CY-FAIR MEMORY CARE, LLC (NPI# 1730426701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730426701 |
| Entity Type | Organization |
| Organization Name | CY-FAIR MEMORY CARE, LLC |
| Other Organization Name | AUTUMN LEAVES OF CY-FAIR |
| Practice Address |
17801 West Rd Houston TX 77095-5566 |
| Mailing Address |
545 E John Carpenter Fwy Suite 500 Irving TX 75062-3931 |
| Practice Telephone | 2818612590 |
| Practice Fax Number | 2818612591 |
| Mailing Telephone | 2148454500 |
| Mailing Fax Number | 2148454501 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | MR. CHAD ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 2148454500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 135787 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Autumn Leaves of Cy-Fair | Doing Business As Name - Organization |
| Street Address |
17801 WEST RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77095-5566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134676 | Ml - Easton Commons LLC | Skilled Nursing Facility | 8561 Easton Commons Dr, Houston, TX 77095 | 2019-10-02 |
| 1821554437 | Northwest Dental Care Pllc | Dentist | 7700 Highway 6 North, Suite 106, Houston, TX 77095 | 2019-02-19 |
| 1306313945 | Jessica Jane Holly | Speech-Language Pathologist | 9010 Gable Glen Ln, Houston, TX 77095 | 2018-11-01 |
| 1952887341 | Kimberly Dawn Hanchett | Social Worker | 10027 Corvallis Dr, Houston, TX 77095 | 2018-07-18 |
| 1558879627 | Amy Lee Lundblad | Occupational Therapy Assistant | 17207 Haley Falls Lane, Houston, TX 77095 | 2018-01-11 |
| 1568971992 | St.agnes Adult Day Care LLC | Clinic/Center | 7520-b Cherry Park Drive, Houston, TX 77095 | 2017-09-28 |
| 1164947628 | Jcl Heintz Corporation | In Home Supportive Care | 9538 Huffmeister Rd, Houston, TX 77095 | 2017-08-06 |
| 1528592243 | Berta Mariam Charly | Nurse Practitioner | 9411 Vander Rock Dr., Houston, TX 77095 | 2017-04-19 |
| 1336520691 | Kisha Kloster | Marriage & Family Therapist | 7825 Highway 6 N Ste D, Houston, TX 77095 | 2015-06-12 |
| 1457743262 | Qkt Enterprises Pllc | Dentist | 7160 Barker Cypress, Suite E, Katy, TX 77095 | 2015-03-03 |
| Find all providers in zip 77095 | ||||
| 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 |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| 1033737556 | Genoa Senior Inc | Assisted Living Facility | 12809 Almeda Genoa Rd, Houston, TX 77034-4637 | 2020-07-10 |
| 1891313870 | William Andrew Miller Jr. | Assisted Living Facility | 9715 Beckwood Post Dr, Houston, TX 77095-5077 | 2020-07-07 |
| 1700400405 | Carewood Home LLC | Assisted Living Facility | 15526 Empanada Dr, Houston, TX 77083-4033 | 2020-05-29 |
| 1811518863 | Heavenly Manor Assisted Living LLC | Assisted Living Facility | 12802 Leitrim Way, Houston, TX 77047-3726 | 2020-04-30 |
| 1740814185 | Above All Needs LLC | Assisted Living Facility | 13423 Country Path Way, Houston, TX 77038-2448 | 2020-02-25 |
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1750920914 | Home of Blessing | Assisted Living Facility | 13346 Silverglen Run Trl, Houston, TX 77014-2225 | 2020-01-04 |
| 1083253066 | Okechukwu James Agbasiele | Assisted Living Facility | 9001 S Braeswood Blvd Apt 506, Houston, TX 77074-2328 | 2019-12-23 |
| Find all providers in HOUSTON | ||||
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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.