Organization Active NPI

Comanche County Assisted Living, Inc.

  • Home Health Agency
  • Comanche, TX
National Provider Identifier
1710060454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
116881 Issued in TX
Legal business name
COMANCHE COUNTY ASSISTED LIVING, INC.
Practice address
100 Alamo
Comanche, TX 76442-2063
Phone
(325) 356-9303
Fax
(325) 356-3875
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Celia Kay Montgomery
Title
Administrator
Phone
(325) 356-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 116881 TX Primary

Addresses

Primary practice location

100 Alamo
Comanche, TX 76442-2063

Mailing address

100 Alamo
Comanche, TX 76442-2063
Phone (325) 356-9303

Other identifiers 1

IdentifierTypeStateIssuer
1014590OtherTXCBA CONTRACT NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Comanche County Assisted Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710060454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALAMO",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764422063",
            "telephone_number": "325-356-9303",
            "fax_number": "325-356-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALAMO",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764422063",
            "telephone_number": "325-356-9303",
            "fax_number": "325-356-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-356-9303"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "116881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA CONTRACT NUMBER",
            "identifier": "1014590",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.