CALDWELL I ENTERPRISES, LLC (NPI# 1750529913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750529913 |
| Entity Type | Organization |
| Organization Name | CALDWELL I ENTERPRISES, LLC |
| Other Organization Name | COPPERAS HOLLOW ASSISTED LIVING |
| Practice Address |
343 Country Club Dr Caldwell TX 77836 |
| Practice Telephone | 9795676400 |
| Practice Fax Number | 9795676434 |
| Mailing Telephone | 9795676400 |
| Mailing Fax Number | 9795676434 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Copperas Hollow Assisted Living | Doing Business As Name - Organization |
| Street Address |
343 COUNTRY CLUB DR |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042578 | Nevah Marie Evans | Physical Therapy Assistant | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2018-08-09 |
| 1720469513 | Copperas Al Operator LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2015-06-17 |
| 1538403001 | The Copperas Hollow, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2012-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| 1538596705 | Burleson County Family Medicine Pllc | Clinic/Center | 1012 Woodson Dr, Caldwell, TX 77836-1000 | 2013-10-03 |
| Find all providers in zip 77836 | ||||
| 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 |
|---|---|---|---|---|
| 1891319141 | Grace At Caldwell LLC | Assisted Living Facility | 518 N 21st Ave, Caldwell, ID 83605-4368 | 2020-06-02 |
| 1871788463 | Assisted Living Concepts Inc | Assisted Living Facility | 917 Ustick Road, Caldwell, ID 83605 | 2007-09-07 |
| 1497882658 | Caldwell Ventures LLC | Assisted Living Facility | 200 W Beech St, Caldwell, ID 83605-5692 | 2007-02-27 |
| 1548363500 | Goodrick Home Care | Assisted Living Facility | 510 N Osage St, Caldwell, KS 67022-1138 | 2006-09-06 |
| 1720469513 | Copperas Al Operator LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2015-06-17 |
| 1538403001 | The Copperas Hollow, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2012-11-21 |
| 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 | ||||
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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.