LADYBIRDS SENIOR CARE HOME LLC (NPI# 1255873907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255873907 |
| Entity Type | Organization |
| Organization Name | LADYBIRDS SENIOR CARE HOME LLC |
| Practice Address |
4810 Aquagate Dr Spring TX 77373-4943 |
| Practice Telephone | 7132699235 |
| Practice Fax Number | 8664233747 |
| Mailing Telephone | 7132699235 |
| Mailing Fax Number | 8664233747 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Authorized Official Name | CHRISTINA SIMMONS (OWNER) |
| Authorized Official Telephone | 7132699235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LADYBIRDS SENIOR CARE HOME LLC | 4810 Aquagate Drive, Spring, TX 77373-4943 |
| Street Address |
4810 AQUAGATE DR |
| City | SPRING |
| State | TX |
| Zip Code | 77373-4943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030664 | Patricia Dian Gonzalez | Counselor | 823 Liberty Springs Way, Spring, TX 77373 | 2019-06-04 |
| 1477025237 | 2020 Vision, Pllc | Optometrist | 25640 Kuykendahl Rd, Suite H, Spring, TX 77373 | 2018-12-18 |
| 1275014425 | Tamara Allen | Registered Nurse | 23442 Azalea Hill Trail, Spring, TX 77373 | 2018-08-26 |
| 1194233965 | Next Level Mv LLC | Clinic/Center | 25750 Kuykendahl Rd, Ste A, Spring, TX 77373 | 2018-01-16 |
| 1164935359 | Stephanie Gotcher | Obstetrics & Gynecology | 19740 I- 45 North, Spring, TX 77373 | 2017-11-09 |
| 1003338930 | Honor and Peace Assisted Living Pllc | Nursing Care | 25710 Long Hill Lane, Spring, TX 77373 | 2017-07-12 |
| 1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
| 1376926279 | Hklp,pllc | Dentist | 19380 I-45, Suite #110, Spring, TX 77373 | 2015-07-09 |
| 1316339062 | Beyond Eye Care Pllc | Preferred Provider Organization | 25510 Buffalo Springs Ct, Spring, TX 77373 | 2015-03-04 |
| 1386059814 | Britton Legacy Enterprises, Inc | Home Health | 26029 Aldine Westfield Rd Ste 206, Spring, TX 77373 | 2014-06-23 |
| Find all providers in zip 77373 | ||||
| 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 |
|---|---|---|---|---|
| 1396112173 | Bridgewood Village On Sc Trs, LLC | Assisted Living Facility | 20305 Holzwarth Rd, Spring, TX 77388-5582 | 2015-08-27 |
| 1427396910 | Just Divine Hands, LLC | Assisted Living Facility | 510 Enchanted Hollow Dr, Spring, TX 77388-6108 | 2013-01-18 |
| 1447523683 | Cypresswood Memory Care, LLC | Assisted Living Facility | 6327 Cypresswood Dr, Spring, TX 77379-8208 | 2012-02-20 |
| 1518235845 | Vicki Ann Webb | Assisted Living Facility | 16503 Pilgrims Cir, Spring, TX 77379-7250 | 2011-12-01 |
| 1114217866 | Dorian L Garcia | Assisted Living Facility | 22526 Millgate Dr, Spring, TX 77373-7298 | 2011-04-14 |
| 1295039139 | Atria Senior Living Group, Inc | Assisted Living Facility | 6611 Cypresswood Dr, Spring, TX 77379-7702 | 2011-01-07 |
| 1184640757 | Five Star Woodlands LLC | Assisted Living Facility | 5055 W Panther Creek Dr, Spring, TX 77381-3500 | 2006-07-15 |
| 1265099956 | Atbro LLC | Assisted Living Facility | 710 Shadowbrook Dr, Spring, TX 77380-2233 | 2019-05-29 |
| 1063757649 | Danielle Marie Ratcliffe | Assisted Living Facility | 9505 Northpointe Blvd, Spring, TX 77379 | 2012-12-07 |
| 1710140173 | The Village At Gleannloch Farms, Inc | Assisted Living Facility | 9505 Northpointe Blvd, Spring, TX 77379-3799 | 2008-07-07 |
| Find all providers in SPRING | ||||
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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.