Reavis Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

139171 Issued in TX

Legal business name

REAVIS ASSISTED LIVING LLC

Doing business as

Assisted Living at Tallwood

Practice address

101 Tallwood Dr
Georgetown, TX 78628-8315

Phone

(512) 948-7600

Fax

(512) 930-9122

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Saunders

Title

Ceo

Phone

(512) 863-4094

Specialties & licenses 1

Addresses

Other names 1

• ASSISTED LIVING AT TALLWOOD Doing business as

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1700256443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2479",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272479",
            "telephone_number": "512-863-4094",
            "fax_number": "512-930-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TALLWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288315",
            "telephone_number": "512-948-7600",
            "fax_number": "512-930-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAVIS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-863-4094"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "139171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTED LIVING AT TALLWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.