Provider Demographics
NPI:1710525290
Name:SPARROW ASSISTED LIVING II INC
Entity Type:Organization
Organization Name:SPARROW ASSISTED LIVING II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-697-4600
Mailing Address - Street 1:PO BOX 21129
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77226-1129
Mailing Address - Country:US
Mailing Address - Phone:281-458-9321
Mailing Address - Fax:713-458-1860
Practice Address - Street 1:10142 VALLEY BREEZE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-3722
Practice Address - Country:US
Practice Address - Phone:832-755-6527
Practice Address - Fax:281-458-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility