Provider Demographics
NPI:1316179278
Name:HBP LEASECO, L.L.C.
Entity Type:Organization
Organization Name:HBP LEASECO, L.L.C.
Other - Org Name:HORIZON BAY ASSISTED LIVING AND MEMORY CARE AT THE WOODLANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-287-3900
Mailing Address - Street 1:5426 BAY CENTER DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3444
Mailing Address - Country:US
Mailing Address - Phone:813-287-3900
Mailing Address - Fax:
Practice Address - Street 1:1730 WOODSTEAD CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1507
Practice Address - Country:US
Practice Address - Phone:813-287-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
TXPENDING311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)