THE LODGE ASSISTED LIVING/MEMORY CARE (NPI# 1366828972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366828972 |
| Entity Type | Organization |
| Organization Name | THE LODGE ASSISTED LIVING/MEMORY CARE |
| Practice Address |
1880 W 16th St Mt Pleasant TX 75455 |
| Practice Telephone | 9035759896 |
| Practice Fax Number | 9035759064 |
| Mailing Telephone | 9035759896 |
| Mailing Fax Number | 9035759064 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | DR. SHEELA SINGAPERUMAL (OWNER) |
| Authorized Official Telephone | 9035759896 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
142096 | TX | Nursing & Custodial Care Facilities |
| Street Address |
1880 W 16TH ST |
| City | MT PLEASANT |
| State | TX |
| Zip Code | 75455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| 1003125162 | Chhs, Inc. | Home Health | 1002 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2010-10-06 |
| Find all providers in zip 75455 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275473 | Aedel Global Health Services LLC | Assisted Living Facility | 2824 Pino, Grand Prairie, TX 75054-0108 | 2020-08-13 |
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1487204939 | Steven Ryans | Assisted Living Facility | 12547 Chalmette St, Houston, TX 77015-3335 | 2019-09-17 |
| 1598314619 | Eldorado West Senior Living | Assisted Living Facility | 3051 W Eldorado Pkwy, Little Elm, TX 75068-3537 | 2019-09-11 |
| 1215598800 | Sonnet Sherice Smith | Assisted Living Facility | 4926 Teton St, Houston, TX 77033-3531 | 2019-06-25 |
| 1700343902 | Tutu Family Services | Assisted Living Facility | 6508 Jensen Dr, Houston, TX 77026-1123 | 2019-02-23 |
| 1740756865 | Olufemi Olajide Aridegbe | Assisted Living Facility | 4509 Marlboro Dr, Abilene, TX 79606-5472 | 2018-10-16 |
| 1316412620 | Olajumoke Olayinka Aridegbe I | Assisted Living Facility | 2016 S Clack St Apt 245, Abilene, TX 79606-1449 | 2018-10-12 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1447740170 | Comfort Care Services Inc. | Assisted Living Facility | 15006 Brookwood Bridge Lane, Sugar Land, TX 77498 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 75455 |
Please comment or provide details below to improve the information on THE LODGE ASSISTED LIVING/MEMORY CARE.
| 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.