Cy-Fair Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

135787 Issued in TX

Legal business name

CY-FAIR MEMORY CARE, LLC

Practice address

17801 West Rd
Houston, TX 77095-5566

Phone

(281) 861-2590

Fax

(281) 861-2591

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Cy-Fair Doing business as

Locations

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1730426701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 WEST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955566",
            "telephone_number": "281-861-2590",
            "fax_number": "281-861-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY-FAIR MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "135787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Cy-Fair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cy-Fair Dental Care
• Cy-Fair Medical Center Hospital, LLC
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• Cy-Fair Operations, LLC
• Cy-Fair Pain Intervention
• Cy-Fair Volunteer Fire Department
• Cy-Pain & Spine Institute PLLC

• Assisted Living Facility in Houston, TX
• Providers in Houston, 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 Jan 11, 2013; 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.