ASSISTED LIVING CONCEPTS INC (NPI# 1225154826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225154826 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING CONCEPTS INC |
| Other Organization Name | LAKEWELL HOUSE |
| Practice Address |
3005 Ne 2nd Street Mineral Wells TX 79065 |
| Mailing Address |
111 W Michigan Street 9th Floor Milwaukee WI 53203 |
| Practice Telephone | 9403257979 |
| Practice Fax Number | 9403280699 |
| Mailing Telephone | 4149088800 |
| Mailing Fax Number | 4149088212 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER) |
| Authorized Official Telephone | 4149088800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 000672 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakewell House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002466 | Assisted Living Concepts Inc | Assisted Living Facility | 440 Tribble Gap Road, Cumming, GA 30144 | 2008-05-07 |
| 1083880272 | Assisted Living Concepts Inc | Assisted Living Facility | 7475 Country Club Drive, Golden Valley, MN 55427 | 2008-05-07 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
| 1558534396 | Assisted Living Concepts Inc | Assisted Living Facility | 1160 Whitlock Avenue, Marietta, GA 30064 | 2008-04-11 |
| 1386817120 | Assisted Living Concepts Inc | Assisted Living Facility | 1300 West Waugh Street, Dalton, GA 30720-3434 | 2008-04-11 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1487827226 | Assisted Living Concepts Inc | Assisted Living Facility | 3250 Quick Water Landing, Kennesaw, GA 30144 | 2008-04-11 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| 1659560514 | Assisted Living Concepts Inc | Assisted Living Facility | 2301 North Brook, Mckinney, TX 75069 | 2007-10-17 |
| Street Address |
3005 NE 2ND STREET |
| City | MINERAL WELLS |
| State | TX |
| Zip Code | 79065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
| 1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
| 1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
| 1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
| 1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
| 1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
| 1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
| 1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
| 1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
| 1548884562 | Michael Nmn Follis | Nurse Anesthetist, Certified Registered | 1 Medical Plaza, Pampa, TX 79065 | 2020-06-05 |
| Find all providers in zip 79065 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487993374 | Serenity Estates LLC | Assisted Living Facility | 401 Nw 4th St, Mineral Wells, TX 76067-4814 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | MINERAL WELLS |
| Zip Code | 79065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.