Organization Active NPI

Memory Care Management, L.C.

  • Alzheimer Center (Dementia Center)
  • Belton, TX
National Provider Identifier
1790100915
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
MEMORY CARE MANAGEMENT, L.C.
Doing business as
Luvida Memory Care
Practice address
2400 Piazza Dr
Belton, TX 76513-4445
Phone
(254) 415-7609
Fax
(888) 389-4702
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mr. Wallace Vernon
Title
Owner
Phone
(254) 519-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

2400 Piazza Dr
Belton, TX 76513-4445

Mailing address

304 E Church Ave
Killeen, TX 76541-4843
Phone (254) 519-5804

Other names 1

  • Luvida Memory Care Doing business as

National Provider Directory

National Provider Directory

Locations

304 E Church Ave
Killeen, TX 76541

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1790100915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E CHURCH AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765414843",
            "telephone_number": "254-519-5804",
            "fax_number": "254-519-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PIAZZA DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134445",
            "telephone_number": "254-415-7609",
            "fax_number": "888-389-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY CARE MANAGEMENT, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-519-5801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luvida Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.