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PEARLAND MEMORY CARE LLC NPI 1073887196


NPI Information

NPI: 1073887196
Provider Name: PEARLAND MEMORY CARE, LLC

Doing Business As: AUTUMN LEAVES OF PEARLAND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
11200 DISCOVERY BAY DRIVE
PEARLAND, TX
ZIP 77584
Phone: (713) 436-3941
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PEARLAND MEMORY CARE, LLC is an assisted living facility in Pearland, TX. The provider is 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. PEARLAND MEMORY CARE, LLC NPI is 1073887196. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Leaves Of Pearland.

The provider's business location address is:

11200 DISCOVERY BAY DRIVE
PEARLAND, TX
ZIP 77584
Phone: (713) 436-3941
Fax: (713) 436-4159

The provider's authorized official is Chad Anderson .
The authorized official title is President and has the following contact phone number (214) 845-4500.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 3/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility104926TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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