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UNIVERSITY VILLAGE MEMORY CARE NPI 1790100436


NPI Information

NPI: 1790100436
Provider Name: UNIVERSITY VILLAGE MEMORY CARE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2068881

Address:
4701 CAMPUS VILLAGE DR
ROUND ROCK, TX
ZIP 78665
Phone: (512) 248-2222
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UNIVERSITY VILLAGE MEMORY CARE is an assisted living facility in Round Rock, 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. UNIVERSITY VILLAGE MEMORY CARE NPI is 1790100436. The provider is registered as an organization entity type.

The provider's business location address is:

4701 CAMPUS VILLAGE DR
ROUND ROCK, TX
ZIP 78665-122
Phone: (512) 248-2222

The provider's authorized official is Loree Tamayo .
The authorized official title is Ceo Management Company and has the following contact phone number (210) 326-6662.

The CLIA number assigned to this NPI record is 45D2068881 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/4/2014.


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 Facility104858TEXASYes

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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