Cissy's Elderly Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CISSY'S ELDERLY LIVING

Doing business as

Cissy's Elderly Living

Practice address

2112 Andover St
Fort Worth, TX 76114-1848

Phone

(305) 363-9635

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By 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. Christina Alexandria Reid

Title

Owner

Phone

(305) 363-9635

Specialties & licenses 1

Addresses

Other names 1

• Cissy's Elderly Living Doing business as

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1942041785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BIG SANDY LN",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462919",
            "telephone_number": "305-363-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 ANDOVER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141848",
            "telephone_number": "305-363-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISSY'S ELDERLY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-363-9635",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cissy's Elderly Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Worth, TX
• Providers in Fort Worth, 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 Jun 5, 2024; 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.