Telesis-Autumn Leaves I, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000108 Issued in TX

Legal business name

TELESIS-AUTUMN LEAVES I, LTD

Practice address

1010 Emerald Isle Dr
Dallas, TX 75218-3980

Phone

(214) 328-4161

Fax

(214) 319-9184

NPI assigned

Jul 21, 2005

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Betty Y. Janko

Title

Secretary

Phone

(214) 826-6870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1922008838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EMERALD ISLE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183980",
            "telephone_number": "214-328-4161",
            "fax_number": "214-319-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EMERALD ISLE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183980",
            "telephone_number": "214-328-4161",
            "fax_number": "214-319-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESIS-AUTUMN LEAVES I, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "JANKO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "214-826-6870",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.