Organization Active NPI

De Soto Senior Living, Inc.

  • Assisted Living Facility
  • Desoto, TX
National Provider Identifier
1699280370
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DE SOTO SENIOR LIVING, INC.
Practice address
747 W Pleasant Run Rd
Desoto, TX 75115-3852
Phone
(972) 274-1700
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

747 W Pleasant Run Rd
Desoto, TX 75115-3852

Mailing address

747 W Pleasant Run Rd
Desoto, TX 75115-3852
Phone (972) 274-1700

Other names 1

  • Deer Creek Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2144379De Soto Senior Living, Inc747 West Pleasant Run Rd, Desoto, TX 75115Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1699280370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153852",
            "telephone_number": "972-274-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 W PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153852",
            "telephone_number": "972-274-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE SOTO SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.