Provider Demographics
NPI:1083272603
Name:THE VIERA SENIOR LIVING
Entity Type:Organization
Organization Name:THE VIERA SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MROSS
Authorized Official - Suffix:
Authorized Official - Credentials:ED
Authorized Official - Phone:361-392-4000
Mailing Address - Street 1:3010 AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3032
Mailing Address - Country:US
Mailing Address - Phone:361-392-4000
Mailing Address - Fax:361-906-0087
Practice Address - Street 1:3010 AIRLINE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3032
Practice Address - Country:US
Practice Address - Phone:361-392-4000
Practice Address - Fax:361-906-0087
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TCG CORPUS CHRISTI CAMPUS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness