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KGC OPERATOR INC. NPI 1700942984


NPI Information

NPI: 1700942984
Provider Name: KGC OPERATOR, INC.

Doing Business As: BROOKDALE DENTON SOUTH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2195538

Address:
2525 LILLIAN MILLER PKWY
DENTON, TX
ZIP 76210
Phone: (940) 320-1926
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KGC OPERATOR, INC. is an assisted living facility in Denton, 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. KGC OPERATOR, INC. NPI is 1700942984. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Denton South.

The provider's business location address is:

2525 LILLIAN MILLER PKWY
DENTON, TX
ZIP 76210-945
Phone: (940) 320-1926
Fax: (940) 566-1360

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 45D2195538 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/19/2020.


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 FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F500229370MEDICAIDTEXAS

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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