University Village Memory Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104858 Issued in TX

Legal business name

UNIVERSITY VILLAGE MEMORY CARE

Practice address

4701 Campus Village Dr
Round Rock, TX 78665-1122

Phone

(512) 248-2222

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Loree Tamayo

Title

Ceo Management Company

Phone

(210) 326-6662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1790100436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CAMPUS VILLAGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CAMPUS VILLAGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651122",
            "telephone_number": "512-248-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY VILLAGE MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "CEO MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "210-326-6662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Round Rock, TX
• Providers in Round Rock, 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 4, 2014; 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.