Organization Active NPI

Kenneth Beason Alvis House

  • Assisted Living Facility
  • Rochester, TX
National Provider Identifier
1871630459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KENNETH BEASON ALVIS HOUSE
Practice address
805 Carothers Ave
Rochester, TX 79544-2001
Phone
(970) 742-4159
NPI assigned
Jan 31, 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
Kenneth Beason
Title
Owner Operator
Phone
(940) 742-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

805 Carothers Ave
Rochester, TX 79544-2001

Mailing address

705 Carothers Ave
Rochester, TX 79544-2003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871630459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CAROTHERS AVE",
            "city": "ROCHESTER",
            "state": "TX",
            "postal_code": "795442003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CAROTHERS AVE",
            "city": "ROCHESTER",
            "state": "TX",
            "postal_code": "795442001",
            "telephone_number": "970-742-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH BEASON ALVIS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEASON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "940-742-4159"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, 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.