ELDORADO WEST SENIOR LIVING (NPI# 1598314619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598314619 |
| Entity Type | Organization |
| Organization Name | ELDORADO WEST SENIOR LIVING |
| Practice Address |
3051 W Eldorado Pkwy Little Elm TX 75068-3537 |
| Mailing Address |
6628 Myrtle Beach Dr Plano TX 75093-6302 |
| Practice Telephone | 4697773151 |
| Practice Fax Number | 9723075385 |
| Mailing Telephone | 2147181120 |
| Mailing Fax Number | 9723075385 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | CHAN YOUNG PARK (MANAGER) |
| Authorized Official Telephone | 2147181120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
3051 W ELDORADO PKWY |
| City | LITTLE ELM |
| State | TX |
| Zip Code | 75068-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1275178865 | A Gud Dentist, Pllc | Clinic/Center | 3010 Fm 423, #100, Little Elm, TX 75068 | 2019-11-07 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1447813183 | Adisy Senior Care | In Home Supportive Care | 1036 Ponderosa Ridge, Little Elm, TX 75068 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1205390382 | Catherine Mary Belyan | Specialist/Technologist, Other | 916 Rivers Creek Ln, Little Elm, TX 75068 | 2019-01-23 |
| 1851884407 | Peak Physical Therapy, LLC | Occupational Therapist | 2765 E Eldorado Pkwy Ste 210, Little Elm, TX 75068 | 2018-06-08 |
| 1134637119 | Kidzania Dental, LLC | Dentist | 26785 E. University Dr, St. 102, Aubrey, TX 75068 | 2018-01-12 |
| 1598289225 | Joshua Allen Nannen | Chiropractor | 900 Snowbird Dr, Little Elm, TX 75068 | 2017-08-03 |
| 1205381076 | Ka Park | Dentist | 1000 E Eldorado Pkwy #130, Little Elm, TX 75068 | 2016-08-22 |
| Find all providers in zip 75068 | ||||
| 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 |
| 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 |
| 1508315177 | W.a.i.t (we're In This Together) | Assisted Living Facility | 18383 Gallery Dr, Dallas, TX 75252-7930 | 2016-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ELM |
| Zip Code | 75068 |
Please comment or provide details below to improve the information on ELDORADO WEST SENIOR LIVING.
| 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.