Organization Active NPI

James-Leach, Inc.

Doing business as Meadow Lane Community Residence

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • La Grange, TX
National Provider Identifier
1699319012
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
JAMES-LEACH, INC.
Doing business as
Meadow Lane Community Residence
Practice address
124 Meadow LN
La Grange, TX 78945-1409
Phone
(979) 968-8820
Fax
(979) 968-6598
NPI assigned
Oct 29, 2019
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
William K Gray II
Title
President
Phone
(979) 968-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

124 Meadow LN
La Grange, TX 78945-1409

Mailing address

2004 S US Highway 77
La Grange, TX 78945-6127
Phone (799) 688-8209

Other names 1

  • Meadow Lane Community Residence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699319012. Details of each certification follow.

  • CCN 45H403 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H403

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MEADOW LANE COMMUNITY RESIDENCE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 2, 2021
Last certification
Aug 22, 2025
Beds
3
Ownership / control type
Private (proprietary)
Most recent change of ownership
May 17, 2024
Facility address
124 Meadow LN
La Grange, TX 78945

National Provider Directory

National Provider Directory
Tax ID family
James-Leach Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1699319012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 S US HIGHWAY 77",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789456127",
            "telephone_number": "799-688-8209",
            "fax_number": "979-968-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MEADOW LN",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451409",
            "telephone_number": "979-968-8820",
            "fax_number": "979-968-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES-LEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-968-8820",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Lane Community Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.