ALZCARE WACO, LLC (NPI# 1376903096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376903096 |
| Entity Type | Organization |
| Organization Name | ALZCARE WACO, LLC |
| Other Organization Name | SODALIS ELDER LIVING |
| Practice Address |
4308 N 19th St Waco TX 76708-1143 |
| Mailing Address |
195 S Academy Ave New Braunfels TX 78130-5607 |
| Practice Telephone | 2541521008 |
| Practice Fax Number | 2547523929 |
| Mailing Telephone | 8306241044 |
| Mailing Fax Number | 8306294884 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | SHAWN CORZINE (CEO) |
| Authorized Official Telephone | 8306241044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 103448 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sodalis Elder Living | Doing Business As Name - Organization |
| Street Address |
4308 N 19TH ST |
| City | WACO |
| State | TX |
| Zip Code | 76708-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253303 | Sears Brazos Retirement Corporation | Alzheimer Center (Dementia Center) | 1700 Woodgate Dr, Waco, TX 76712-8600 | 2005-11-26 |
| 1477838340 | Wesley Woods Healthcare Center, Inc. | Alzheimer Center (Dementia Center) | 1700 Woodgate Dr, Waco, TX 76712-8600 | 2011-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584642 | Village Care Homes, LLC | Alzheimer Center (Dementia Center) | 414 Stephen F Austin Dr, Conroe, TX 77302-3140 | 2019-12-05 |
| 1255873907 | Ladybirds Senior Care Home LLC | Alzheimer Center (Dementia Center) | 4810 Aquagate Dr, Spring, TX 77373-4943 | 2016-11-11 |
| 1972051175 | Menox Care LLC | Alzheimer Center (Dementia Center) | 6922 Vialinda Dr, Houston, TX 77083-1155 | 2016-09-15 |
| 1154877975 | Faith Home Care Agency LLC | Alzheimer Center (Dementia Center) | 4003 Lake Brazos Ln, Richmond, TX 77406-8092 | 2016-08-31 |
| 1891145595 | Provident Memory Care Group, LLC | Alzheimer Center (Dementia Center) | 11013 Signal Hill Dr, Austin, TX 78737-2834 | 2016-06-14 |
| 1942660659 | Alzcare I, Ltd | Alzheimer Center (Dementia Center) | 550 Rock St, New Braunfels, TX 78130-4052 | 2016-02-24 |
| 1275993990 | Alzcare San Marcos, LLC | Alzheimer Center (Dementia Center) | 1001 Crepe Myrtle St, San Marcos, TX 78666-8201 | 2016-02-24 |
| 1477925626 | Go Operations 1 LLC | Alzheimer Center (Dementia Center) | 11777 Lebanon Road, Frisco, TX 75035 | 2015-10-28 |
| 1174908925 | Alzcare I Ltd | Alzheimer Center (Dementia Center) | 2728 Cottonwood Lane, Temple, TX 76502 | 2015-07-22 |
| 1619364965 | Huntington Creek Capital Vi, LLC | Alzheimer Center (Dementia Center) | 3000 Glacier Pass Lane, Cedar Park, TX 78613-7628 | 2015-04-23 |
| 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.