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HAMPTONS 2016 LLC NPI 1982355996


NPI Information

NPI: 1982355996
Provider Name: HAMPTONS 2016, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2209140

Address:
4250 OLD OMEN RD
TYLER, TX
ZIP 75707
Phone: (904) 566-8931
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HAMPTONS 2016, LLC is an assisted living facility in Tyler, 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. HAMPTONS 2016, LLC NPI is 1982355996. The provider is registered as an organization entity type.

The provider's business location address is:

4250 OLD OMEN RD
TYLER, TX
ZIP 75707-161
Phone: (904) 566-8931

The provider's authorized official is Cooper Vittitow .
The authorized official title is Authorized Representative and has the following contact phone number (817) 386-8888.

The CLIA number assigned to this NPI record is 45D2209140 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 1/11/2022.


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

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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