CSL Hamptons 2016, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

139406 Issued in TX

Legal business name

CSL HAMPTONS 2016, LLC

Practice address

4250 Old Omen Rd
Tyler, TX 75707-2161

Phone

(903) 566-0460

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By 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

Lawrence Wayne Powell Jr.

Title

President

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1720537186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 OLD OMEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072161",
            "telephone_number": "903-566-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 OLD OMEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072161",
            "telephone_number": "903-566-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL HAMPTONS 2016, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-386-8888",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "139406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stuart Crutchfield, MD
• Ashley Crutchfield, FNP-C
• John Stuart Crutchfield, M.D.
• Leone Catherine Cruz, NP
• Patricia Jane Cryer, CFNP
• Sheila M Cubine, LCSW
• Culberson R. Boren, D.D.S., P.a. (Dentistry for Children)
• Shawn Paul Cullen, MD
• Lisa Culpepper
• Meagan Michelle Culpepper, FNP-C

• Assisted Living Facility in Tyler, TX
• Providers in Tyler, 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 Sep 27, 2016; 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.