Ccal 2013 Re, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

050648 Issued in TX

Legal business name

CCAL 2013 RE, LLC

Practice address

711 Matador LN
Mesquite, TX 75149-8830

Phone

(972) 285-9800

Fax

(972) 285-9134

NPI assigned

Jan 8, 2014

Organization subpart

No

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

Authorized official

Name

Lawrence Powell

Title

Manager

Phone

(817) 386-8888

Specialties & licenses 1

Addresses

Other names 1

• CAMBRIDGE COURT ASSISTED LIVING AND MEMORY CARE Doing business as

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1922420132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HULEN ST",
            "address_2": "SUITE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077202",
            "telephone_number": "817-386-8888",
            "fax_number": "817-386-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MATADOR LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498830",
            "telephone_number": "972-285-9800",
            "fax_number": "972-285-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCAL 2013 RE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-386-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "050648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMBRIDGE COURT ASSISTED LIVING AND MEMORY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cary Tanamachi, M.D. Assoc.
• Wendy Houston Cassella, P.T.
• Eduard Michel Castagnet, MA
• Hector J Castro, MD
• Roletha Lashell Cathy, LCSW
• CCC Hospice LLC
• Centric Family Clinic LLC
• Centric Home Healthcare Inc
• Centro Medico Integral Hispano LLC
• Centrum Medical Group PLLC

• Assisted Living Facility in Mesquite, TX
• Providers in Mesquite, 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 Jan 8, 2014; 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.