ASSISTED LIVING CONCEPTS INC (NPI# 1083730683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083730683 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING CONCEPTS INC |
| Other Organization Name | LAKELAND HOUSE |
| Practice Address |
213 Cayuga Drive Athens TX 75751 |
| Mailing Address |
111 W Michigan Street 9th Floor Milwaukee WI 53203 |
| Practice Telephone | 9036771272 |
| Practice Fax Number | 9036774824 |
| Mailing Telephone | 4149088800 |
| Mailing Fax Number | 4149088212 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER) |
| Authorized Official Telephone | 4149088800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 000984 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakeland House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002466 | Assisted Living Concepts Inc | Assisted Living Facility | 440 Tribble Gap Road, Cumming, GA 30144 | 2008-05-07 |
| 1083880272 | Assisted Living Concepts Inc | Assisted Living Facility | 7475 Country Club Drive, Golden Valley, MN 55427 | 2008-05-07 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
| 1558534396 | Assisted Living Concepts Inc | Assisted Living Facility | 1160 Whitlock Avenue, Marietta, GA 30064 | 2008-04-11 |
| 1386817120 | Assisted Living Concepts Inc | Assisted Living Facility | 1300 West Waugh Street, Dalton, GA 30720-3434 | 2008-04-11 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1487827226 | Assisted Living Concepts Inc | Assisted Living Facility | 3250 Quick Water Landing, Kennesaw, GA 30144 | 2008-04-11 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| 1659560514 | Assisted Living Concepts Inc | Assisted Living Facility | 2301 North Brook, Mckinney, TX 75069 | 2007-10-17 |
| Street Address |
213 CAYUGA DRIVE |
| City | ATHENS |
| State | TX |
| Zip Code | 75751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1255425039 | Ronald Dwayne Cates | Internal Medicine | 704 S Palestine, Athens, TX 75751 | 2006-10-03 |
| Find all providers in zip 75751 | ||||
| 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 |
|---|---|---|---|---|
| 1730547241 | Csl 2015 Athens LLC | Assisted Living Facility | 413 Gibson Rd, Athens, TX 75751-5750 | 2016-01-29 |
| 1972641868 | Mhp Partnership, Ltd | Assisted Living Facility | 603 Wood St, Athens, TX 75751-4621 | 2007-02-02 |
| 1972542751 | Morningside of Athens, Limited Partnership | Assisted Living Facility | 1291 Cedar Shoals Dr, Athens, GA 30605-3509 | 2006-06-06 |
| 1164481040 | Whispering Pines Assisted Living Facility, LLC | Assisted Living Facility | 110 E Paces Dr, Athens, GA 30605-5217 | 2006-03-21 |
| 1093784043 | Whispering Pines Assisted Living Facility, LLC | Assisted Living Facility | 100 E Paces Dr, Athens, GA 30605-5217 | 2006-03-14 |
| 1457328890 | Davis Long Term Care Group Inc | Assisted Living Facility | 212 Fox Hill Rd, Athens, ME 04912-4719 | 2006-03-03 |
| 1023665130 | Snh Georgia Tenant LLC | Assisted Living Facility | 1291 Cedar Shoals Dr, Athens, GA 30605-3509 | 2019-08-22 |
| 1518492081 | Athenian Living, LLC | Assisted Living Facility | 716 Caroline St, Athens, WI 54411-9386 | 2017-04-21 |
| 1841481223 | Home Sweet Home of Athens | Assisted Living Facility | 71 2nd St, Athens, NY 12015-1024 | 2007-08-09 |
| 1477764009 | Davis Long Term Care Group Inc | Assisted Living Facility | 212 Fox Hill Rd, Athens, ME 04912-4719 | 2007-05-25 |
| Find all providers in ATHENS | ||||
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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.