Provider Demographics
NPI:1083828834
Name:SPARROW ADULT LIVING INC
Entity Type:Organization
Organization Name:SPARROW ADULT LIVING INC
Other - Org Name:SPARROW ADULT LIVING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-697-4600
Mailing Address - Street 1:7414 JENSEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-8709
Mailing Address - Country:US
Mailing Address - Phone:713-697-4600
Mailing Address - Fax:713-697-0030
Practice Address - Street 1:7414 JENSEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-8709
Practice Address - Country:US
Practice Address - Phone:713-697-4600
Practice Address - Fax:713-697-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00823310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility