SOUTHFORK SENIOR CARE LLC NPI 1871275305

NPI Information

  • NPI: 1871275305
  • Provider Name: SOUTHFORK SENIOR CARE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 45D2188117
  • Address: 3151 SOUTHFORK PKWY
    MANVEL, TX
    ZIP 77578
  • Phone: (713) 960-4727

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NPI Details

SOUTHFORK SENIOR CARE, LLC is an assisted living facility in Manvel, 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. SOUTHFORK SENIOR CARE, LLC NPI is 1871275305. The provider is registered as an organization entity type.

The provider's business location address is:

3151 SOUTHFORK PKWY
MANVEL, TX
ZIP 77578-521
Phone: (713) 960-4727

The provider's authorized official is William Snow .
The authorized official title is Vice President and has the following contact phone number (407) 999-2410.

The CLIA number assigned to this NPI record is 45D2188117 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2023 and was last updated on 8/3/2023.

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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