Provider Type Icon

ADVANCED LIVING TECHNOLOGIES INC NPI 1962626432


NPI Information

NPI: 1962626432
Provider Name: ADVANCED LIVING TECHNOLOGIES INC

Doing Business As: COUNTRY CAREPLEX

Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
1181 N WILLIAMSON ST
GIDDINGS, TX
ZIP 78942
Phone: (979) 542-3611
Get Directions

ADVANCED LIVING TECHNOLOGIES INC is a nursing care and pediatric skilled nursing facility in Giddings, TX. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ADVANCED LIVING TECHNOLOGIES INC NPI is 1962626432. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Careplex.

The provider's business location address is:

1181 N WILLIAMSON ST
GIDDINGS, TX
ZIP 78942-213
Phone: (979) 542-3611
Fax: (979) 542-1365

The provider's authorized official is Paul Gray .
The authorized official title is President and has the following contact phone number (512) 345-0700.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 11/2/2012.


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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric117933TEXASYes

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
1675564MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2000477503MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.