Provider Demographics
NPI:1275711988
Name:SUGAR LAND ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:SUGAR LAND ASSISTED LIVING LLC
Other - Org Name:BARTON HOUSE SUGARLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:RELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-313-2500
Mailing Address - Street 1:3060 EDGEWATER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-313-2500
Mailing Address - Fax:281-313-2505
Practice Address - Street 1:3060 EDGEWATER DRIVE
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-313-2500
Practice Address - Fax:281-313-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123822310400000X
TX101631311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility