Caldwell I Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CALDWELL I ENTERPRISES, LLC

Doing business as

Copperas Hollow Assisted Living

Practice address

343 Country Club Dr
Caldwell, TX 77836

Phone

(979) 567-6400

Fax

(979) 567-6434

NPI assigned

Jan 27, 2009

Last updated

Mar 31, 2009By 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

Gary Blake

Title

Managing Member

Phone

(817) 348-8841

Specialties & licenses 1

Addresses

Other names 1

• Copperas Hollow Assisted Living Doing business as

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1750529913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 COUNTRY CLUB DR",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "77836",
            "telephone_number": "979-567-6400",
            "fax_number": "979-567-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 COUNTRY CLUB DR",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "77836",
            "telephone_number": "979-567-6400",
            "fax_number": "979-567-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-348-8841"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copperas Hollow Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burleson Lease Corp
• Burleson St. Joseph Health Center of Caldwell, Texas
• Burleson St. Joseph Health Center of Caldwell, Texas
• Burleson St. Joseph Manor
• Sherri Busby, OTA
• Caldwell II Enterprises, LLC (Copperas Hollow Nursing & Rehabilitation Center)
• Caldwell Isd
• Caldwell IV Enterprises, LLC (Copperas Hollow Assited Living)
• Caldwell Nursing and Rehab Center (Copperas Hollow Nursing and Rehab Center)
• Karla Gail Chaloupka, RRT

• Assisted Living Facility in Caldwell, TX
• Providers in Caldwell, 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 Mar 31, 2009; 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.