ESPLANADE GARDENS SENIOR INC NPI 1801133152

NPI Information

  • NPI: 1801133152
  • Provider Name: ESPLANADE GARDENS SENIOR INC
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • CLIA Number: 45D2213357
  • Address: 10790 TOEPPERWEIN RD
    CONVERSE, TX
    ZIP 78109
  • Phone: (210) 566-7600

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NPI Details

ESPLANADE GARDENS SENIOR INC is an assisted living and behavioral disturbances assisted living facility in Converse, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. ESPLANADE GARDENS SENIOR INC NPI is 1801133152. The provider is registered as an organization entity type.

The provider's business location address is:

10790 TOEPPERWEIN RD
CONVERSE, TX
ZIP 78109-441
Phone: (210) 566-7600
Fax: (210) 566-7605

The provider's authorized official is Anna C Diaz -peterson .
The authorized official title is Campus Director and has the following contact phone number (210) 566-7600.

The CLIA number assigned to this NPI record is 45D2213357 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 1/7/2013.

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
13104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances030364TEXASYes

What is NPI?

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This page was last updated on: 3/30/2025

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