Carlyle Health Care Center LTD Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARLYLE HEALTH CARE CENTER LTD CO

Practice address

170 Stonebridge LN
Southlake, TX 76092-0306

Phone

(214) 954-4114

Fax

(214) 871-3057

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Robin Underhill

Title

Chief Executive Officer

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Carlyle at Stonebridge Park Doing business as

Locations

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1811224264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 STONEBRIDGE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920306",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE HEALTH CARE CENTER LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-954-4114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018031",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carlyle at Stonebridge Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol Peak Surgical Services PLLC
• Care X International Enterprises LLC
• Stacy Lee Carey
• Jacob Carlson, MD
• Rose L Carlson, OTR/L
• Amanda Brooke Carnes, LPC
• Courtney Carr, PT, DPT
• Clarisvel Carranco
• Thomas M Carrell, MD
• Benjamin Carroll, PT, DPT

• Skilled Nursing Facility in Southlake, TX
• Providers in Southlake, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.