Individual provider Active NPI

Anjanette Jo Gardner-Lynch

  • Adult Day Care Clinic/Center
  • Willis, TX
National Provider Identifier
1619852670
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Practice address
13291 Hidden Trail CT
Willis, TX 77318-4282
Phone
(936) 647-8429
NPI assigned
Aug 8, 2025
Last updated
Aug 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.