Advanced Living Technologies Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117222 Issued in TX

Legal business name

ADVANCED LIVING TECHNOLOGIES INC

Doing business as

Stockdale Nursing Center

Practice address

300 W Salmon Street
Stockdale, TX 78160-0039

Phone

(830) 996-3721

Fax

(830) 996-3355

NPI assigned

Apr 17, 2007

Last updated

Oct 16, 2012By 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

Mr. Paul Gray

Title

President

Phone

(512) 345-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stockdale Nursing Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurie Anne Prater, OTR

  • Occupational Therapist
  • Austin, TX
  • NPI 1568786598
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1730305988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 MORADO CIR",
            "address_2": "BUILDING 3 SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595696",
            "telephone_number": "512-345-0700",
            "fax_number": "888-368-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SALMON STREET",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781600039",
            "telephone_number": "830-996-3721",
            "fax_number": "830-996-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIVING TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000427703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockdale Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daryl C Currier, M.D.
• Daryl C Currier MD PA (Stockdale Family Medical Center)
• Dewitt Medical District (Stockdale Residence and Rehabilitation Center)
• James Scott Dukas, MPAS, P.A.-C
• Dunn Pharmacy Inc.

• Skilled Nursing Facility in Stockdale, TX
• Providers in Stockdale, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.