Provider Type Icon

JACK HENRY ARLINGTON LLC NPI 1043585615


NPI Information

NPI: 1043585615
Provider Name: JACK HENRY ARLINGTON, LLC

Doing Business As: MEADOWBROOK MEMORY CARE COMMUNITY

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 45D2241731

Address:
2300 LITTLE RD
ARLINGTON, TX
ZIP 76016
Phone: (817) 451-9700
Get Directions

JACK HENRY ARLINGTON, LLC is an alzheimer center dementia center in Arlington, TX. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. JACK HENRY ARLINGTON, LLC NPI is 1043585615. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadowbrook Memory Care Community.

The provider's business location address is:

2300 LITTLE RD
ARLINGTON, TX
ZIP 76016
Phone: (817) 451-9700
Fax: (817) 451-9701

The provider's authorized official is Emmett Aaron Koelsch .
The authorized official title is Managing Member and has the following contact phone number (360) 867-1900.

The CLIA number assigned to this NPI record is 45D2241731 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)TEXASYes

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: 4/28/2024

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.