Olmm Properties, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104639 Issued in TX

Legal business name

OLMM PROPERTIES, LLC.

Practice address

4205 Richmond MDWS
Texarkana, TX 75503-0103

Phone

(903) 838-7319

Fax

(903) 838-0494

NPI assigned

Nov 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Otero

Title

Administrator

Phone

(903) 838-7319

Specialties & licenses 1

Addresses

Other names 1

• The Magnolia Doing business as

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1649557604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 RICHMOND MDWS",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030103",
            "telephone_number": "903-838-7319",
            "fax_number": "903-838-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 RICHMOND MDWS",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030103",
            "telephone_number": "903-838-7319",
            "fax_number": "903-838-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMM PROPERTIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-838-7319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Magnolia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Texarkana, TX
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.