DOUBLE CREEK ASSISTED LIVING LP (NPI# 1407361561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407361561 |
| Entity Type | Organization |
| Organization Name | DOUBLE CREEK ASSISTED LIVING LP |
| Other Organization Name | DOUBLE CREEK ASSISTED LIVING AND MEMORY CARE |
| Practice Address |
3200 Louis Henna Blvd. Round Rock TX 78664 |
| Mailing Address |
777 Main St Ste 2300 Fort Worth TX 76102-5304 |
| Practice Telephone | 8173868888 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | SAM KUMAR (MANAGING MEMBER) |
| Authorized Official Telephone | 8173868888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 107007 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Double Creek Assisted Living and Memory Care | Doing Business As Name - Organization |
| Street Address |
3200 LOUIS HENNA BLVD. |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| 1811311558 | Wade Woytek | Chiropractor | 2601 Red Bud Lane, Round Rock, TX 78664 | 2014-02-18 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1215435441 | Hampton Senior Living LLC | Assisted Living Facility | 1905 Hampton Ln, Round Rock, TX 78664-8001 | 2018-01-23 |
| 1669693792 | Court At Round Rock Limited Partnership | Assisted Living Facility | 2700 Sunrise Road, Round Rock, TX 78664 | 2007-05-02 |
| 1932628237 | Donnika Christian | Assisted Living Facility | 1826 Rachel Ln, Round Rock, TX 78664-7455 | 2017-09-18 |
| 1043752199 | Abebe Estifanos Dba Saint Mary's Assisted Living Facility | Assisted Living Facility | 1826 Rachel Ln, Round Rock, TX 78664-7455 | 2016-11-07 |
| 1881086486 | Pm Management - Round Rock Al LLC | Assisted Living Facility | 7230 Wyoming Springs Dr, Round Rock, TX 78681-4319 | 2015-02-19 |
| 1790100436 | University Village Memory Care | Assisted Living Facility | 4701 Campus Village Dr, Round Rock, TX 78665-1122 | 2014-03-04 |
| 1104986652 | Pm Management-trinity Nc LLC | Assisted Living Facility | 100 College St, Round Rock, TX 78664-4415 | 2006-12-12 |
| 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 | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on DOUBLE CREEK ASSISTED LIVING LP.
| 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.