Provider Demographics
NPI:1508483876
Name:LSLH FLOWER MOUND LLC
Entity Type:Organization
Organization Name:LSLH FLOWER MOUND LLC
Other - Org Name:THE CROSSINGS AT FLOWER MOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-983-0208
Mailing Address - Street 1:106 CHESTNUT ST E
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-5116
Mailing Address - Country:US
Mailing Address - Phone:781-983-0208
Mailing Address - Fax:
Practice Address - Street 1:3201 KARNES RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2727
Practice Address - Country:US
Practice Address - Phone:781-983-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility