Eastland Assisted Living Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

123872 Issued in TX

Legal business name

EASTLAND ASSISTED LIVING CORPORATION

Practice address

125 Inspiration Blvd
Eastland, TX 76448-5513

Phone

(254) 629-1001

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Brad Stephenson

Title

President

Phone

(254) 629-8400

Specialties & licenses 1

Addresses

Other names 1

• The Woodlands Assisted Living Doing business as

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1891950390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INSPIRATION BLVD",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764485513",
            "telephone_number": "254-629-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INSPIRATION BLVD",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764485513",
            "telephone_number": "254-629-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND ASSISTED LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-629-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "123872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woodlands Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Ray Cunningham, D.O.
• Robert Charles Deluca, D.O.
• Valerie Kai Deluca, D.O.
• Roberto John Denny, FNP, APRN
• Doc'S Drugstore of Eastland Inc
• Eastland Chiropractic Wellness Center PA
• Eastland Dental PLLC
• Eastland Dialysis Center, LLC
• Eastland Drug Company Incorporated
• Eastland Health Clinic PLLC

• All providers in Eastland, TX
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.