KILGORE AL MANAGEMENT LLC (NPI# 1346608700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346608700 |
| Entity Type | Organization |
| Organization Name | KILGORE AL MANAGEMENT LLC |
| Other Organization Name | ARABELLA OF KILGORE |
| Practice Address |
2103 Chandler St Kilgore TX 75662-3741 |
| Mailing Address |
3973 W Vickery Blvd Fort Worth TX 76107-6492 |
| Practice Telephone | 9039848839 |
| Mailing Telephone | 8173868888 |
| Mailing Fax Number | 8173868324 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | LAWRENCE WAYNE POWELL JR. (PRESIDENT) |
| Authorized Official Telephone | 8173868888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 103201 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Arabella of Kilgore | Doing Business As Name - Organization |
| Street Address |
2103 CHANDLER ST |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891817094 | Country Place Village I Lp | Assisted Living Facility | 2103 Chandler St, Kilgore, TX 75662-3741 | 2007-04-06 |
| 1588121958 | Kal 2016, LLC | Assisted Living Facility | 2103 Chandler St, Kilgore, TX 75662-3741 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| 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 |
|---|---|---|---|---|
| 1891817094 | Country Place Village I Lp | Assisted Living Facility | 2103 Chandler St, Kilgore, TX 75662-3741 | 2007-04-06 |
| 1588121958 | Kal 2016, LLC | Assisted Living Facility | 2103 Chandler St, Kilgore, TX 75662-3741 | 2019-02-21 |
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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.