AHR TYLER TRS SUB LLC NPI 1033835236

NPI Information

  • NPI: 1033835236
  • Provider Name: AHR TYLER TRS SUB, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2055 W GRANDE BLVD
    TYLER, TX
    ZIP 75703
  • Phone: (903) 534-0449

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NPI Details

AHR TYLER TRS SUB, 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. AHR TYLER TRS SUB, LLC NPI is 1033835236. The provider is registered as an organization entity type.

The provider's business location address is:

2055 W GRANDE BLVD
TYLER, TX
ZIP 75703-526
Phone: (903) 534-0449

The provider's authorized official is Daniel Prosky .
The authorized official title is President and has the following contact phone number (949) 270-9214.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.

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: 11/21/2025

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