Colleyville Place Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

117168 Issued in TX

Legal business name

COLLEYVILLE PLACE ASSISTED LIVING

Practice address

5314 Bransford Rd
Colleyville, TX 76034-3530

Phone

(817) 427-2273

Fax

(817) 503-1960

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Patsy A Ray

Title

Administrator

Phone

(817) 427-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891846135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 BRANSFORD RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343530",
            "telephone_number": "817-427-2273",
            "fax_number": "817-503-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 BRANSFORD RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343530",
            "telephone_number": "817-427-2273",
            "fax_number": "817-503-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEYVILLE PLACE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-427-2273"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "117168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Colleyville, TX
• Providers in Colleyville, 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 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.