Provider Demographics
NPI:1528397924
Name:WEST HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:WEST HOSPITAL AUTHORITY
Other - Org Name:WEST ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-855-2242
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691-0099
Mailing Address - Country:US
Mailing Address - Phone:254-826-7000
Mailing Address - Fax:
Practice Address - Street 1:501 MEADOW DR
Practice Address - Street 2:
Practice Address - City:WEST
Practice Address - State:TX
Practice Address - Zip Code:76691-1018
Practice Address - Country:US
Practice Address - Phone:254-826-7772
Practice Address - Fax:254-826-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX128416310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility