Longview II Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

117173 Issued in TX

Legal business name

LONGVIEW II ENTERPRISES, LLC

Practice address

3102 Gilmer Rd
A
Longview, TX 75604-1439

Phone

(903) 295-1711

Fax

(903) 297-0904

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Gary Blake

Title

Managing Member

Phone

(817) 832-3654

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Songbird Assisted Living A Doing business as

Tax ID family

Longview II Enterprises 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.

• Longview II Enterprises, LLC

  • Assisted Living Facility
  • Longview, TX
  • NPI 1225195068
  NPD tax ID

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1861559841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 GILMER RD",
            "address_2": "A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041439",
            "telephone_number": "903-295-1711",
            "fax_number": "903-297-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 GILMER RD",
            "address_2": "A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041439",
            "telephone_number": "903-295-1711",
            "fax_number": "903-297-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW II ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-832-3654"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "117173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Songbird Assisted Living A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Longview Family and Emergancy Dental Care PLLC
• Longview Family Dental
• Longview Family Dental II
• Longview Family Physical Therapy LLC
• Longview II Enterprises, LLC
• Longview III Enterprises, LLC
• Longview Integrated Medicine PLLC
• Longview Internal Medicine Physicians PLLC
• Longview Internal Medicine PLLC
• Longview Isd

• Assisted Living Facility in Longview, TX
• Providers in Longview, 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 31, 2007; 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.