WCG Arbor Place Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WCG ARBOR PLACE ASSISTED LIVING, LLC

Doing business as

Arbor Place Assisted Living

Practice address

1200 Kilgore Dr
Henderson, TX 75652-5132

Phone

(903) 657-1923

Fax

(903) 657-6764

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Jeff Miller

Title

Owner

Phone

(903) 657-1923

Specialties & licenses 1

Addresses

Other names 1

• Arbor Place Assisted Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi C Malone, FNP-C

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1679855308
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1962635334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1061",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756531061",
            "telephone_number": "903-657-1923",
            "fax_number": "903-657-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KILGORE DR",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525132",
            "telephone_number": "903-657-1923",
            "fax_number": "903-657-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCG ARBOR PLACE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-657-1923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Jean Vinson, LPC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0165)
• Wal-Mart Stores Texas, LP (Vision Center 30-0165)
• Upali Sanath Walgama, MD
• Walgreen Co (Walgreens #11212)
• WCG Henderson Home Health Care Supply LLC (Henderson Home Care Supply)
• Brett Weaver, LPC
• J Robert Wells, D.D.S.
• Jerry C Wheeler, CRNA
• Shanice White

• Assisted Living Facility in Henderson, TX
• Providers in Henderson, 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 Sep 1, 2009; 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.