Active NPI
Lopez Homes MCG LLC
- Assisted Living Facility
- Bulverde, TX
National Provider Identifier
1659685089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 103075
- Legal business name
- LOPEZ HOMES MCG LLC
- Practice address
- 3125 Elk River TRL
Bulverde, TX 78163-2227 - Phone
- (210) 365-0532
- NPI assigned
- Jul 27, 2010
- 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. Tom G Lopez Jr.
- Title
- Manager
- Phone
- (210) 365-0532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 103075 | TX | Primary |
Addresses
Primary practice location
3125 Elk River TRL
Bulverde, TX 78163-2227
Mailing address
118 Wallace St
San Antonio, TX 78237-3112
Phone (210) 438-8750
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1659685089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WALLACE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373112",
"telephone_number": "210-438-8750",
"fax_number": "830-438-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 ELK RIVER TRL",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781632227",
"telephone_number": "210-365-0532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOPEZ HOMES MCG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "210-365-0532",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "103075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.