Tex Tail, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8925 Issued in FL

Legal business name

TEX TAIL, INC.

Doing business as

Country Manor Assisted Living

Practice address

2806 W Sam Allen Rd
Plant City, FL 33565-5518

Phone

(813) 719-3548

Fax

(813) 759-9513

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

Jeanne Mae Stearns

Title

Administrator/Owner

Phone

(813) 719-3548

Specialties & licenses 1

Addresses

Other names 1

• Country Manor Assisted Living Doing business as

Locations

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": "1952723157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W SAM ALLEN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655518",
            "telephone_number": "813-719-3548",
            "fax_number": "813-759-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W SAM ALLEN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655518",
            "telephone_number": "813-719-3548",
            "fax_number": "813-759-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEX TAIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "813-719-3548"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Assisted Living Facility in Florida

• 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.