Organization Active NPI

Roslyns Senior Lifestyle Center LLC

  • Nursing Home Administrator
  • Katy, TX
National Provider Identifier
1952909616
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
ROSLYNS SENIOR LIFESTYLE CENTER LLC
Practice address
21040 Highland Knolls Dr Ste 200-437
Katy, TX 77450-1570
Phone
(346) 239-9676
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Adriane Anderson
Title
Ceo
Phone
(346) 239-9676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

21040 Highland Knolls Dr Ste 200-437
Katy, TX 77450-1570

Mailing address

21040 Highland Knolls Dr Ste 200-437
Katy, TX 77450-1570
Phone (346) 239-9676

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL $2RsLLA* Direct

National Provider Directory

National Provider Directory

Locations

21040 Highland Knolls Dr
Ste 200437
Katy, TX 77450
Phone (346) 239-9676

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1952909616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21040 HIGHLAND KNOLLS DR STE 200-437",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501570",
            "telephone_number": "346-239-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 HIGHLAND KNOLLS DR STE 200-437",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501570",
            "telephone_number": "346-239-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLYNS SENIOR LIFESTYLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-239-9676"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "$2RsLLA*",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21040 Highland Knolls Dr Ste 200-437",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774501570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.