic/Center
- Willis, TX
- NPI 1801754940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756598400000",
"number": "1619852670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N CAMPBELL ST UNIT 66",
"city": "WILLIS",
"state": "TX",
"postal_code": "773786223",
"telephone_number": "936-647-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13291 HIDDEN TRAIL CT",
"city": "WILLIS",
"state": "TX",
"postal_code": "773184282",
"telephone_number": "936-647-8429"
}
],
"practiceLocations": [
{
"address_1": "13840 Bronte Courts Dr",
"address_purpose": "LOCATION",
"city": "Willis",
"state": "TX",
"postal_code": "773783065",
"country_code": "US",
"telephone_number": "936-647-8429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER-LYNCH",
"first_name": "ANJANETTE",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-31",
"certification_date": "2025-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.