Active NPI
Lotus Assisted Living Facility LLC
- Assisted Living Facility
- Fort Worth, TX
National Provider Identifier
1669286381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LOTUS ASSISTED LIVING FACILITY LLC
- Doing business as
- Lotus Assisted Living Facility LLC
- Practice address
- 4704 Whistler Dr
Fort Worth, TX 76133-5120 - Phone
- (407) 409-4727
- NPI assigned
- Feb 4, 2025
- Last updated
- Feb 4, 2025
- 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. Harry Mauge
- Title
- Owner
- Phone
- (407) 409-4727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
4704 Whistler Dr
Fort Worth, TX 76133-5120
Mailing address
2021 Donker Dr
Royse City, TX 75189-8828
Phone (407) 409-4727
Other names 1
- Lotus Assisted Living Facility LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738627200000",
"number": "1669286381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 DONKER DR",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751898828",
"telephone_number": "407-409-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 WHISTLER DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335120",
"telephone_number": "407-409-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS ASSISTED LIVING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A",
"authorized_official_last_name": "MAUGE",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-409-4727",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lotus Assisted Living Facility LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.