ROBERT W. LEISKE LEGACY CENTERS INC. NPI 1821574856

NPI Information

  • NPI: 1821574856
  • Provider Name: ROBERT W. LEISKE LEGACY CENTERS, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY CLUB RETIREMENT COMMUNITY
  • Address: 4773 FM 933 N
    WHITNEY, TX
    ZIP 76692
  • Phone: (214) 328-9828

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NPI Details

ROBERT W. LEISKE LEGACY CENTERS, INC. is an assisted living facility in Whitney, 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. ROBERT W. LEISKE LEGACY CENTERS, INC. NPI is 1821574856. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Club Retirement Community.

The provider's business location address is:

4773 FM 933 N
WHITNEY, TX
ZIP 76692-713
Phone: (214) 328-9828
Fax: (214) 328-3042

The provider's authorized official is Barbara Ecord .
The authorized official title is Vice President and has the following contact phone number (214) 328-9828.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 7/12/2018.

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 Facility103976Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103976MEDICAIDTEXAS

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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