Esplanade Gardens Senior Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

030364 Issued in TX

Legal business name

ESPLANADE GARDENS SENIOR INC

Practice address

10790 Toepperwein Rd
Converse, TX 78109-2441

Phone

(210) 566-7600

Fax

(210) 566-7605

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Anna C Diaz -Peterson

Title

Campus Director

Phone

(210) 566-7600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1801133152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 TOEPPERWEIN RD",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092441",
            "telephone_number": "210-566-7600",
            "fax_number": "210-566-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10790 TOEPPERWEIN RD",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092441",
            "telephone_number": "210-566-7600",
            "fax_number": "210-566-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPLANADE GARDENS SENIOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ -PETERSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CAMPUS DIRECTOR",
        "authorized_official_telephone_number": "210-566-7600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TX",
            "license": "030364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Converse, TX
• Providers in Converse, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.