Organization Active NPI

Lenrose Place

  • Assisted Living Facility
  • Beaumont, TX
National Provider Identifier
1851509632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
119564 Issued in TX
Legal business name
LENROSE PLACE
Practice address
5395 Rose LN
Beaumont, TX 77708-2911
Phone
(409) 347-2497
Fax
(409) 892-4199
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Reynaldo Cruz Medina
Title
Manager
Phone
(409) 363-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 119564 TX Primary

Addresses

Primary practice location

5395 Rose LN
Beaumont, TX 77708-2911

Mailing address

5395 Rose LN
Beaumont, TX 77708-2911
Phone (409) 347-2497

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851509632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 ROSE LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082911",
            "telephone_number": "409-347-2497",
            "fax_number": "409-892-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 ROSE LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082911",
            "telephone_number": "409-347-2497",
            "fax_number": "409-892-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENROSE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-363-4171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.