Nic 4 Courtyards of New Bern Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL025024 Issued in NC

Legal business name

NIC 4 COURTYARDS OF NEW BERN LEASING LLC

Practice address

2901 Dallas Pkwy
Suite 380
Plano, TX 75093-5980

Phone

(469) 304-5029

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Falkowski

Title

President/Ceo

Phone

(469) 304-5029

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Courtyards at Berne Village Doing business as

Tax ID family

Nic 4 Courtyards of New Bern Leasing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nic 4 Courtyards of New Bern Leasing LLC

  • Assisted Living Facility
  • Plano, TX
  • NPI 1326483876
  NPD tax ID

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1801230545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DALLAS PKWY",
            "address_2": "SUITE 380",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935980",
            "telephone_number": "469-304-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DALLAS PKWY",
            "address_2": "SUITE 380",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935980",
            "telephone_number": "469-304-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 COURTYARDS OF NEW BERN LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "FALKOWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "469-304-5029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL025024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805631",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyards at Berne Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Ngoc-Thuy Nhan, OD
• Jing Ni
• Reshma Nibu
• Nic 10 Barkley Place Leasing LLC
• Nic 4 Courtyards of New Bern Leasing LLC
• Jesse Nichols, DC
• Cynthia Elizabeth Nicholson-Guidry, FNP
• Sandra Nicholson-Harned
• William D Nicholson IV, MD
• William Henry Nicholson, DDS

• Assisted Living Facility in Plano, TX
• Providers in Plano, 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 Oct 25, 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.