Provider Demographics
NPI:1316183882
Name:METSUN CINCO RANCH TX SENIOR LIVING, LP
Entity Type:Organization
Organization Name:METSUN CINCO RANCH TX SENIOR LIVING, LP
Other - Org Name:SUNSRISE ASSISTED LIVING OF CINCO RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-0500
Mailing Address - Street 1:21939 CINCO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1779
Mailing Address - Country:US
Mailing Address - Phone:281-240-0500
Mailing Address - Fax:281-240-0551
Practice Address - Street 1:21939 CINCO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1779
Practice Address - Country:US
Practice Address - Phone:281-240-0500
Practice Address - Fax:281-240-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility