Facility Directory

Texas Department of Aging and Disability Services
Assisted Living Facility Directory
Sorted by: County, City, Facility Name
County
Reg Svcs:
ANDERSON
Facility Information:
BROOKDALE PALESTINE
101 TRINITY CT
PALESTINE
Phone
Facility ID:
TX
6737 W WASHINGTON ST
75801
Fax
(903) 729-1900
MILWAUKEE
(903) 729-7093
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 50
TITLE 18/19:
Fax
(903) 723-0040
TOTAL Lic Capacity: 60
County
TITLE 18/19:
WINDERMERE AT CARTMELL
30 VARIAH ST
PALESTINE
Phone
TX
TX
ICF/IID: 0
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 40
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
05 - BEAUMONT
MRC PINECREST
1440 LAKE FRONT CIRCLE
THE WOODLANDS
(936) 634-1056
ICF/IID: 0
PHONE:
,STE 110
TX
(281) 363-2600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
ARANSAS
Facility ID:
(662) 895-1804
02/05/2017
NACOGDOCHES GERIATRIC
TITLE19: 0
TITLE 18/19:
38654
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 78
(662) 895-1801
License Exp Dt:
000424
Fax
PHONE:
MS
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 40
Cert Alzh Capacity: 0
05 - BEAUMONT
,STE A
OLIVE BRANCH
(936) 639-9754
TITLE 18: 0
TOTAL Lic Capacity: 78
TOTAL Lic Capacity: 40
(903) 727-8501
SERVICE TYPE TYPE B
Region
6933 CRUMPLER BLVD
75901
(936) 634-1054
(361) 729-5254
75801
FAX:
10/02/2017
NACOGDOCHES GERIATRIC
PINECREST RETIREMENT COMMUNITY ASSISTED LIVING UNIT
1302 TOM TEMPLE DR
TX
LUFKIN
75904
Phone
TX
(903) 727-8500
Owner Information
ANGELINA
GULF POINTE VILLAGE
900 ENTERPRISE
ROCKPORT
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
000481
Fax
PRIVATE Beds: 48
Facility Information:
04 - TYLER
VERITAS INCARE, LLC
Cert Alzh Capacity: 0
County
Region
PALESTINE
(903) 727-8501
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 48
Phone
SERVICE TYPE TYPE B
09/10/2018
NACOGDOCHES GERIATRIC
TITLE19: 0
TITLE 18/19:
(409) 639-9727
Facility Information:
(972) 387-8216
2212 W REAGAN ST
ANGELINA
County
75254
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 56
Phone
License Exp Dt:
75801
Fax
Cert Alzh Capacity: 16
NECHES HOUSE
406 GOBBLERS KNOB RD
LUFKIN
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
0
106259
(903) 727-8500
Facility Information:
ICF/IID: 0
PHONE:
TX
CARTMELL HOME FOR AGED INC
TOTAL Lic Capacity: 56
County
04 - TYLER
,STE 300
DALLAS
(903) 723-0038
Reg Svcs:
Facility ID:
Region
14160 DALLAS PRWY
ANDERSON
Facility Information:
SERVICE TYPE TYPE B
CSL S PALESTINE LLC
TITLE19: 0
PRIVATE Beds: 60
(414) 918-6076
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 15
53214
FAX:
11/01/2017
NACOGDOCHES GERIATRIC
102438
DOGWOOD TRAILS ASSISTED LIVING COMMUNITY
1625 SPRING ST
TX
PALESTINE
75803
Phone
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
ANDERSON
Facility Information:
04 - TYLER
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 50
County
Region
NACOGDOCHES GERIATRIC
000821
77380
FAX:
(281) 292-6360
SERVICE TYPE TYPE B
01/26/2017
Region
CORPUS CHRISTI 11
11 - CORPUS CHRISTI
Owner Information
000715
MERIDIAN ROCKPORT ALF OE, LP
TX
3811 TURTLE CREEK BLVD
78382
Fax
(361) 729-3820
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 1050
TX
(214) 651-4000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75219
FAX:
(214) 651-4001
SERVICE TYPE TYPE A
09/01/2017
Page 1 of 311
County
Reg Svcs:
ARMSTRONG
Facility Information:
Facility ID:
HUDSON HOUSE CLAUDE, INC
301 TRICE ST
CLAUDE
Phone
TX
301 TRICE STREET
79019
Fax
(806) 226-4011
TITLE 18/19:
ARGENT COURT ATASCOSA COUNTY
1951 HWY 97 E
TX
JOURDANTON
Phone
TX
TX
POTEET
PHONE:
TX
(830) 276-4248
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
08 - SAN ANTONIO
78065
FAX:
(830) 276-4248
SERVICE TYPE TYPE A
02/09/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
1515 W MAIN
77418
BELLVILLE
(979) 865-9963
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
ROSE HILL RETIREMENT HOME
318 S MASONIC
BELLVILLE
(832) 651-3694
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
AUSTIN
Sunday, October 09, 2016
ICF/IID: 0
102574
Fax
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Region
LTC OF AUSTIN COUNTY III LLC
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
PO BOX 1479
78065
Reg Svcs:
(979) 865-3969
TOTAL Lic Capacity: 16
FAX:
09/30/2017
TEAM X
TITLE19: 0
ARBORS OF BRIARWOOD
1517 W MAIN
BELLVILLE
78261
Owner Information
AUSTIN
(979) 865-3883
08 - SAN ANTONIO
ELOY DUNCAN
TITLE 18/19:
Facility ID:
(361) 658-6986
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 14
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000519
(830) 276-4248
Facility Information:
SERVICE TYPE TYPE B
Region
SAN ANTONIO
(830) 767-3082
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
County
(210) 372-4477
04/13/2018
TEAM V
TITLE19: 0
TITLE 18/19:
OAK CREEK PERSONAL CARE HOME
299 OAK CREEK ESTATES ROAD
TX
POTEET
Phone
FAX:
25628 SANTOLINA
ATASCOSA
Facility Information:
78209
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
County
License Exp Dt:
78026
Fax
Cert Alzh Capacity: 0
Phone
(210) 829-7121
PROGRAM TYPE: ASSISTED LIVING
0
100688
(830) 767-3082
Facility Information:
PHONE:
TX
JM MCCLELLAN PROPERTIES, LLC
TOTAL Lic Capacity: 14
County
ICF/IID: 0
Reg Svcs:
MICHELLE'S CARE HOME
1310 POPLAR ST
JOURDANTON
08 - SAN ANTONIO
,STE 319
SAN ANTONIO
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
8301 BROADWAY
78026
ATASCOSA
Facility Information:
SERVICE TYPE TYPE B
01/01/2018
ARGENT PLEASANTON OPERATIONS LLC
TITLE 18: 0
PRIVATE Beds: 57
(806) 226-7037
Owner Information
Fax
Cert Alzh Capacity: 0
FAX:
TEAM V
102169
(830) 769-9797
TOTAL Lic Capacity: 57
79019
(806) 226-4011
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ATASCOSA
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 20
Phone
CLAUDE
(806) 226-7037
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
01 - LUBBOCK
Owner Information
HUDSON HOUSE CLAUDE, INC
TOTAL Lic Capacity: 20
County
Region
HIGH PLAINS GERI 1
030075
77418
FAX:
(866) 224-5909
SERVICE TYPE TYPE A
10/01/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
030012
RH RETIREMENT HOMES, LLC
TX
3603 ALCORN BEND DR
77418-2516
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SUGAR LAND
(281) 277-4663
0
ICF/IID: 0
PHONE:
TX
(713) 725-4913
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77479
FAX:
(281) 277-4663
SERVICE TYPE TYPE A
06/01/2017
Page 2 of 311
County
Reg Svcs:
AUSTIN
Facility Information:
OAK HAVEN ASSISTED LIVING
16416 FORDTRAN BLVD
INDUSTRY
Phone
Facility ID:
TX
16416 FORDTRAN BLVD
78944
Fax
(979) 357-2535
INDUSTRY
(979) 357-2534
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
TOTAL Lic Capacity: 14
County
TITLE 18/19:
ARGENT COURT
508 OLD AUSTIN HWY
BASTROP
Phone
TX
TX
(512) 789-0543
License Exp Dt:
07 - AUSTIN
78621
FAX:
SERVICE TYPE TYPE B
07/08/2017
Region
BRENHAM
07 - AUSTIN
Owner Information
100088
OAKHURST MANOR PERSONAL CARE HOME INC
826 LEXINGTON RD
78621
Fax
ELGIN
(512) 281-0217
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(512) 215-3624
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BAYLOR
Sunday, October 09, 2016
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
PRIVATE Beds: 7
SERVICE TYPE TYPE B
Region
ELGIN
(512) 278-0674
TITLE19: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(210) 829-0859
1290 UPPER ELGIN RIVER RD
TITLE 18/19:
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 7
FAX:
01/01/2017
BRENHAM
78621
(512) 215-3624
(940) 889-3551
License Exp Dt:
TITLE 18: 0
SILVER CREEK ASSISTED LIVING ELGIN
826 LEXINGTON RD
TX
ELGIN
Phone
(210) 829-7121
78209
Owner Information
BASTROP
JUST LIKE HOME
1137 W CALIFORNIA
SEYMOUR
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
102974
Fax
PRIVATE Beds: 6
Facility Information:
ICF/IID: 0
TX
CAROLYN J HARSH
Cert Alzh Capacity: 0
County
07 - AUSTIN
,STE 319
SAN ANTONIO
(512) 321-9508
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
Phone
(281) 392-6659
SERVICE TYPE TYPE A
Region
BRENHAM
TITLE19: 0
TITLE 18/19:
(512) 278-0674
Facility Information:
FAX:
05/25/2018
8301 BROADWAY
BASTROP
County
77474
Owner Information
TITLE 18: 0
PRIVATE Beds: 68
Phone
(281) 804-6422
License Exp Dt:
78602
Fax
Cert Alzh Capacity: 0
A RAINBOW RIDGE
111 HOGEYE RD
ELGIN
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100336
(512) 321-9500
Facility Information:
06 - HOUSTON
ARGENT BASTROP OPERATIONS, LLC
TOTAL Lic Capacity: 68
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
SEALY
(281) 310-8689
BASTROP
Facility Information:
SERVICE TYPE TYPE B
526 FIFTH ST
TITLE19: 0
PRIVATE Beds: 14
(979) 357-2534
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
SENIOR HOUSING CENTERS INC
Fax
(979) 627-7225
78944
04/18/2017
UNIT 15
105925
VERANDA HOUSE SENIOR LIVING- SEALY
526 FIFTH STREET
TX
SEALY
77474
Phone
(979) 357-2535
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
AUSTIN
Facility Information:
06 - HOUSTON
Owner Information
OAK HAVEN ASSISTED LIVING LLC
TOTAL Lic Capacity: 10
County
Region
UNIT 15
105127
78621
FAX:
(512) 285-3673
SERVICE TYPE TYPE A
01/05/2017
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
001266
STORMIE CARRINGTON
TX
101 HILL DR
76380
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SEYMOUR
(940) 889-3551
0
ICF/IID: 0
PHONE:
TX
(940) 631-8509
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76380
FAX:
(940) 889-2715
SERVICE TYPE TYPE B
03/15/2017
Page 3 of 311
County
Reg Svcs:
BEE
Facility Information:
801 GRAMMAN LLC
801 E GRAMMAN
BEEVILLE
Phone
Facility ID:
TX
801 E GRAMMAN
78102
Fax
(361) 358-4900
TITLE 18/19:
TX
TX
SAN ANTONIO
ICF/IID: 0
TITLE19: 0
TX
SAN ANTONIO
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 695-5489
78216
FAX:
SERVICE TYPE TYPE A
09/09/2018
Region
TEMPLE
07 - AUSTIN
Owner Information
PM MANAGEMENT - KILLEEN I NC LLC
600 NORTH PEARL ST
DALLAS
(254) 690-3238
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 1100
TX
(214) 252-7703
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BELL
Facility ID:
PHONE:
License Exp Dt:
030300
Fax
PRIVATE Beds: 85
Sunday, October 09, 2016
07 - AUSTIN
,STE 510
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
PRIVATE Beds: 52
Region
613 N W LP 410
Fax
TOTAL Lic Capacity: 85
Cert Alzh Capacity: 52
SERVICE TYPE TYPE B
Owner Information
76513
(254) 680-5020
TOTAL Lic Capacity: 52
FAX:
09/09/2016
TEMPLE
THE ROSEWOOD RETIREMENT COMMUNITY
5700 E CENTRAL TEXAS EXPY
TX
KILLEEN
76543
(254) 773-3081
(512) 695-5489
License Exp Dt:
104420
BELL
Phone
PHONE:
78216
BELTON A.L. LLC
PRIVATE Beds: 56
ARBOR HOUSE OF TEMPLE
4257 LOWES DR
TEMPLE
07 - AUSTIN
,STE 510
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(254) 933-3800
Facility Information:
(254) 519-5826
SERVICE TYPE TYPE B
Region
613 N W LP 410
76513
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 56
Phone
76541
03/26/2018
TEMPLE
104460
BELL
Facility Information:
(254) 519-5801
License Exp Dt:
Fax
PRIVATE Beds: 57
County
07 - AUSTIN
BELTON A.L. LLC
Cert Alzh Capacity: 40
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 57
STONEY BROOK OF BELTON
500 RIVER FAIR BLVD
BELTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(254) 933-3800
Facility Information:
KILLEEN
(888) 389-4702
BELL
County
Region
304 E. CHURCH AVENUE
TITLE 18: 0
PRIVATE Beds: 48
Phone
SERVICE TYPE TYPE A
Owner Information
76513
Fax
Cert Alzh Capacity: 48
STONEY BROOK OF BELTON
500 RIVER FAIR BLVD
BELTON
FAX:
05/02/2018
TEMPLE
105668
(254) 613-4119
Facility Information:
78102
MEMORY CARE MANAGEMENT, LC
TOTAL Lic Capacity: 48
County
(361) 358-4900
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BELL
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
LUVIDA MEMORY CARE
2400 PIAZZA DRIVE
BELTON
BEEVILLE
(361) 358-4909
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
11 - CORPUS CHRISTI
Owner Information
801 GRAMMAN LLC
TOTAL Lic Capacity: 16
County
Region
CORPUS CHRISTI 11
101015
75201
FAX:
(214) 252-7599
SERVICE TYPE TYPE B
03/01/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
103463
TEMPLE TX ARBOR HOUSE LP
TX
4257 LOWES DRIVE
76502
TEMPLE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(405) 801-2879
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76502
FAX:
(405) 360-3301
SERVICE TYPE TYPE B
06/30/2018
Page 4 of 311
County
Reg Svcs:
BELL
Facility Information:
Facility ID:
BROOKDALE WESTERN HILLS
3902 W ADAMS AVE
TEMPLE
Phone
TX
6737 W WASHINGTON ST
76504
Fax
(254) 791-8000
TITLE 18/19:
ELMCROFT OF COTTONWOOD
3002 JACK RABBIT RD
TEMPLE
TX
LOUISVILLE
(254) 778-2845
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
Facility ID:
Fax
TOTAL Lic Capacity: 156
TITLE 18/19:
Phone
WILDFLOWER PLACE
706 RED COAT DR
TEMPLE
Phone
(254) 742-1581
TOTAL Lic Capacity: 47
Cert Alzh Capacity: 0
PRIVATE Beds: 47
Sunday, October 09, 2016
(830) 624-1044
License Exp Dt:
78130
FAX:
SERVICE TYPE TYPE B
08/14/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
195 S ACADEMY
76502
NEW BRAUNFELS
(254) 771-2928
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(830) 624-1044
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BELL
Facility Information:
07 - AUSTIN
ALZCARE I LTD
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
103473
(254) 771-9911
Cert Alzh Capacity: 16
Region
NEW BRAUNFELS
(254) 771-2928
Reg Svcs:
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
195 S ACADEMY
TITLE19: 0
SODALIS ELDER LIVING TEMPLE II
2728 COTTONWOOD LN BLDG B
TX
TEMPLE
(770) 754-3085
01/15/2017
TEMPLE
76502
TITLE 18/19:
Facility ID:
FAX:
Owner Information
BELL
Facility Information:
(770) 754-9660
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
PHONE:
30326
ALZCARE I LTD
Fax
Cert Alzh Capacity: 16
07 - AUSTIN
,STE 510
GA
PROGRAM TYPE: ASSISTED LIVING
0
103040
(254) 771-9911
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
Region
ATLANTA
ICF/IID: 0
Reg Svcs:
SODALIS ELDER LIVING TEMPLE I
2728 COTTONWOOD LN
TX
TEMPLE
(502) 753-6104
08/03/2017
3500 LENOX ROAD NE
(254) 770-1101
BELL
Facility ID:
FAX:
LSREF GOLDEN OPS 26 (TX) LLC
TITLE19: 0
PRIVATE Beds: 156
40222
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(502) 753-6004
TEMPLE
030135
(254) 770-1017
PHONE:
License Exp Dt:
GARDEN ESTATES OF TEMPLE ASSISTED LIVING COMMUNITY
5320 LOOP 205
TX
TEMPLE
76502
County
07 - AUSTIN
,STE 200
KY
PROGRAM TYPE: ASSISTED LIVING
0
BELL
Phone
SERVICE TYPE TYPE B
Region
700 N HURSTBOURNE PKWY
TITLE 18: 0
PRIVATE Beds: 74
Facility Information:
(414) 918-6076
Owner Information
76502
Fax
Cert Alzh Capacity: 0
County
FAX:
COTTONWOOD OPERATIONS LLC
TOTAL Lic Capacity: 74
Phone
53214
12/01/2016
TEMPLE
000365
(254) 778-2222
Facility Information:
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BELL
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 54
Phone
MILWAUKEE
(254) 791-8003
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 54
County
Region
TEMPLE
000302
78130
FAX:
SERVICE TYPE TYPE B
01/16/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
000973
WILDFLOWER AID OPCO LLC
TX
330 N WABASH
76504
Fax
(254) 742-0425
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 5 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
RIOJAS ASSISTED LIVING HOME
14212 GREENWOOD RD
TX
ATASCOSA
Phone
TINSLEY HOME CARE
17425 LUCKEY RD
ATASCOSA
Phone
TX
(210) 979-0842
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(210) 566-7600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
08 - SAN ANTONIO
78109
FAX:
(210) 566-7605
SERVICE TYPE TYPE B
03/17/2017
Region
TEAM W
08 - SAN ANTONIO
Owner Information
103742
ISAIAH HOME CARE INC
TX
7118 CLIPPER RIDGE
78109
Fax
CONVERSE
(210) 590-1646
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(210) 391-9537
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
TOTAL Lic Capacity: 6
SERVICE TYPE TYPE B
Region
CONVERSE
(210) 566-7605
Reg Svcs:
PRIVATE Beds: 8
(210) 957-4769
(617) 790-4271
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
Phone
FAX:
10790 TOPPERWEIN RD
TITLE 18/19:
TOTAL Lic Capacity: 8
MIRAMAR HOME CARE
8662 GAVEL DRIVE
CONVERSE
02210
08/01/2018
TEAM V
78109
(210) 391-9537
Facility Information:
(617) 790-4800
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
MA
ESPLANADE GARDENS SENIOR INC
Fax
PRIVATE Beds: 120
08 - SAN ANTONIO
,5TH FLR
BOSTON
030364
(210) 566-7600
Cert Alzh Capacity: 60
SERVICE TYPE TYPE A
Region
313 CONGRESS ST
78213
Reg Svcs:
TOTAL Lic Capacity: 120
FAX:
03/13/2017
TEAM V
TITLE19: 0
ESPLANADE GARDENS SENIOR INC
10790 TOEPPERWEIN
TX
CONVERSE
78002
Owner Information
BEXAR
Phone
08 - SAN ANTONIO
MENTOR ABI, LLC
TITLE 18/19:
Facility ID:
(210) 885-9011
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105203
Fax
Cert Alzh Capacity: 0
ISAIAH'S HOUSE
7118 CLIPPER RIDGE
CONVERSE
ICF/IID: 0
Reg Svcs:
Facility ID:
(210) 979-0830
Facility Information:
Region
ATASCOSA
(210) 622-0208
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
County
SERVICE TYPE TYPE A
17425 LUCKEY RD
TITLE 18: 0
NEURORESTORATIVE SAN ANTONIO
124 SOUTH WINSTON LANE
TX
CASTLE HILLS
Phone
(830) 709-3541
Owner Information
BEXAR
Facility Information:
FAX:
09/12/2017
TEAM X
78002
Fax
PRIVATE Beds: 9
County
78002
CONSUELO V SALINAS
Cert Alzh Capacity: 0
Phone
(830) 709-4196
License Exp Dt:
030056
(210) 622-9033
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BEXAR
Facility Information:
ATASCOSA
(830) 709-3541
TITLE 18: 0
PRIVATE Beds: 16
County
14212 GREENWOOD RD
78002
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
EDDIE RIOJAS
(830) 709-3541
TOTAL Lic Capacity: 16
Region
TEAM V
000641
78109
FAX:
(210) 590-1646
SERVICE TYPE TYPE A
05/12/2017
Region
TEAM W
08 - SAN ANTONIO
Owner Information
105159
LAURA DORCA
TX
8622 GAVEL DRIVE
78109
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CONVERSE
(210) 932-8250
0
ICF/IID: 0
PHONE:
TX
(210) 957-4769
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78109
FAX:
(210) 932-8250
SERVICE TYPE TYPE B
08/30/2018
Page 6 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
HONEY'S HOUSE OF HELOTES
10410 PARRIGIN RD
HELOTES
Phone
TX
10410 PARRIGIN RD
78023
HELOTES
Fax
(210) 540-8288
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
BROOKDALE HOLLYWOOD PARK
16911 SAN PEDRO
TX
HOLLYWOOD PARK
County
(210) 495-3570
Phone
TX
TX
SERVICE TYPE TYPE B
Region
LYTLE
(888) 398-5945
ICF/IID: 0
08 - SAN ANTONIO
78052
FAX:
(888) 398-5945
SERVICE TYPE TYPE B
10/21/2018
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
GOLDEN YEARS ASSISTED LIVING
16860 W FM 2790 S
78052
LYTLE
(830) 772-5888
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(830) 772-5888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
A GOLDEN AGE ASSISTED LIVING, LLC
1635 HILLCREST DR
TX
SAN ANTONIO
(830) 569-7510
License Exp Dt:
106299
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 9
Sunday, October 09, 2016
(210) 888-2224
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 11
FAX:
16680 W FM 2790 S
TITLE 18/19:
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
78238
06/20/2017
TEAM V
78052
(830) 772-5888
TOTAL Lic Capacity: 11
(210) 823-9676
License Exp Dt:
TITLE 18: 0
GOLDEN YEARS ASSISTED LIVING
16860 W. FM 2790 S
TX
LYTLE
(210) 432-2128
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
103167
Fax
PRIVATE Beds: 16
Facility Information:
08 - SAN ANTONIO
CRS HEALTHCARE, LLC
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
LEON VALLEY
(210) 888-2224
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
(414) 918-5054
10/01/2018
TEAM X
TITLE19: 0
TITLE 18/19:
(830) 709-0163
Facility Information:
FAX:
6206 SETTING SUN
BEXAR
County
37027
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Phone
License Exp Dt:
78238
Fax
Cert Alzh Capacity: 0
COUNTRY LIFE
16680 FM 2790 S
LYTLE
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
0
103436
(210) 520-4747
Facility Information:
PHONE:
TN
TEXAS COMFORT LLC
TOTAL Lic Capacity: 6
County
ICF/IID: 0
Reg Svcs:
TEXAS COMFORT CARE HOME
6206 SETTING SUN ST
LEON VALLEY
08 - SAN ANTONIO
,STE 400
BRENTWOOD
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
111 WESTWOOD PL
78232
BEXAR
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 101
FAX:
ESC-NGH, LP
Fax
Cert Alzh Capacity: 28
78023
11/07/2016
TEAM V
030200
(210) 495-9340
TOTAL Lic Capacity: 101
(210) 540-8288
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Facility Information:
08 - SAN ANTONIO
Owner Information
RESIDENTIAL CARE HOMES OF AMERICA LLC
TOTAL Lic Capacity: 16
County
Region
TEAM Z
105882
78052
FAX:
(830) 772-5888
SERVICE TYPE TYPE B
01/21/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
106325
A GOLDEN AGE ASSISTED LIVING, LLC
1635 HILLCREST DR
78228
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 432-2128
0
ICF/IID: 0
PHONE:
TX
(210) 430-6392
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78228
FAX:
(210) 503-5418
SERVICE TYPE TYPE B
09/22/2017
Page 7 of 311
County
Reg Svcs:
BEXAR
Facility Information:
AGAPE HOUSE II
3443 WILLOWWOOD ST
SAN ANTONIO
Phone
Facility ID:
TX
2551 GROVE PARK
78219
SCHERTZ
Fax
(210) 253-9081
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
AMAZING PEACE HOME CARE LLC
1202 DONALDSON AVE
TX
SAN ANTONIO
County
SAN ANTONIO
(210) 736-0226
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
SAN ANTONIO
(210) 401-1819
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
TITLE 18/19:
Phone
(210) 723-6602
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
08 - SAN ANTONIO
333 NORTH SUMMIT ST
TOLEDO
(210) 408-9101
ICF/IID: 0
TITLE19: 0
PHONE:
OH
(419) 252-5500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
ARDEN PARK ASSISTED LIVING, LLC
7023 WEST HAUSMAN RD
TX
SAN ANTONIO
(210) 568-4413
01/27/2017
TEAM V
78231
TITLE 18/19:
Facility ID:
FAX:
Owner Information
BEXAR
Facility Information:
78228
(210) 618-6436
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 64
08 - SAN ANTONIO
ARDEN COURTS OF SAN ANTONIO TX LLC
Fax
Cert Alzh Capacity: 64
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100213
(210) 408-9100
TOTAL Lic Capacity: 64
County
ICF/IID: 0
Reg Svcs:
Facility ID:
ARDEN COURTS OF SAN ANTONIO
15290 HUEBNER RD
TX
SAN ANTONIO
Phone
SAN ANTONIO
(210) 401-1819
BEXAR
Facility Information:
Region
173 W LIGUSTRUM DR
TITLE19: 0
PRIVATE Beds: 13
SERVICE TYPE TYPE A
01/27/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(210) 568-4413
ANGEL PLACE ASSISTED LIVING HOMES INC
Fax
TOTAL Lic Capacity: 13
FAX:
TEAM Z
000660
(210) 435-8234
08 - SAN ANTONIO
78228
(210) 618-6436
License Exp Dt:
ANGEL PLACE ASSISTED LIVING HOMES INC #2
3911 SHERRIL BROOK DR
TX
SAN ANTONIO
78228
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
173 W LIGUSTRUM DR
BEXAR
Facility Information:
SERVICE TYPE TYPE A
11/15/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 15
(210) 736-0226
ANGEL PLACE ASSISTED LIVING HOMES INC
Fax
Cert Alzh Capacity: 0
FAX:
TEAM Z
100310
(210) 435-8234
TOTAL Lic Capacity: 15
08 - SAN ANTONIO
78251
(210) 858-9585
License Exp Dt:
ANGEL PLACE ASSISTED LIVING HOMES INC #1
3907 SHERRIL BROOK DR
TX
SAN ANTONIO
78228
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
2327 FOX MEADOW
78228
BEXAR
Facility Information:
SERVICE TYPE TYPE A
09/18/2016
Owner Information
TITLE 18: 0
PRIVATE Beds: 24
(210) 475-3307
AMAZING PEACE HOME CARE LLC
Fax
Cert Alzh Capacity: 0
FAX:
TEAM W
000881
(210) 736-2305
TOTAL Lic Capacity: 24
78154
(210) 862-5221
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Facility Information:
08 - SAN ANTONIO
Owner Information
JUNE SORRELL
TOTAL Lic Capacity: 7
County
Region
TEAM X
100902
43604
FAX:
(877) 385-9446
SERVICE TYPE TYPE B
04/07/2017
Region
TEAM W
08 - SAN ANTONIO
Owner Information
105837
ARDEN PARK ASSISTED LIVING, LLC
7023 WEST HAUSMAN RD
78249
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 877-5386
0
ICF/IID: 0
PHONE:
TX
(210) 663-3887
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78255
FAX:
(210) 877-5386
SERVICE TYPE TYPE B
02/25/2018
Page 8 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
TOTAL Lic Capacity: 24
12455 FREEDOM WAY
TITLE 18/19:
AUTISM TREATMENT CENTER INC
16511 HUNTING VALLEY
TX
SAN ANTONIO
County
Phone
TX
TX
ICF/IID: 0
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Region
TEAM X
08 - SAN ANTONIO
20272 STONE OAK PARKWAY
SAN ANTONIO
(210) 497-5502
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
PHONE:
78258
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AUTUMN LEAVES RESIDENTIAL HOME
6411 RIDGE PLACE
TX
SAN ANTONIO
78734
STONE OAK MEMORY CARE LLC
BEXAR
Sunday, October 09, 2016
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
Facility ID:
(469) 371-0445
License Exp Dt:
105829
Fax
PRIVATE Beds: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 50
PRIVATE Beds: 9
SERVICE TYPE TYPE A
Region
LAKEWAY
(210) 493-1185
TITLE 18: 0
TOTAL Lic Capacity: 50
Cert Alzh Capacity: 0
(210) 590-3143
101 FIREBIRD COVE
78216
(210) 497-5200
TOTAL Lic Capacity: 9
FAX:
12/15/2017
TEAM V
AUTUMN LEAVES OF STONE OAK
20272 STONE OAK PARKWAY
TX
SAN ANTONIO
(210) 681-1343
(210) 590-2107
75243
Owner Information
BEXAR
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105328
Fax
PRIVATE Beds: 16
Facility Information:
08 - SAN ANTONIO
GLEN HOPE HARBOR INC
Cert Alzh Capacity: 16
County
SERVICE TYPE TYPE A
Region
DALLAS
(210) 590-3143
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
(210) 590-3143
07/18/2018
UNASSIGNED
TITLE19: 0
TITLE 18/19:
(210) 493-1181
Facility Information:
FAX:
10503 METRIC DR
BEXAR
County
75243
Owner Information
TITLE 18: 0
PRIVATE Beds: 5
Phone
(210) 590-2107
License Exp Dt:
78247
Fax
Cert Alzh Capacity: 0
AUTUMN GROVE - BLANCO
1418 WALKERS WAY
SAN ANTONIO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106309
(210) 590-2107
Facility Information:
08 - SAN ANTONIO
AUTISTIC TREATMENT CENTER INC
TOTAL Lic Capacity: 5
County
ICF/IID: 0
Reg Svcs:
AUTISTIC TREATMENT CENTER
16330 MARTINS FERRY
SAN ANTONIO
Region
DALLAS
(210) 590-3143
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
10503 METRIC DR
78247
BEXAR
Facility Information:
(210) 838-6315
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
FAX:
AUTISTIC TREATMENT CENTER INC
Fax
Cert Alzh Capacity: 0
78245
10/01/2018
TEAM X
102947
(210) 590-2107
TOTAL Lic Capacity: 7
(210) 838-6332
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 24
Facility Information:
SAN ANTONIO
(210) 568-5155
TITLE 18: 0
Cert Alzh Capacity: 0
County
BST HEALTH SERVICES CORP
Fax
(210) 568-5061
08 - SAN ANTONIO
Owner Information
ARNOLD HOUSE AT BLUE SKIES OF TEXAS EAST
4917 RAVENSWOOD DRIVE
TX
SAN ANTONIO
78227
Phone
Region
TEAM Z
104902
SERVICE TYPE TYPE B
12/18/2016
Region
TEAM V
08 - SAN ANTONIO
Owner Information
030361
WILMA J LA CROIX
6411 RIDGE PLACE
78250
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 681-2901
0
ICF/IID: 0
PHONE:
TX
(210) 681-1343
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78250
FAX:
(210) 681-2901
SERVICE TYPE TYPE A
08/06/2018
Page 9 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
AUTUMN LEAVS OF WESTOVER HILLS
10107 W MILITARY DR
TX
SAN ANTONIO
Phone
IRVING
TITLE 18: 0
TITLE 18/19:
AUTUMNGROVE COTTAGE (STONE OAK)
20718 STONE OAK PKWY
TX
SAN ANTONIO
Phone
County
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 97
Sunday, October 09, 2016
PHONE:
TX
(210) 267-9106
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78255
FAX:
(210) 272-0800
SERVICE TYPE TYPE B
08/26/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
1002 GALLATIN DR
78245
SAN ANTONIO
(210) 670-1440
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 670-1440
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
08 - SAN ANTONIO
BOARDING WITH TENDER CARE INC
Fax
BROOKDALE ALAMO HEIGHTS
855 E BASSE RD
SAN ANTONIO
TOTAL Lic Capacity: 97
ICF/IID: 0
0
BEXAR
(210) 930-1040
SAN ANTONIO
(210) 272-0800
100822
(210) 670-1440
PRIVATE Beds: 9
Region
24803 BROAD OAK TRL
78255
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Owner Information
BEXAR
TOTAL Lic Capacity: 9
FAX:
09/02/2017
TEAM W
TITLE19: 0
BOARDING WITH TENDER CARE INC
1002 GALLATIN DR
TX
SAN ANTONIO
78231
ELIZABETH DAVIS
TITLE 18/19:
Facility ID:
(210) 332-8676
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104432
Fax
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
(210) 267-9106
Facility Information:
08 - SAN ANTONIO
,SUITE 330
SAN ANTONIO
TITLE19: 0
TOTAL Lic Capacity: 10
County
SERVICE TYPE TYPE B
Region
11503 NW MILITARY
TITLE 18/19:
BLOSSOM CARE ASSISTED LIVING
24803 BROAD OAK TRAIL
TX
SAN ANTONIO
Phone
(512) 761-3548
02/26/2017
TEAM Y
78231
BEXAR
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 24
County
78734
(469) 371-0445
License Exp Dt:
Fax
Cert Alzh Capacity: 24
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106230
(210) 408-1002
Facility Information:
08 - SAN ANTONIO
BADER HOUSE OF SHAVANO PARK I, LTD.
TOTAL Lic Capacity: 24
County
ICF/IID: 0
Reg Svcs:
BADER HOUSE
3411 PAESANO'S PARKWAY
SAN ANTONIO
Phone
LAKEWAY
(210) 497-8614
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
101 FIREBIRD COVE
78258
BEXAR
Facility Information:
SERVICE TYPE TYPE B
02/26/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(214) 845-4501
GLEN HOPE HARBOR INC
Fax
Cert Alzh Capacity: 16
FAX:
TEAM V
105770
(210) 497-8645
TOTAL Lic Capacity: 16
75062
(214) 845-4000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 54
County
545 E JOHN CARPENTER FRWY
78251
Fax
Cert Alzh Capacity: 54
08 - SAN ANTONIO
Owner Information
WESTOVER HILLS MEMORY CARE, LLC
(210) 608-9302
TOTAL Lic Capacity: 54
Region
TEAM V
106414
78245
FAX:
(210) 675-2306
SERVICE TYPE TYPE A
09/10/2016
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000945
S-H OPCO LINCOLN HEIGHTS LLC
TX
6737 W WASHINGTON ST
78209
Fax
(210) 930-1844
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
08/29/2016
Page 10 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
BROOKDALE CASTLE HILLS
1207 JACKSON KELLER
SAN ANTONIO
Phone
TX
6737 W WASHINGTON ST
78213
Fax
(210) 375-8132
TITLE 18/19:
BROOKDALE CASTLE HILLS
1207 JACKSON KELLER
SAN ANTONIO
TX
TX
TITLE 18/19:
MILWAUKEE
(210) 696-2911
ICF/IID: 0
TX
(206) 301-4510
SERVICE TYPE TYPE A
09/18/2018
Region
TEAM W
6737 W WASHINGTON STREET
78229
MILWAUKEE
(210) 696-2911
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
08 - SAN ANTONIO
BROOKDALE MALTSBERGER
13303 JONES MALTSBERGER RD
TX
SAN ANTONIO
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
78247
MILWAUKEE
(210) 402-4047
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
08 - SAN ANTONIO
PHONE:
,STE 2300
WI
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
Facility ID:
(206) 301-4510
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
FAX:
BROOKDALE SENIOR LIVING COMMUNITIES INC
Fax
Cert Alzh Capacity: 0
53214
09/18/2017
TEAM Y
000350
(210) 402-3800
TOTAL Lic Capacity: 60
(206) 298-2909
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2016
Region
TEAM V
08 - SAN ANTONIO
Owner Information
030044
BROOKDALE MEDICAL CENTER KINGSLEY
9000 FLOYD CURL DR
TX
SAN ANTONIO
78240
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 32
PRIVATE Beds: 136
(206) 298-2909
License Exp Dt:
030049
Fax
Cert Alzh Capacity: 32
Cert Alzh Capacity: 27
PHONE:
53214
ESC III LP
TOTAL Lic Capacity: 32
TOTAL Lic Capacity: 136
08 - SAN ANTONIO
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 641-7200
(210) 697-0772
SERVICE TYPE TYPE A
Region
6737 W WASHINGTON STREET
78229
BEXAR
Phone
(414) 918-5054
07/29/2017
TEAM W
TITLE19: 0
PRIVATE Beds: 96
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
(414) 918-5000
License Exp Dt:
030050
Fax
BROOKDALE HAMILTON WOLFE
5331 HAMILTON WOLFE RD
SAN ANTONIO
PHONE:
53214
ESC III LP
TOTAL Lic Capacity: 96
Phone
08 - SAN ANTONIO
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 641-7200
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BROOKDALE HAMILTON WOLFE
5331 HAMILTON WOLFE RD
SAN ANTONIO
County
MILWAUKEE
(210) 375-2341
BEXAR
Phone
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 160
Facility Information:
(414) 918-5054
Owner Information
78213
Fax
Cert Alzh Capacity: 0
County
FAX:
BROOKDALE CASTLE HILLS LLC
TOTAL Lic Capacity: 160
Phone
53214
08/01/2017
TEAM V
100252
(210) 375-8132
Facility Information:
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 31
Phone
MILWAUKEE
(210) 375-2341
TITLE 18: 0
Cert Alzh Capacity: 31
Facility Information:
08 - SAN ANTONIO
Owner Information
BROOKDALE CASTLE HILLS LLC
TOTAL Lic Capacity: 31
County
Region
TEAM V
100251
ESC IV LP
111 WESTWOOD PL
Fax
(210) 697-0653
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
01/01/2017
Page 11 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
BROOKDALE MEDICAL CENTER WHITBY
5996 WHITBY RD
TX
SAN ANTONIO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 120
County
TITLE 18/19:
BROOKDALE NACOGDOCHES
14595 NACOGDOCHES RD
SAN ANTONIO
Phone
TX
TX
PRIVATE Beds: 120
Sunday, October 09, 2016
BRENTWOOD
(210) 820-8233
ICF/IID: 0
08 - SAN ANTONIO
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
01/01/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
050689
ARC SHAVANO LP
TX
111 WESTWOOD PL
78249
Fax
BRENTWOOD
(210) 408-6411
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(615) 221-2250
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Cert Alzh Capacity: 0
(414) 918-6076
SERVICE TYPE TYPE B
Region
TEAM Z
TITLE19: 0
PRIVATE Beds: 30
TOTAL Lic Capacity: 120
FAX:
12/01/2017
111 WESTWOOD PL
TITLE 18/19:
Cert Alzh Capacity: 30
(210) 408-7411
53214
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 30
Phone
(414) 918-5441
License Exp Dt:
78218
(210) 408-7411
BROOKDALE SHAVANO PARK
4096 DEZAVALA
SAN ANTONIO
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
ICF/IID: 0
030087
Fax
PRIVATE Beds: 136
County
08 - SAN ANTONIO
ESC IV LP
Cert Alzh Capacity: 34
Phone
MILWAUKEE
(210) 653-2082
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 136
BROOKDALE SHAVANO PARK
4096 DEZAVALA
SAN ANTONIO
(414) 918-5054
SERVICE TYPE TYPE B
Region
TEAM Z
TITLE19: 0
TITLE 18/19:
(210) 820-8744
Facility Information:
FAX:
10/01/2017
6737 W WASHINGTON ST
BEXAR
County
37027
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
Phone
License Exp Dt:
78247
Fax
Cert Alzh Capacity: 60
BROOKDALE OAKWELL
3360 OAKWELL COURT
SAN ANTONIO
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
0
000313
(210) 653-6100
Facility Information:
PHONE:
TN
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
County
ICF/IID: 0
Reg Svcs:
Facility ID:
08 - SAN ANTONIO
,STE 400
BRENTWOOD
(210) 641-6922
BEXAR
Facility Information:
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
TITLE19: 0
PRIVATE Beds: 120
(414) 918-6076
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 25
FAX:
ESC-NGH, LP
Fax
(210) 641-6257
53214
12/01/2016
TEAM Y
000731
BROOKDALE N. FREDERICKSBURG ROAD
9505 FREDERICKSBURG RD
TX
SAN ANTONIO
78240
Phone
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
MILWAUKEE
(210) 561-9546
TITLE 18: 0
PRIVATE Beds: 60
County
6737 W WASHINGTON ST
78240
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
(210) 561-9500
TOTAL Lic Capacity: 60
Region
TEAM Z
000360
37027
FAX:
(615) 221-2280
SERVICE TYPE TYPE B
07/25/2016
Region
TEAM V
08 - SAN ANTONIO
Owner Information
050670
ARC SHAVANO LP
TX
111 WESTWOOD PL
78249
Fax
(210) 408-6411
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(615) 221-2280
SERVICE TYPE TYPE A
07/25/2017
Page 12 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
BROOKHOLLOW ASSISTED LIVING
14211 CHADBOURNE ST
TX
SAN ANTONIO
Phone
TX
TX
TX
Sunday, October 09, 2016
FAX:
(210) 635-0110
SERVICE TYPE TYPE A
10/14/2016
Region
TEAM Y
08 - SAN ANTONIO
21022 CACTUS CLIFF
SAN ANTONIO
(210) 635-0110
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(210) 621-3685
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78258
FAX:
(210) 635-0110
SERVICE TYPE TYPE B
02/04/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
000432
KINCARE INCORPORATED
TX
107 BARBARA DR
78216
Fax
SAN ANTONIO
(210) 824-5344
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(210) 824-5344
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
PRIVATE Beds: 32
78258
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
Cert Alzh Capacity: 0
(210) 621-3685
License Exp Dt:
78229
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 32
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
030254
(210) 824-5344
(210) 737-5200
08 - SAN ANTONIO
CAROL ANN'S HOME INC
TOTAL Lic Capacity: 14
Phone
ICF/IID: 0
0
BEXAR
CHANDLER ASSISTED LIVING
1510 HOWARD STREET
SAN ANTONIO
Region
SAN ANTONIO
(210) 635-0110
Reg Svcs:
Facility ID:
PRIVATE Beds: 15
Facility Information:
SERVICE TYPE TYPE B
01/29/2017
TEAM Y
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
21022 CACTUS CLIFF
TITLE 18: 0
TOTAL Lic Capacity: 15
Phone
License Exp Dt:
78217
(210) 621-3685
CASA FELICITAS
107 BARBARA DR
SAN ANTONIO
(210) 590-8927
78218
Owner Information
BEXAR
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103570
Fax
PRIVATE Beds: 8
County
08 - SAN ANTONIO
CAROL ANN'S HOME INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
CAROL ANN'S HOME INC
8005 CHAMBERS RD
SAN ANTONIO
Region
SAN ANTONIO
TITLE19: 0
TITLE 18/19:
(210) 375-4664
Facility Information:
SERVICE TYPE TYPE B
4139 BRIAR GLEN DR
78218
BEXAR
County
(210) 545-4012
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Phone
FAX:
11/10/2017
TEAM Y
Fax
Cert Alzh Capacity: 0
CAROL ANN'S HOME INC
4215 HILTON HEAD
SAN ANTONIO
License Exp Dt:
105931
(210) 590-8927
Facility Information:
(210) 823-2604
78232
BROOKS HOME FOR SENIORS LLC
TOTAL Lic Capacity: 6
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKS HOME FOR SENIORS
4139 BRIAR GLEN DR.
SAN ANTONIO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BEXAR
Facility Information:
SAN ANTONIO
(210) 545-4012
TITLE 18: 0
PRIVATE Beds: 6
County
14211 CHADBOURNE ST
78232
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
CLAUDIA BELDEAN
(210) 545-4012
TOTAL Lic Capacity: 6
Region
TEAM V
104961
78216
FAX:
(210) 822-2494
SERVICE TYPE TYPE B
09/10/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000314
MORNINGSIDE MINISTRIES
TX
700 BABCOCK RD
78212
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 737-5221
0
ICF/IID: 0
PHONE:
TX
(210) 734-1000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78201-2600
FAX:
(210) 734-1111
SERVICE TYPE TYPE B
02/12/2017
Page 13 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
CINDY'S PLACE
16906 TURKEY POINT
SAN ANTONIO
Phone
TX
16906 TURKEY POINT
78232
SAN ANTONIO
Fax
(210) 255-8056
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
COME HOME- VICTOR'S HOUSE
2522 HOLLY HILL
SAN ANTONIO
Phone
TX
TX
Sunday, October 09, 2016
(210) 723-6023
License Exp Dt:
78222
FAX:
(210) 451-8393
SERVICE TYPE TYPE B
09/06/2018
Region
TEAM X
08 - SAN ANTONIO
Owner Information
437 OAK KNOLL
78228
SAN ANTONIO
(210) 436-5124
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 436-5124
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
DIANA'S ASSISTED LIVING HOME
214 TALISMAN
TX
SAN ANTONIO
PRIVATE Beds: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Cert Alzh Capacity: 0
ICF/IID: 0
030088
Fax
PRIVATE Beds: 5
TOTAL Lic Capacity: 12
08 - SAN ANTONIO
GLORIA T FLORES
Cert Alzh Capacity: 0
(210) 849-3415
Region
SAN ANTONIO
(210) 451-8393
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 5
Phone
SERVICE TYPE TYPE B
07/01/2017
TEAM W
TITLE19: 0
TITLE 18/19:
(210) 436-5124
Facility Information:
FAX:
2522 HOLLY HILL
BEXAR
County
76902
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
Phone
(325) 653-3180
License Exp Dt:
78222
Fax
Cert Alzh Capacity: 0
COUNTRY LIVING IN THE CITY
437 OAK KNOLL
SAN ANTONIO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106409
(210) 451-8393
Facility Information:
08 - SAN ANTONIO
COME HOME - VICTOR'S HOUSE LLC
TOTAL Lic Capacity: 7
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
SAN ANGELO
(210) 826-7985
BEXAR
Facility Information:
SERVICE TYPE TYPE B
P O BOX 3666
TITLE19: 0
PRIVATE Beds: 20
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 20
76902
ASF LIVING INC
Fax
TOTAL Lic Capacity: 20
08 - SAN ANTONIO
07/01/2018
TEAM Z
030288
(210) 826-6212
(325) 653-3180
License Exp Dt:
COLONIAL GARDENS OF SAN ANTONIO SA-2
10 LYNN BATTS LANE
TX
SAN ANTONIO
78218
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
SAN ANGELO
(210) 826-6516
BEXAR
Facility Information:
SERVICE TYPE TYPE B
P O BOX 3666
TITLE19: 0
PRIVATE Beds: 16
(210) 233-1038
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
FAX:
ASF LIVING INC
Fax
(210) 826-6090
78232
08/07/2017
TEAM Z
030045
COLONIAL GARDENS OF SAN ANTONIO SA-1
20 LYNN BATTS LANE
TX
SAN ANTONIO
78218
Phone
(210) 255-8056
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
Owner Information
CLAUDETTE C. ROBERTS
TOTAL Lic Capacity: 5
County
Region
TEAM W
105463
78228
FAX:
SERVICE TYPE TYPE A
08/31/2018
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
102765
DIANA L DELEON
207 JO MARIE
78210
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 267-2485
0
ICF/IID: 0
PHONE:
TX
(210) 845-3826
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78222
FAX:
(210) 267-2485
SERVICE TYPE TYPE A
08/31/2018
Page 14 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
DIGNITY SENIOR CARE HOMES
4530 BRIARWICK
SAN ANTONIO
Phone
TX
4530 BRIARWICK
78217
SAN ANTONIO
Fax
(210) 451-7171
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
DIGNITY SENIOR CARE LLC
4639 RADER PASS
SAN ANTONIO
TX
TX
TX
(210) 496-0299
SERVICE TYPE TYPE A
Region
08 - SAN ANTONIO
322 EARLY TRAIL
SAN ANTONIO
(210) 277-0487
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 888-5486
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
78228
FAX:
(210) 277-0487
SERVICE TYPE TYPE B
01/15/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
001075
ELISA M DURDA
TX
147 CROESUS
78213
Fax
SAN ANTONIO
(210) 979-9251
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
TITLE 18/19:
(210) 979-9251
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 113
78232
12/08/2017
TEAM V
78228
Fax
TOTAL Lic Capacity: 4
Cert Alzh Capacity: 16
(210) 495-0481
License Exp Dt:
106041
(210) 979-9251
TOTAL Lic Capacity: 113
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
(210) 946-4994
08 - SAN ANTONIO
EARLY TRAIL, INC.
PRIVATE Beds: 6
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
ELMCROFT OF WINDCREST
6849 CRESTWAY
SAN ANTONIO
SERVICE TYPE TYPE B
Region
SAN ANTONIO
(210) 496-0299
TITLE19: 0
TITLE 18/19:
(210) 888-5486
Facility Information:
(210) 451-7171
14202 TURTLE ROCK ST
TITLE 18: 0
TOTAL Lic Capacity: 6
County
FAX:
Owner Information
BEXAR
Phone
78109
12/30/2017
TEAM Y
78232
Fax
PRIVATE Beds: 10
ELISAS FOSTERCARE
147 CROESUS
SAN ANTONIO
(210) 451-7155
License Exp Dt:
101047
(210) 496-0299
Facility Information:
08 - SAN ANTONIO
ANA M KHAN
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DOVES NEST ASSISTED LIVING
14311 PARKHURST DR
SAN ANTONIO
EARLY TRAIL, INC.
322 EARLY TRAIL
SAN ANTONIO
Region
CONVERSE
(210) 451-7171
BEXAR
Facility Information:
SERVICE TYPE TYPE A
8410 APACHE BEND
TITLE 18: 0
PRIVATE Beds: 6
County
(210) 451-7171
Owner Information
78247
Fax
Cert Alzh Capacity: 0
Phone
FAX:
05/11/2016
TEAM Z
106320
(210) 451-7155
Facility Information:
78219
DIGNITY SENIOR CARE LLC
TOTAL Lic Capacity: 6
County
(210) 274-3556
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Facility Information:
08 - SAN ANTONIO
Owner Information
DIGNITY SENIOR CARE LLC
TOTAL Lic Capacity: 10
County
Region
TEAM Y
104238
78213
FAX:
(210) 979-9251
SERVICE TYPE TYPE C
09/26/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
030383
WINDCREST OPERATIONS LLC
TX
700 N HURSTBOURNE PKWY
78239
Fax
(210) 946-5775
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
0
ICF/IID: 0
PHONE:
,STE 200
KY
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40222
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Page 15 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
EMERITUS AT AMBER OAKS
4415 RIO D ORO
SAN ANTONIO
Phone
TX
6737 W WASHINGTON STREET
78233
Fax
(210) 653-3132
TITLE 18/19:
ESDRAS MENDOZA
4618 MANITOU
SAN ANTONIO
TX
TX
ICF/IID: 0
ICF/IID: 0
FAX:
(210) 233-6197
SERVICE TYPE TYPE A
07/21/2018
Region
TEAM X
21260 GATHERING OKA
SAN ANTONIO
(210) 490-2801
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
08 - SAN ANTONIO
PHONE:
,STE 101
TX
(210) 694-2223
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
Sunday, October 09, 2016
78250
Owner Information
TITLE 18: 0
FRANKLIN PARK TPC PARKWAY
21802 ENCINO COMMONS
SAN ANTONIO
08 - SAN ANTONIO
FAM SONTERRA, LTD
Fax
Facility ID:
(210) 233-6197
License Exp Dt:
104458
(210) 404-1444
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FRANKLIN PARK SONTERRA ASSISTED LIVING
18323 SONTERRA PLACE
TX
SAN ANTONIO
78258
PRIVATE Beds: 70
Region
SAN ANTONIO
(210) 233-6197
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
8862 FENWOOD
TITLE19: 0
TOTAL Lic Capacity: 70
FAX:
05/14/2017
TEAM W
78250
TITLE 18/19:
Facility ID:
78233
FENWOOD HOME CARE ALF LLC
BEXAR
PRIVATE Beds: 125
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
(210) 859-5507
License Exp Dt:
102535
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 7
Cert Alzh Capacity: 45
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 348-5567
TITLE19: 0
(210) 296-7260
TOTAL Lic Capacity: 125
(210) 431-7884
13731 SUNNY GLEN
TITLE 18/19:
FENWOOD RESIDENTIAL HOME CARE
8862 FENWOOD
TX
SAN ANTONIO
(210) 483-9999
FAX:
05/23/2018
TEAM W
78217
BEXAR
Phone
78228
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
Facility Information:
(210) 639-2560
License Exp Dt:
101026
Fax
Cert Alzh Capacity: 0
County
08 - SAN ANTONIO
ROSA CORTES
TOTAL Lic Capacity: 7
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 637-7848
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAITH HOME
4218 CLEAR LAKE
SAN ANTONIO
County
Region
SAN ANTONIO
(210) 233-9634
BEXAR
Phone
SERVICE TYPE TYPE A
4618 MANITOU
TITLE 18: 0
PRIVATE Beds: 12
Facility Information:
(206) 301-4510
Owner Information
78228
Fax
Cert Alzh Capacity: 0
County
FAX:
MARIA I LOPEZ MENDOZA
TOTAL Lic Capacity: 12
Phone
53214
04/01/2017
TEAM Y
101083
(210) 436-6885
Facility Information:
(206) 298-2909
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 205
Phone
MILWAUKEE
(210) 653-9791
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
ESC III LP
TOTAL Lic Capacity: 205
County
Region
TEAM Z
000652
78260
FAX:
(210) 594-2225
SERVICE TYPE TYPE B
06/10/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
104834
FRANKLIN PARK STONE OAK, LTD
TX
21260 GATHERING OAK,
78258
SAN ANTONIO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,SUITE #101
TX
(210) 694-2223
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78260
FAX:
(210) 694-2225
SERVICE TYPE TYPE B
09/30/2016
Page 16 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
Fax
(210) 838-6300
TOTAL Lic Capacity: 72
GARCIA FOSTER HOME
558 FERRIS ST
SAN ANTONIO
Phone
TITLE 18/19:
TX
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(210) 858-5200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
08 - SAN ANTONIO
78255
FAX:
(210) 616-4808
SERVICE TYPE TYPE B
12/08/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
106543
BENJAMIN VESA
TX
6035 SPRING TIME DR.
78249
Fax
SAN ANTONIO
(210) 642-9043
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(210) 462-1543
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 616-4808
Reg Svcs:
PRIVATE Beds: 6
(210) 735-1779
(210) 656-8024
11/22/2016
TEAM Y
TITLE19: 0
Cert Alzh Capacity: 0
Phone
FAX:
24911 N SADDLE TRL
TITLE 18/19:
TOTAL Lic Capacity: 6
GUZMANS PERSONAL CARE
325 E LOCUST ST
SAN ANTONIO
License Exp Dt:
78255
(210) 462-1543
Facility Information:
(210) 656-3690
78239
Owner Information
BEXAR
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
Facility ID:
08 - SAN ANTONIO
LENUTA PUMNUT
Fax
PRIVATE Beds: 14
Phone
ICF/IID: 0
104091
(210) 858-5200
Cert Alzh Capacity: 0
SERVICE TYPE TYPE C
Region
SAN ANTONIO
(210) 656-8024
Reg Svcs:
TOTAL Lic Capacity: 14
(210) 223-1434
05/25/2017
TEAM V
TITLE19: 0
GOLDEN STAGE ASSISTED LIVING
24911 N SADDLE TRL
TX
SAN ANTONIO
FAX:
7714 BARREN RIDGE
TITLE 18/19:
Facility ID:
78220
RONALD A DYGERT
BEXAR
GREENWOOD HOME CARE
6035 SPRING TIME DRIVE
SAN ANTONIO
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
(210) 271-9433
License Exp Dt:
010240
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 656-3690
Facility Information:
Region
SAN ANTONIO
(210) 223-1434
TITLE 18: 0
TOTAL Lic Capacity: 11
County
SERVICE TYPE TYPE B
558 FERRIS ST
GOLDEN CASA ASSISTED LIVING FACILITY 2
7715 BARREN RIDGE
TX
SAN ANTONIO
78239
Phone
(210) 838-6310
Owner Information
BEXAR
Facility Information:
FAX:
01/05/2018
TEAM Y
78220
Fax
PRIVATE Beds: 4
County
(210) 838-6300
78245
LALITA GARCIA
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101298
(210) 271-9433
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
County
SAN ANTONIO
(210) 838-6310
BEXAR
Facility Information:
12455 FREEDOM WAY
TITLE19: 0
PRIVATE Beds: 72
County
ALZHEIMERS CARE AND RESEARCH CENTER FOUNDATION
TITLE 18: 0
Cert Alzh Capacity: 72
08 - SAN ANTONIO
Owner Information
FREEDOM HOUSE ALZHEIMER'S CARE AND RESEARCH CENTER
12455 FREEDOM WAY
TX
SAN ANTONIO
78245
Phone
Region
TEAM Y
030259
78249
FAX:
(210) 462-9043
SERVICE TYPE TYPE B
08/11/2018
Region
TEAM X
08 - SAN ANTONIO
Owner Information
000562
RAUL M GUZMAN SR
TX
325 E LOCUST
78212
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 735-1776
0
ICF/IID: 0
PHONE:
TX
(210) 735-1779
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78212
FAX:
(210) 735-1776
SERVICE TYPE TYPE A
07/08/2015
Page 17 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
TOTAL Lic Capacity: 12
4523 EMORY OAK WOODS
TITLE 18/19:
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
TX
Sunday, October 09, 2016
08 - SAN ANTONIO
78240
FAX:
SERVICE TYPE TYPE B
11/01/2017
Region
TEAM W
08 - SAN ANTONIO
Owner Information
GLADYS M KOVAL & GEORGE J KOVAL
802 MONTICELLO
78223
SAN ANTONIO
(888) 333-1141
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 534-9451
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
PRIVATE Beds: 12
(210) 439-8729
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000843
Fax
PRIVATE Beds: 8
Cert Alzh Capacity: 0
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 12
SERVICE TYPE TYPE B
Region
SAN ANTONIO
TITLE19: 0
(210) 534-9451
(210) 559-2551
(210) 265-5516
6538 ECKHERT RD.
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
FAX:
08/08/2017
TEAM X
78240
TITLE 18: 0
HIGHLAND GARDENS PERSONAL CARE
802 MONTICELLO
TX
SAN ANTONIO
HOPES RESIDENCE
5102 GAWAIN THE CHOSEN
SAN ANTONIO
78233
Owner Information
BEXAR
Facility Information:
(210) 777-1039
License Exp Dt:
Fax
PRIVATE Beds: 52
County
08 - SAN ANTONIO
HERITAGE CREEK ASSISTED LIVING INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105674
(210) 439-8729
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 52
County
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 265-5516
BEXAR
Facility ID:
(210) 736-0448
12119 SAN MIGUEL
TITLE19: 0
PRIVATE Beds: 12
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78201
HEART TO HEART RESIDENTIAL CARE HOME LLC
Fax
TOTAL Lic Capacity: 12
Phone
08 - SAN ANTONIO
11/13/2016
TEAM Y
103524
(210) 777-1039
(210) 736-0044
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HEART TO HEART RESIDENTIAL CARE HOME LLC
12119 SAN MIGUEL
TX
SAN ANTONIO
78233
HERITAGE CREEK
6538 ECKHERT RD.
SAN ANTONIO
Region
SAN ANTONIO
(210) 736-0448
BEXAR
Facility Information:
SERVICE TYPE TYPE A
110 MARY LOUISE DR
TITLE 18: 0
PRIVATE Beds: 36
County
(210) 493-8289
Owner Information
78201
Fax
Cert Alzh Capacity: 0
Phone
FAX:
01/05/2017
TEAM V
030196
(210) 736-0044
Facility Information:
78249
MARGARET L VELASQUEZ
TOTAL Lic Capacity: 36
County
(210) 445-7282
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
HAVENS INN
110 MARY LOUISE DR
SAN ANTONIO
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
Facility Information:
SAN ANTONIO
(210) 493-8289
TITLE 18: 0
Cert Alzh Capacity: 0
County
GERALDINE DOLORES WALKER
Fax
(210) 267-8142
08 - SAN ANTONIO
Owner Information
HAPPY HOME ADULT PERSONAL CARE HOME
4635 LORD RD
TX
SAN ANTONIO
78220
Phone
Region
TEAM Z
000926
78223
FAX:
(888) 333-1141
SERVICE TYPE TYPE A
11/01/2017
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
101528
HEALTH OPERATION PROVIDING ECONOMICAL SOLUTIONS (HOPES)
TX
5102 GAWAIN DR
78218
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 559-1316
0
ICF/IID: 0
PHONE:
TX
(210) 599-2551
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78218
FAX:
(210) 251-4279
SERVICE TYPE TYPE A
05/06/2017
Page 18 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
HOPES RESIDENCE
5046 GALAHAD DR
SAN ANTONIO
Phone
TX
5102 GAWAIN DR
78218
Fax
(210) 564-0870
TITLE 18/19:
IHCS RESIDENTIAL
15218 PEBBLE FOREST DR
SAN ANTONIO
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
DALLAS
TX
Sunday, October 09, 2016
(214) 370-2699
SERVICE TYPE TYPE B
04/22/2017
Region
TEAM W
08 - SAN ANTONIO
4126 SHADY OAK ST
SAN ANTONIO
(210) 979-0239
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 274-8280
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
KOVALS ADULT FOSTER HOME
804 MONTICELLO
SAN ANTONIO
PRIVATE Beds: 6
FAX:
Owner Information
BEXAR
Cert Alzh Capacity: 0
(214) 370-2600
License Exp Dt:
78229
Fax
PRIVATE Beds: 11
TOTAL Lic Capacity: 6
PHONE:
75206
JUST LIKE HOME CARE
Cert Alzh Capacity: 0
(210) 534-9451
08 - SAN ANTONIO
,STE 1010
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 11
Phone
ICF/IID: 0
106149
(210) 274-8280
Facility Information:
(210) 615-4288
SERVICE TYPE TYPE A
Region
5307 E MOCKINGBIRD LANE
78253
BEXAR
County
FAX:
08/08/2017
TEAM Y
TITLE19: 0
JUST LIKE HOME CARE
4126 SHADY OAK ST
SAN ANTONIO
78258
ALAMO RANCH CARE GROUP LP
TITLE 18/19:
Facility ID:
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
PRIVATE Beds: 152
(210) 615-4040
License Exp Dt:
Fax
Cert Alzh Capacity: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106118
(210) 688-9966
TOTAL Lic Capacity: 152
Phone
ICF/IID: 0
Reg Svcs:
ISLE AT WATERCREST - ALAMO RANCH
11349 ALAMO RANCH PARKWAY
TX
SAN ANTONIO
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 482-2006
BEXAR
Facility ID:
(866) 343-7703
20500 HUEBNER RD
TITLE19: 0
PRIVATE Beds: 115
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78232
STONE OAK VILLAS II LTD
Fax
TOTAL Lic Capacity: 115
Facility Information:
08 - SAN ANTONIO
04/07/2017
TEAM Z
100102
(210) 482-2000
(210) 559-9500
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
INDEPENDENCE HILL ASSISTED LIVING FACILITY
20500 HUEBNER RD
TX
SAN ANTONIO
78258
County
Region
SAN ANTONIO
(210) 858-5231
BEXAR
Phone
SERVICE TYPE TYPE A
15218 PEBBLE FOREST
TITLE 18: 0
PRIVATE Beds: 9
Facility Information:
(210) 251-4279
Owner Information
78232
Fax
Cert Alzh Capacity: 0
County
FAX:
IHCS RESIDENTIAL
TOTAL Lic Capacity: 9
Phone
78218
07/29/2017
TEAM Z
050192
(210) 559-9500
Facility Information:
(210) 599-2551
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
Phone
SAN ANTONIO
(210) 251-4279
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
HEALTH OPERATION PROVIDING ECONOMICAL SOLUTIONS (HOPES)
TOTAL Lic Capacity: 11
County
Region
TEAM Z
030354
78229
FAX:
(210) 979-0239
SERVICE TYPE TYPE B
03/20/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000514
GLADYS M KOVAL & GEORGE J KOVAL
TX
802 MONTICELLO
78223
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(888) 333-1141
0
ICF/IID: 0
PHONE:
TX
(210) 534-9451
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78223
FAX:
(888) 333-1141
SERVICE TYPE TYPE A
11/01/2016
Page 19 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
KSL TEXAS COMMUNITIES SA LLC
8103 N HOLLOW
TX
SAN ANTONIO
Phone
LA BONA VITA HOMES
251 W HIGH ST
SAN ANTONIO
Phone
TX
SAN ANTONIO
(210) 532-8842
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(210) 670-4900
TOTAL Lic Capacity: 71
TITLE 18/19:
TX
Sunday, October 09, 2016
78239
FAX:
(210) 646-5395
SERVICE TYPE TYPE B
12/21/2017
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
1809 ALLENDE STREET
SAN ANTONIO
(210) 438-1177
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(210) 432-2087
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
PRIVATE Beds: 12
(210) 646-5300
License Exp Dt:
78237
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 12
Cert Alzh Capacity: 0
08 - SAN ANTONIO
RODOLFO R LEDESMA
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 12
ICF/IID: 0
000449
(210) 432-2087
(210) 698-9365
SERVICE TYPE TYPE B
Region
SAN ANTONIO
(210) 646-5395
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
Phone
(877) 639-9530
04/23/2018
TEAM Y
TITLE19: 0
TITLE 18/19:
LEDESMA PERSONAL CARE HOME
1809 ALLENDE ST
TX
SAN ANTONIO
LEON SPRINGS LODGE LLC
24137 BOERNE STAGE RD
SAN ANTONIO
FAX:
7400 CRESTWAY DR
BEXAR
Facility Information:
78703
Owner Information
TITLE 18: 0
PRIVATE Beds: 68
County
(512) 340-7829
License Exp Dt:
78239
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
105022
(210) 646-5200
Facility Information:
ICF/IID: 0
TX
THE ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO INC
TOTAL Lic Capacity: 68
County
08 - SAN ANTONIO
,SUITE 450
AUSTIN
(210) 670-0010
Reg Svcs:
LAKESIDE VILLAS AT THE ARC
10000 RHINELAND
SAN ANTONIO
Region
1717 W 6TH STREET
BEXAR
Facility ID:
SERVICE TYPE TYPE A
03/20/2017
PM MANAGEMENT - SAN ANTONIO AL, LLC
TITLE19: 0
PRIVATE Beds: 71
(210) 532-8842
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 29
FAX:
TEAM V
105750
LAKESIDE ASSISTED LIVING BY TRISUN HEALTHCARE
8627 LAKESIDE PARKWAY
TX
SAN ANTONIO
78245
Phone
08 - SAN ANTONIO
78210
(210) 532-8842
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
Region
251 W HIGH ST
TITLE 18: 0
PRIVATE Beds: 12
County
SERVICE TYPE TYPE A
Owner Information
78210
Fax
Cert Alzh Capacity: 0
Phone
(760) 804-0589
06/10/2016
TEAM X
050560
(210) 532-8842
Facility Information:
FAX:
CLEO M ARRAMBIDE
TOTAL Lic Capacity: 12
County
92008
(760) 804-5900
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,SUITE 300
CARLSBAD
(210) 558-7604
TITLE 18: 0
PRIVATE Beds: 61
County
5790 FLEET STREET
78240
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
KSL TEXAS COMMUNITIES, SA, LLC
(210) 558-7600
TOTAL Lic Capacity: 61
Region
TEAM Z
102599
78237
FAX:
(210) 438-1177
SERVICE TYPE TYPE A
04/30/2018
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
103438
LEON SPRINGS LODGE LLC
TX
24137 BOERNE STAGE RD
78255
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 735-8271
0
ICF/IID: 0
PHONE:
TX
(210) 735-1190
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78255
FAX:
(210) 735-8271
SERVICE TYPE TYPE B
07/02/2017
Page 20 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
TOTAL Lic Capacity: 51
12455 FREEDOM WAY
TITLE 18/19:
LOMA PARK ASSISTED LIVING
1014 NW 38 ST
SAN ANTONIO
TX
TX
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 436-9106
ICF/IID: 0
PHONE:
TX
(210) 434-7216
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
08 - SAN ANTONIO
78228
FAX:
(210) 436-9106
SERVICE TYPE TYPE A
05/02/2017
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
103075
TOMAS G LOPEZ
TX
118 WALLACE RD
78237
Fax
SAN ANTONIO
(210) 552-4903
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
TITLE 18/19:
(210) 438-8750
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Sunday, October 09, 2016
(210) 436-9106
3706 SHERRIL BROOK
TITLE19: 0
TOTAL Lic Capacity: 6
PRIVATE Beds: 8
FAX:
11/07/2017
TEAM Y
78228
(210) 438-8750
Cert Alzh Capacity: 0
78228
Owner Information
BEXAR
TOTAL Lic Capacity: 8
08 - SAN ANTONIO
LOPEZ ASSISTED LIVING HOMES, INC
TITLE 18/19:
Facility ID:
(210) 434-7216
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 11
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030366
Fax
Cert Alzh Capacity: 0
(210) 432-0552
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 11
Phone
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 436-9106
TITLE19: 0
TITLE 18/19:
(210) 434-7216
LOPEZ HOMES MCG LLC
511 W. QUILL
SAN ANTONIO
(210) 509-7823
3706 SHERRIL BROOK
TITLE 18: 0
LOPEZ ASSISTED LIVING HOMES
3706 SHERRIL BROOK
TX
SAN ANTONIO
Facility Information:
FAX:
Owner Information
BEXAR
County
78228
01/01/2018
TEAM X
78207
Fax
PRIVATE Beds: 10
Phone
08 - SAN ANTONIO
LOPEZ ASSISTED LIVING HOMES, INC
Cert Alzh Capacity: 0
LOPEZ HOMES
118 WALLACE RD
SAN ANTONIO
(210) 438-5052
License Exp Dt:
100358
(210) 251-3896
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LOPEZ ASSISTED LIVING HOME
1611 W COMMERCE ST
SAN ANTONIO
Phone
Region
SAN ANTONIO
(210) 681-6667
BEXAR
Facility Information:
SERVICE TYPE TYPE B
1014 N.W. 38TH STREET
TITLE 18: 0
PRIVATE Beds: 9
County
(210) 838-6315
Owner Information
78228
Fax
Cert Alzh Capacity: 0
Phone
FAX:
10/01/2018
TEAM X
101767
(210) 438-5052
Facility Information:
78245
LOMA PARK ASSISTED LIVING INC
TOTAL Lic Capacity: 9
County
(210) 838-6332
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 51
Facility Information:
SAN ANTONIO
(210) 568-3336
TITLE 18: 0
Cert Alzh Capacity: 0
County
BST HEALTH SERVICES CORP
Fax
(210) 568-3420
08 - SAN ANTONIO
Owner Information
LIBERTY HOUSE AT BLUE SKIES OF TEXAS WEST
5200 JOHN D RYAN BLVD
TX
SAN ANTONIO
78245
Phone
Region
TEAM Y
101035
78237
FAX:
(830) 438-7471
SERVICE TYPE TYPE A
09/04/2018
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
101847
LOPEZ HOMES MCG LLC
TX
4818 OAKWAY DR
78228
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 314-5708
0
ICF/IID: 0
PHONE:
TX
(210) 365-0532
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78228
FAX:
(210) 314-5708
SERVICE TYPE TYPE A
03/10/2018
Page 21 of 311
County
Reg Svcs:
BEXAR
Facility Information:
MACKENZIE MANOR
5450 MAPLE VISTA
SAN ANTONIO
Phone
Facility ID:
TX
5450 MAPLE VISTA
78247
Fax
(210) 387-3390
TITLE 18/19:
MARINA'S ASSISTED LIVING LLC
3515 BACKBAY DRIVE
TX
SAN ANTONIO
MEADOWS
8706 MISSION ROAD
SAN ANTONIO
Phone
TX
Sunday, October 09, 2016
ICF/IID: 0
(210) 334-2437
License Exp Dt:
08 - SAN ANTONIO
78214
FAX:
(210) 922-6006
SERVICE TYPE TYPE B
10/28/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
106423
MCA WESTOVER HILLS OPERATING COMPANY LLC
4009 HILLSBORO PIKE
78251
NASHVILLE
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,SUITE 211
TN
(615) 983-0171
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
PRIVATE Beds: 10
SAN ANTONIO
(210) 922-6006
Reg Svcs:
Facility ID:
PRIVATE Beds: 64
Cert Alzh Capacity: 0
Region
TEAM W
TITLE19: 0
Cert Alzh Capacity: 64
TOTAL Lic Capacity: 10
SERVICE TYPE TYPE A
06/16/2015
8706 MISSION RD
TITLE 18/19:
(210) 802-6653
(210) 639-2560
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 64
Phone
78239
(210) 590-6840
License Exp Dt:
78214
Fax
MEMORY CARE OF WESTOVER HILLS
10910 TOWN CENTER DRIVE
TX
SAN ANTONIO
MENDOZA ASSISTED LIVING
208 HOPE DR.
SAN ANTONIO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
MISSION ROAD DEVELOPMENTAL CENTER
PRIVATE Beds: 8
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
Region
SAN ANTONIO
(210) 590-7559
101631
(210) 924-9265
Facility Information:
SERVICE TYPE TYPE B
6292 MONTGOMERY DR
TITLE19: 0
TOTAL Lic Capacity: 8
County
(866) 745-1547
08/30/2018
TEAM Z
78239-3237
TITLE 18/19:
Facility ID:
FAX:
Owner Information
BEXAR
Facility Information:
78230
(210) 257-9596
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 10
08 - SAN ANTONIO
PRABETG INC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030098
(210) 590-6840
TOTAL Lic Capacity: 10
County
ICF/IID: 0
Reg Svcs:
MCDANIELS PERSONAL CARE HOME
6292 MONTGOMERY DR
TX
SAN ANTONIO
Phone
SAN ANTONIO
(866) 745-1547
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
3515 BACKBAY DRIVE
78230
BEXAR
Facility Information:
SERVICE TYPE TYPE B
10/27/2016
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
(877) 812-0812
MARINA'S ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
FAX:
TEAM Y
105241
(210) 257-9596
TOTAL Lic Capacity: 10
78247
(210) 387-3390
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Phone
SAN ANTONIO
(877) 812-0812
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
MCKENZIE MANOR LLC
TOTAL Lic Capacity: 10
County
Region
TEAM Y
101538
37215
FAX:
SERVICE TYPE TYPE B
03/18/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
105454
MARIA G. LOPEZ
TX
155 AMIRES ST.
78228
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 233-9636
0
ICF/IID: 0
PHONE:
TX
(210) 347-4599
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78237
FAX:
(210) 233-9636
SERVICE TYPE TYPE A
02/14/2017
Page 22 of 311
County
Reg Svcs:
BEXAR
Facility Information:
MI CASA ES SU CASA
4902 E BEVERLY MAE DRIVE
SAN ANTONIO
Phone
Facility ID:
4902 E BEVERLY MAE
TX
Fax
(210) 614-2913
SAN ANTONIO
(210) 614-4768
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
Fax
(210) 561-2715
TOTAL Lic Capacity: 6
County
TITLE 18/19:
SAN ANTONIO
(210) 692-1524
ICF/IID: 0
TOTAL Lic Capacity: 6
County
TITLE 18/19:
SAN ANTONIO
ICF/IID: 0
TOTAL Lic Capacity: 6
County
TITLE 18/19:
SAN ANTONIO
ICF/IID: 0
TOTAL Lic Capacity: 6
County
TITLE 18/19:
SAN ANTONIO
ICF/IID: 0
(210) 650-0367
TOTAL Lic Capacity: 5
Cert Alzh Capacity: 0
PRIVATE Beds: 5
Sunday, October 09, 2016
78214
FAX:
(210) 922-6006
SERVICE TYPE TYPE B
Region
08 - SAN ANTONIO
Owner Information
MENTOR ABI, LLC
313 CONGRESS ST
BOSTON
(210) 599-2856
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
08 - SAN ANTONIO
02/25/2018
TEAM V
105978
Fax
(210) 334-2437
License Exp Dt:
NEURORESTORATIVE SAN ANTONIO- TWISTED OAKS
3502 TWISTED OAKS DRIVE
TX
SAN ANTONIO
78217
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
8706 MISSION RD
(210) 692-1524
BEXAR
Facility Information:
SERVICE TYPE TYPE B
02/25/2018
MISSION ROAD DEVELOPMENTAL CENTER
TITLE19: 0
PRIVATE Beds: 6
(210) 922-6006
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM W
103269
Fax
(210) 558-7625
08 - SAN ANTONIO
78214
(210) 334-2437
License Exp Dt:
MISSION ROAD DEVELOPMENTAL CENTER-COUNTRY FLOWER
10607 COUNTRY FLOWER
TX
SAN ANTONIO
78240
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
8706 MISSION RD
(210) 692-1524
BEXAR
Facility Information:
SERVICE TYPE TYPE B
02/25/2018
MISSION ROAD DEVELOPMENTAL CENTER
TITLE19: 0
PRIVATE Beds: 6
(210) 922-6006
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM Y
103268
Fax
(210) 558-7638
08 - SAN ANTONIO
78214
(210) 334-2437
License Exp Dt:
MISSION ROAD DEVELOPMENTAL CENTER - COUNTRY HAVEN
6827 COUNTRY HAVEN
TX
SAN ANTONIO
78240
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
8706 MISSION RD
(210) 692-1524
BEXAR
Facility Information:
SERVICE TYPE TYPE B
02/25/2018
MISSION ROAD DEVELOPMENTAL CENTER
TITLE19: 0
PRIVATE Beds: 6
(210) 922-6006
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM W
000938
Fax
(210) 614-1657
08 - SAN ANTONIO
78214
(210) 334-2437
License Exp Dt:
MISSION ROAD DEVELOPMENTAL CENTER - COUNTRY BREEZE
6706 COUNTRY BREEZE
TX
SAN ANTONIO
78240
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
8706 MISSION RD
BEXAR
Facility Information:
SERVICE TYPE TYPE B
05/27/2018
MISSION ROAD DEVELOPMENTAL CENTER
TITLE19: 0
PRIVATE Beds: 6
(210) 614-2913
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM Y
000555
MISSION ROAD DEVELOPMENT CENTER - HORN BLVD.
10602 HORN BLVD
TX
SAN ANTONIO
78240
Phone
78229
(210) 614-2913
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
Owner Information
SUSIE M VILLARREAL
TOTAL Lic Capacity: 8
County
Region
TEAM W
102302
0
ICF/IID: 0
PHONE:
,5TH FLR
MA
(617) 790-4800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
02210
FAX:
(617) 790-4271
SERVICE TYPE TYPE B
12/18/2016
Page 23 of 311
County
Reg Svcs:
BEXAR
Facility Information:
NEWFOREST ESTATES
5034 NEWFOREST DRIVE
SAN ANTONIO
Phone
Facility ID:
TX
1775 HANCOCK STREET
78229
Fax
(210) 680-3649
TITLE 18/19:
TX
SAN ANTONIO
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
TITLE 18/19:
SAN ANTONIO
ICF/IID: 0
Reg Svcs:
County
SAN ANTONIO
PAMS HOME CARE
2322 FRONTIER TRAIL
SAN ANTONIO
Phone
TX
License Exp Dt:
SAN ANTONIO
(210) 520-2272
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 17
Sunday, October 09, 2016
08 - SAN ANTONIO
SERVICE TYPE TYPE A
04/12/2017
Region
08 - SAN ANTONIO
Owner Information
ARC PARKLANE INC
111 WESTWOOD PL
BRENTWOOD
(210) 841-7741
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
78251
FAX:
TEAM V
000724
Fax
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
PARKLANE WEST HEALTHCARE CENTER P C UNIT
2 TOWERS PARK LN
TX
SAN ANTONIO
78209
Cert Alzh Capacity: 0
Region
2322 FRONTIER TRAIL
78251
BEXAR
TOTAL Lic Capacity: 17
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 5
(210) 829-1400
FAX:
01/28/2018
TEAM Z
104918
Fax
Cert Alzh Capacity: 0
Phone
(210) 455-7471
78247
PAMS HOME CARE
(210) 250-1525
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 5
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Facility ID:
08 - SAN ANTONIO
4711 SADDLE RIDGE
BEXAR
Facility Information:
Region
ORTEGA'S HOMESTYLE ASSISTED LIVINGS LLC
TITLE 18: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE B
Owner Information
Fax
Cert Alzh Capacity: 0
FAX:
01/14/2018
TEAM V
ORTEGA'S HOMESTYLE ASSISTED LIVINGS, LLC
3417 FOREST FROST
TX
SAN ANTONIO
78247
TOTAL Lic Capacity: 6
08 - SAN ANTONIO
78247
(210) 455-7471
License Exp Dt:
106452
(210) 503-5386
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility ID:
Region
4711 SADDLE RIDGE
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE C
ORTEGA'S HOMESTYLE ASSISTED LIVINGS LLC
TITLE 18: 0
Cert Alzh Capacity: 0
(210) 223-1461
Owner Information
Fax
(210) 455-7471
FAX:
05/10/2017
TEAM Z
106467
ORTEGA'S HOMESTYLE ASSISTE LIVINGS, LLC
4711 SADDLE RIDGE
TX
SAN ANTONIO
78217
Phone
08 - SAN ANTONIO
78208
(210) 225-1461
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
Region
1711 E CARSON
78208
TITLE 18: 0
PRIVATE Beds: 4
County
SERVICE TYPE TYPE B
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
(619) 296-9090
05/22/2017
TEAM Z
102932
(210) 225-1461
Facility Information:
FAX:
JOE L SMITH
TOTAL Lic Capacity: 4
County
92110
(619) 296-9000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 200
CA
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 32
NO GREATER LOVE
1711 E. CARSON
SAN ANTONIO
SAN DIEGO
(210) 680-8108
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
PACIFICA NEW F ESTATES LLC
TOTAL Lic Capacity: 32
County
Region
TEAM Z
102550
0
ICF/IID: 0
PHONE:
,STE 400
TN
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(615) 221-2280
SERVICE TYPE TYPE B
07/25/2017
Page 24 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
PARLAND PLACE COMMUNITY LIVING
133 PARLAND PL
TX
SAN ANTONIO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(210) 828-1460
TOTAL Lic Capacity: 8
County
TITLE 18/19:
SAN ANTONIO
(210) 828-3784
ICF/IID: 0
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
SAN ANTONIO
(210) 549-2599
ICF/IID: 0
County
TITLE 18/19:
PIPESTONE PLACE ASSISTED LIVING
2104 PIPESTONE DR
TX
SAN ANTONIO
Phone
PROVIDENCE PLACE
6487 WHITBY RD
SAN ANTONIO
Phone
(210) 696-2410
TOTAL Lic Capacity: 61
Cert Alzh Capacity: 0
PRIVATE Beds: 61
Sunday, October 09, 2016
FAX:
(210) 257-8298
SERVICE TYPE TYPE B
Region
08 - SAN ANTONIO
SEV INC
2251 FAWN MIST LN
78232
TITLE 18/19:
SAN ANTONIO
(210) 579-6557
ICF/IID: 0
PHONE:
TX
(210) 722-5271
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
78240
Owner Information
BEXAR
Facility Information:
08 - SAN ANTONIO
08/16/2018
TEAM V
TITLE19: 0
PRIVATE Beds: 16
(210) 257-8298
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000923
Fax
(210) 545-6272
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 257-8298
BEXAR
Facility Information:
(210) 549-2599
6655 PEMBROKE RD
TITLE19: 0
PRIVATE Beds: 13
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78209-6534
PEMBROKE ANGEL CARE LLC
Fax
TOTAL Lic Capacity: 13
08 - SAN ANTONIO
01/07/2018
TEAM Z
106271
(210) 257-8298
(210) 828-1460
License Exp Dt:
PEMBROKE ANGEL CARE ASSISTED LIVING
6655 PEMBROKE RD
TX
SAN ANTONIO
78240
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
123 PARLAND PL
BEXAR
Facility Information:
SERVICE TYPE TYPE A
12/31/2016
PARLAND PLACE COMMUNITY LIVING INC
TITLE19: 0
PRIVATE Beds: 16
(210) 549-2599
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM Z
010287
(210) 828-1460
08 - SAN ANTONIO
78209-6534
(210) 828-1460
License Exp Dt:
PARLAND PLACE COMMUNITY LIVING INC
123 PARLAND PL
TX
SAN ANTONIO
78209-6534
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
123 PARLAND PL
BEXAR
Facility Information:
SERVICE TYPE TYPE A
08/20/2017
PARLAND PLACE COMMUNITY LIVING INC
TITLE19: 0
PRIVATE Beds: 8
(210) 549-2599
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
TEAM Z
010286
PARLAND PLACE COMMUNITY LIVING INC
115 PARLAND PLACE
TX
SAN ANTONIO
78209-6534
Phone
78209-6534
(210) 828-1460
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
SAN ANTONIO
(210) 828-3784
TITLE 18: 0
PRIVATE Beds: 16
County
123 PARLAND PL
78209-6534
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
PARLAND PLACE COMMUNITY LIVING INC
(210) 828-1460
TOTAL Lic Capacity: 16
Region
TEAM Z
100248
78248
FAX:
(210) 579-6557
SERVICE TYPE TYPE B
12/07/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
010384
WHITBY ROAD ALLIANCE INC
TX
6487 WHITBY RD
78240-2198
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 699-1866
0
ICF/IID: 0
PHONE:
TX
(210) 696-2410
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78240-2198
FAX:
(210) 699-1866
SERVICE TYPE TYPE A
04/25/2017
Page 25 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
TOTAL Lic Capacity: 15
8245 OLD TEZEL RD
SAN ANTONIO
TITLE 18: 0
Cert Alzh Capacity: 15
TITLE 18/19:
SENIOR HAVEN ASSISTED LIVING LLC
14706 HIDDEN GLEN WOODS
TX
SAN ANTONIO
Phone
County
SAN ANTONIO
(210) 547-7784
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
BUDA
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
SAN ANTONIO
(210) 951-9039
TITLE 18/19:
ICF/IID: 0
Fax
(210) 349-4452
TOTAL Lic Capacity: 6
County
TITLE 18/19:
SILVER LAKE CASA DEL SOL
4330 SILVER LAKE
SAN ANTONIO
Phone
(210) 359-1970
TOTAL Lic Capacity: 7
Cert Alzh Capacity: 0
PRIVATE Beds: 7
Sunday, October 09, 2016
Region
SAN ANTONIO
(210) 349-4452
ICF/IID: 0
PHONE:
TX
(210) 824-5344
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
08 - SAN ANTONIO
107 BARBARA DR
BEXAR
Facility Information:
(210) 951-9039
KINCARE INCORPORATED
TITLE19: 0
PRIVATE Beds: 6
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78240
04/13/2018
TEAM Y
102808
SHALIMAR PLACE - A KINCARE ASSISTED LIVING HOME
202 SHALIMAR
TX
SAN ANTONIO
78213
Phone
(210) 647-7303
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
7521 LINKVIEW ST
TITLE19: 0
PRIVATE Beds: 10
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
SERVING FAITHFULLY ASSISTED LIVING, LLC
Fax
TOTAL Lic Capacity: 10
FAX:
02/03/2017
TEAM V
106523
(210) 647-7303
08 - SAN ANTONIO
78610
(512) 415-4039
License Exp Dt:
SERVING FAITHFULLY ASSISTED LIVING, LLC
7521 LINKVIEW ST.
TX
SAN ANTONIO
78240
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
100 SADDLE BLANKET TRAIL
BEXAR
Facility Information:
SERVICE TYPE TYPE B
SERAPHIM ASSISTED LIVING SERVICES INC
TITLE 18: 0
PRIVATE Beds: 12
(210) 267-5334
Owner Information
Fax
Cert Alzh Capacity: 0
FAX:
10/18/2016
TEAM X
103368
(210) 541-8868
TOTAL Lic Capacity: 12
08 - SAN ANTONIO
78249
(210) 413-5072
License Exp Dt:
SERAPHIM ASSISTED LIVING SERVICES INC
3235 ROCK CREEK RUN
TX
SAN ANTONIO
78230
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
14706 HIDDEN GLEN WOODS
78249
BEXAR
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
(210) 800-9756
SENIOR HAVEN ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
FAX:
09/25/2017
TEAM Z
104790
(210) 413-5072
TOTAL Lic Capacity: 8
78250
(210) 584-4238
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
County
THE SEASONS ON TEZEL LLC
Fax
(210) 584-4238
08 - SAN ANTONIO
Owner Information
SEASON'S ALZHEIMERS AND ASSISTED CARE
15170 NACOGDOCHES ROAD
TX
SAN ANTONIO
78247
Phone
Region
UNLICENSED FACILITIES
105623
78216
FAX:
(210) 822-2494
SERVICE TYPE TYPE B
04/24/2017
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
103082
PAZMINO ENTERPRISES INC
TX
4330 SILVER LAKE
78219
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 224-1097
0
ICF/IID: 0
PHONE:
TX
(210) 849-7356
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78219
FAX:
(210) 599-0704
SERVICE TYPE TYPE A
06/15/2017
Page 26 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
SOUTH TEXAS ASSISTED LIVING LLC
10218 DESERT SAND DR
TX
SAN ANTONIO
Phone
County
Phone
County
SUNSHINE SENIOR LIVING
22310 CIELO VISTA DR.
SAN ANTONIO
Phone
PRIVATE Beds: 6
Sunday, October 09, 2016
08 - SAN ANTONIO
ICF/IID: 0
PHONE:
TX
(210) 560-1497
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78209
FAX:
(210) 599-2707
SERVICE TYPE TYPE B
05/07/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
104245
FIBIA BAHNEAN
TX
22310 CIELO VISTA DR
78255
Fax
SAN ANTONIO
(210) 592-1252
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 781-4873
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SUPERLATIVE SENIOR CARE INC
6718 LAZYRIDGE DR
TX
SAN ANTONIO
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
SAN ANTONIO
BEXAR
TOTAL Lic Capacity: 6
(210) 599-2707
401 BYR MAWR
Reg Svcs:
PRIVATE Beds: 9
(210) 617-7961
FAX:
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
Phone
78209
08/26/2018
TEAM Y
78217
(210) 781-4873
Facility Information:
08 - SAN ANTONIO
SHINES ASSISTED LIVING CARE, LLC
TITLE 18/19:
TOTAL Lic Capacity: 9
County
(210) 560-1497
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
ICF/IID: 0
Fax
PRIVATE Beds: 12
SERVICE TYPE TYPE A
Region
SAN ANTONIO
(210) 599-2707
105156
(210) 599-2707
Cert Alzh Capacity: 0
(210) 532-6155
401 BYR MAWR
Reg Svcs:
TOTAL Lic Capacity: 12
FAX:
03/01/2018
TEAM Y
TITLE19: 0
STARLIGHT HOMES ASSISTED LIVING
4623 BRIARDALE ST
TX
SAN ANTONIO
Phone
License Exp Dt:
78209
TITLE 18/19:
Facility ID:
(210) 532-7698
78210
Owner Information
BEXAR
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 16
08 - SAN ANTONIO
SHINES ASSISTED LIVING CARE, LLC
Fax
Cert Alzh Capacity: 0
County
ICF/IID: 0
106570
(210) 560-1497
TOTAL Lic Capacity: 16
Region
SAN ANTONIO
(210) 532-6155
Reg Svcs:
STARLIGHT HOMES ASSISTED LIVING
401 BRYN MAWR
TX
SAN ANTONIO
SERVICE TYPE TYPE A
1618 S ST MARYS
TITLE19: 0
TITLE 18/19:
Facility ID:
(210) 349-7876
05/01/2015
TEAM Y
78210-1634
BEXAR
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 40
78216
ST MARYS ASSISTED LIVING INC
Fax
Cert Alzh Capacity: 0
(210) 441-2557
License Exp Dt:
010230
(210) 532-7698
TOTAL Lic Capacity: 40
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
ST MARYS ASSISTED LIVING INC
1618 S SAINT MARYS
TX
SAN ANTONIO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BEXAR
Facility Information:
SAN ANTONIO
(210) 349-7876
TITLE 18: 0
PRIVATE Beds: 42
County
10218 DESERT SANDS
78216
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
SOUTH TEXAS ASSISTED LIVING LLC
(210) 341-1012
TOTAL Lic Capacity: 42
Region
TEAM V
000740
78255
FAX:
(210) 592-1252
SERVICE TYPE TYPE B
02/04/2018
Region
TEAM X
08 - SAN ANTONIO
Owner Information
102902
DIANA C RODRIGUEZ
1106 FAULK
78229
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 592-7225
0
ICF/IID: 0
PHONE:
TX
(210) 317-8095
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78221
FAX:
(210) 979-8581
SERVICE TYPE TYPE B
08/25/2017
Page 27 of 311
County
Reg Svcs:
BEXAR
Facility Information:
SUSAN HOME CARE
8426 CASCADE RIDGE DR
SAN ANTONIO
Phone
Facility ID:
TX
8426 CASCADE RIDGE DRIVE
78239
Fax
(210) 630-9982
TITLE 18/19:
TCG SAN ANTONIO CAMPUS LLC
2739 CEMBALO BLVD
TX
SAN ANTONIO
SAN ANTONIO
(210) 493-0102
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
County
TITLE 18/19:
THE COTTAGES ON DANNY KAYE (A)
5962 DANNY KAYE
TX
SAN ANTONIO
Phone
Phone
HELOTES
THE HAVEN IN STONE OAK
511 KNIGHTS CROSS
SAN ANTONIO
Phone
(210) 404-2687
TOTAL Lic Capacity: 60
Cert Alzh Capacity: 60
PRIVATE Beds: 60
Sunday, October 09, 2016
FAX:
(210) 540-8288
License Exp Dt:
SERVICE TYPE TYPE B
01/07/2018
Region
TEAM V
08 - SAN ANTONIO
10410 PARRIGIN RD
78240
HELOTES
(210) 233-9126
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 540-8288
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
78023
Owner Information
BEXAR
Facility Information:
08 - SAN ANTONIO
RESIDENTIAL CARE HOMES OF AMERICA LLC
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106326
(210) 233-9099
Cert Alzh Capacity: 16
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 16
Region
10410 PARRIGIN RD
TITLE19: 0
THE COTTAGES ON DANNY KAYE (B)
5962 DANNY KAYE
TX
SAN ANTONIO
SERVICE TYPE TYPE B
02/01/2018
TEAM Z
78240
TITLE 18/19:
Facility ID:
(210) 646-5395
RESIDENTIAL CARE HOMES OF AMERICA LLC
BEXAR
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
08 - SAN ANTONIO
78239
(210) 646-5300
License Exp Dt:
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106324
(210) 540-8288
TOTAL Lic Capacity: 16
County
SAN ANTONIO
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
7400 CRESTWAY DR
(210) 646-5395
BEXAR
Facility Information:
SERVICE TYPE TYPE B
THE ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO INC
TITLE19: 0
PRIVATE Beds: 30
(210) 493-0102
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
08/10/2017
TEAM V
000523
(210) 646-5200
TOTAL Lic Capacity: 30
08 - SAN ANTONIO
78230
(210) 493-0101
License Exp Dt:
THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER
7402 CRESTWAY DRIVE
TX
SAN ANTONIO
78239
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
2739 CEMBALO BLVD
78230
BEXAR
Facility Information:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 90
(210) 590-0860
TCG SAN ANTONIO CAMPUS LLC
Fax
Cert Alzh Capacity: 20
FAX:
11/24/2016
TEAM V
104864
(210) 493-0101
TOTAL Lic Capacity: 90
78239
(210) 630-9982
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Phone
SAN ANTONIO
(210) 590-0860
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
SUSAN HOME CARE, INC
TOTAL Lic Capacity: 10
County
Region
TEAM X
102130
78023
FAX:
SERVICE TYPE TYPE B
01/07/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
101357
FSQC-TX LLC
TX
400 CENTRE ST
78258
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NEWTON
(210) 481-1599
0
ICF/IID: 0
PHONE:
MA
(617) 796-8387
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
02458
FAX:
(617) 219-1435
SERVICE TYPE TYPE B
11/17/2017
Page 28 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
THE INN AT LOS PATIOS
8700 POST OAK LN
SAN ANTONIO
Phone
TX
2403 GREYMOORE DR
78217
Fax
(210) 829-7357
FRISCO
(210) 829-8238
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 30
TITLE 18/19:
TOTAL Lic Capacity: 88
County
TITLE 18/19:
THE LANDING AT STONE OAK
19110 HUEBNER ROAD
SAN ANTONIO
Phone
TX
DALLAS
TX
Region
NEWTON
(210) 497-5143
ICF/IID: 0
TITLE19: 0
PHONE:
MA
(617) 796-8387
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
08 - SAN ANTONIO
02458
FAX:
(617) 219-1435
SERVICE TYPE TYPE B
11/17/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
101554
FSQC-TX LLC
TX
400 CENTRE ST
78258
Fax
TOTAL Lic Capacity: 62
NEWTON
(210) 497-5143
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 62
TITLE 18/19:
THE LODGE AT LEON SPRINGS
24137 BOERNE STAGE RD
SAN ANTONIO
(617) 796-8387
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Sunday, October 09, 2016
SERVICE TYPE TYPE B
400 CENTRE ST
TITLE 18/19:
(210) 249-0991
PRIVATE Beds: 14
(214) 370-2699
11/22/2017
TEAM V
78258
TITLE 18: 0
THE LAURELS IN STONE OAK
575 KNIGHTS CROSS DR
SAN ANTONIO
Cert Alzh Capacity: 0
FAX:
Owner Information
BEXAR
TOTAL Lic Capacity: 14
(214) 370-2600
License Exp Dt:
101354
Fax
PRIVATE Beds: 40
(210) 698-9365
PHONE:
75206
FSQC-TX LLC
Cert Alzh Capacity: 0
Phone
08 - SAN ANTONIO
,STE 1010
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 249-0991
Facility Information:
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 40
County
(210) 734-1111
SERVICE TYPE TYPE B
Region
5307 E MOCKINGBIRD LANE
TITLE 18/19:
THE LAURELS IN STONE OAK
575 KNIGHTS CROSS DR
SAN ANTONIO
Phone
FAX:
03/01/2018
TEAM Z
78258
BEXAR
Facility Information:
78201-2600
Owner Information
TITLE 18: 0
PRIVATE Beds: 67
County
(210) 734-1000
License Exp Dt:
Fax
Cert Alzh Capacity: 67
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105598
(210) 479-0155
Facility Information:
08 - SAN ANTONIO
SA NORTH OP CO, LLC
TOTAL Lic Capacity: 67
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
SAN ANTONIO
(210) 731-1132
BEXAR
Facility Information:
SERVICE TYPE TYPE A
700 BABCOCK RD
TITLE19: 0
PRIVATE Beds: 88
(972) 283-0376
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
MORNINGSIDE MINISTRIES
Fax
(210) 731-1204
75034
12/15/2017
TEAM V
000697
THE KAULBACH ASSISTED LIVING CENTER
602 BABCOCK RD
TX
SAN ANTONIO
78201
Phone
(972) 298-0411
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
Owner Information
CANTON II INC
TOTAL Lic Capacity: 30
County
Region
TEAM Y
000793
02458
FAX:
(617) 219-1435
SERVICE TYPE TYPE A
11/17/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
030092
LEON SPRINGS LODGE LLC
TX
24137 BOERNE STAGE RD
78255
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 735-8271
0
ICF/IID: 0
PHONE:
TX
(210) 735-1190
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78255
FAX:
(210) 735-8271
SERVICE TYPE TYPE A
02/07/2017
Page 29 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
THE RENAISSANCE HOUSE INC
227 SARATOGA
SAN ANTONIO
Phone
TX
227 SARATOGA
78213
SAN ANTONIO
Fax
(210) 348-9678
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
THE SEASON ON TEZEL
8245 OLD TEZEL ROAD
SAN ANTONIO
TX
SAN ANTONIO
(210) 800-9756
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE SEASONS ON TEZEL
8245 OLD TEZEL ROAD BLDG. 1
SAN ANTONIO
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 88
TITLE 18/19:
TOTAL Lic Capacity: 45
(210) 829-7561
TOTAL Lic Capacity: 42
Cert Alzh Capacity: 0
PRIVATE Beds: 42
Sunday, October 09, 2016
78209
FAX:
(210) 824-6556
SERVICE TYPE TYPE B
02/01/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
4707 BROADWAY
78209-6200
SAN ANTONIO
(210) 832-0378
ICF/IID: 0
PHONE:
TX
(210) 829-7561
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BEXAR
THE VILLAGE AT INCARNATE WORD
4707 BROADWAY
TX
SAN ANTONIO
08 - SAN ANTONIO
INCARNATE WORD RETIREMENT COMMUNITY INC
TITLE 18/19:
Facility ID:
(210) 824-2314
License Exp Dt:
TITLE19: 0
PRIVATE Beds: 45
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
Cert Alzh Capacity: 24
SERVICE TYPE TYPE B
Region
SAN ANTONIO
100473
Fax
(210) 829-7561
(210) 800-9756
311 W NOTTINGHAM
ICF/IID: 0
Reg Svcs:
THE VILLAGE AT INCARNATE WORD
4707 BROADWAY
TX
SAN ANTONIO
FAX:
FIVE STAR LINCOLN HEIGHTS LLC
(210) 824-6556
BEXAR
Facility ID:
78250
05/15/2017
TEAM V
TITLE19: 0
PRIVATE Beds: 88
Phone
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 28
(210) 584-4238
License Exp Dt:
010295
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(210) 824-2314
Facility Information:
SERVICE TYPE TYPE B
Region
SAN ANTONIO
(210) 800-9756
THE SPECIAL CARE CENTER AT THE FORUM AT LINCOLN HEIGHTS
311 W NOTTINGHAM
TX
SAN ANTONIO
78209
County
(210) 800-9756
8245 OLD TEZEL RD
78250
BEXAR
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
78250
07/21/2017
TEAM X
106217
Fax
(210) 584-4238
Cert Alzh Capacity: 16
County
08 - SAN ANTONIO
THE SEASONS ON TEZEL LLC
TOTAL Lic Capacity: 16
Phone
(210) 584-4238
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
Region
8245 OLD TEZEL RD
TITLE 18: 0
PRIVATE Beds: 16
County
SERVICE TYPE TYPE A
Owner Information
78250
Fax
Cert Alzh Capacity: 16
Phone
FAX:
11/06/2017
TEAM X
106221
(210) 584-4238
Facility Information:
78213
THE SEASONS ON TEZEL LLC
TOTAL Lic Capacity: 16
County
(210) 348-9678
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
08 - SAN ANTONIO
Owner Information
THE RENAISSANCE HOUSE INC
TOTAL Lic Capacity: 6
County
Region
TEAM V
000969
78209-6200
FAX:
(210) 829-1601
SERVICE TYPE TYPE B
05/03/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000777
INCARNATE WORD RETIREMENT COMMUNITY INC
4707 BROADWAY
78209-6200
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
(210) 829-0022
0
ICF/IID: 0
PHONE:
TX
(210) 829-7561
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78209-6200
FAX:
(210) 829-1601
SERVICE TYPE TYPE A
06/21/2018
Page 30 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
TOTAL Lic Capacity: 11
1630 SW MILITARY DR
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
TITLE 18/19:
TOTAL Lic Capacity: 16
County
VIBRANT RETIREMENT LIVING
9203 CINNAMON HILL
SAN ANTONIO
Phone
TITLE 18/19:
TX
TX
MILWAUKEE
ICF/IID: 0
TITLE19: 0
08 - SAN ANTONIO
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
53214
FAX:
(414) 918-9054
SERVICE TYPE TYPE B
04/30/2017
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
030333
CSH SAN ANTONIO LLC
TX
6737 W WASHINGTON ST
78240
Fax
MILWAUKEE
(210) 641-5048
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
VIBRANT RETIREMENT LIVING
9303 CINNAMON HILL COTTAGE C
TX
SAN ANTONIO
Sunday, October 09, 2016
(414) 918-9054
SERVICE TYPE TYPE A
Region
TEAM V
(210) 641-5048
BEXAR
PRIVATE Beds: 14
FAX:
04/30/2018
6737 W WASHINGTON ST
TITLE 18/19:
PRIVATE Beds: 14
Cert Alzh Capacity: 14
53214
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 14
TOTAL Lic Capacity: 14
(414) 918-5000
License Exp Dt:
78240
(210) 641-5046
(210) 641-5046
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
030324
Fax
TOTAL Lic Capacity: 14
Phone
ICF/IID: 0
0
BEXAR
Facility Information:
08 - SAN ANTONIO
CSH SAN ANTONIO LLC
PRIVATE Beds: 14
County
MILWAUKEE
(210) 641-5048
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 14
Phone
(512) 523-8185
SERVICE TYPE TYPE B
Region
TEAM X
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 14
VIBRANT RETIREMENT LIVING
9303 CINNAMON HILL
SAN ANTONIO
FAX:
03/17/2017
6737 W WASHINGTON ST
TITLE 18: 0
(210) 641-5046
Facility Information:
78006
Owner Information
BEXAR
County
(512) 415-4039
License Exp Dt:
78240
Fax
PRIVATE Beds: 100
Phone
08 - SAN ANTONIO
CSH SAN ANTONIO LLC
Cert Alzh Capacity: 0
VIBRANT RETIREMENT LIVING
9303 CINNAMON HILL
SAN ANTONIO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030265
(210) 641-5046
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 100
County
BOERNE
(210) 310-3384
BEXAR
Facility Information:
Region
1430 NIXON DR.
TITLE19: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(210) 922-9193
VERBENA SERAPHIM ASSISTED LIVING LLC
Fax
(210) 310-3257
FAX:
12/26/2016
TEAM Y
104719
VERBENA SERAPHIM ASSISTED LIVING LLC
5683 VERBENA ST
TX
SAN ANTONIO
78240
Phone
78221
(210) 927-7930
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
SAN ANTONIO
(210) 927-9193
TITLE 18: 0
Cert Alzh Capacity: 0
County
THERA MED REHABILITATION CLINIC INC
Fax
(210) 927-7930
08 - SAN ANTONIO
Owner Information
THERA MED REHABILITATION CLINIC INC
9571 NEW WORLD
TX
SAN ANTONIO
78239
Phone
Region
TEAM Y
102941
53214
FAX:
(414) 918-9054
SERVICE TYPE TYPE B
04/30/2016
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
104309
CSH SAN ANTONIO LLC
6737 W WASHINGTON ST
78240
MILWAUKEE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-9054
SERVICE TYPE TYPE B
08/10/2016
Page 31 of 311
County
Reg Svcs:
BEXAR
Facility Information:
Facility ID:
VICTORY HOME HEALTH CARE
5326 CHESTNUT VIEW DRIVE
SAN ANTONIO
Phone
TX
15739 KNOLLCLIFF
78247
Fax
(210) 462-7818
SAN ANTONIO
(210) 545-7497
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
TITLE 18/19:
TOTAL Lic Capacity: 16
County
WICHITA FALLS
(210) 804-2385
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 10
County
TITLE 18/19:
TX
TX
Sunday, October 09, 2016
78231
FAX:
(210) 290-9131
License Exp Dt:
(210) 290-9131
SERVICE TYPE TYPE B
05/28/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
3220 W LOOP 1604
78231
SAN ANTONIO
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 651-4000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
PRIVATE Beds: 14
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 90
Cert Alzh Capacity: 0
08 - SAN ANTONIO
MERIDIAN SHAVANO PARK AL/ALZ OE, LP
Cert Alzh Capacity: 44
TOTAL Lic Capacity: 14
ICF/IID: 0
106436
(210) 492-4040
(210) 599-4400
Region
SHAVANO PARK
(210) 290-9131
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 90
Phone
SERVICE TYPE TYPE B
07/27/2017
TEAM V
TITLE19: 0
TITLE 18/19:
SHAVANO PARK SENIOR LIVING
3220 N. LOOP 1604 W
SHAVANO PARK
MENTIS NEURO HEALTH
6849 CRESTWAY DR STE B
WINDCREST
(210) 627-6322
96 WINDMILL ROAD
BEXAR
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
County
78233
(210) 627-6322
License Exp Dt:
78231
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105889
(210) 290-9131
Facility Information:
08 - SAN ANTONIO
ALPHA SENIOR HOME CARE
TOTAL Lic Capacity: 6
County
ICF/IID: 0
Reg Svcs:
Facility ID:
ALPHA SENIOR CARE HOME
96 WINDMILL ROAD
SHAVANO PARK
Phone
SAN ANTONIO
(210) 627-6322
BEXAR
Facility Information:
Region
7728 FOREST STREAM
TITLE19: 0
PRIVATE Beds: 10
SERVICE TYPE TYPE A
01/23/2018
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(940) 767-0466
VILMA D STOLZE
Fax
(210) 599-3053
FAX:
TEAM Z
100002
WOODCREST HOME FOR SENIOR CITIZENS
11307 FOREST SHOWER
TX
SAN ANTONIO
78233
Phone
08 - SAN ANTONIO
76310
(940) 767-0463
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
Region
3610 BARNETT RD
TITLE19: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE A
11/21/2016
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(210) 545-7497
WOOD CARE CENTERS INC
Fax
(210) 804-2377
FAX:
TEAM Y
030245
WOOD LIVING CENTER OF SAN ANTONIO #11
127 CLOUDHAVEN
TX
SAN ANTONIO
78209
Phone
78247
(210) 908-2063
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEXAR
Facility Information:
08 - SAN ANTONIO
Owner Information
MARIA J ARAUJO
TOTAL Lic Capacity: 9
County
Region
TEAM V
103048
78251
FAX:
(214) 651-4001
SERVICE TYPE TYPE B
01/27/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
105124
MENTIS NEURO SAN ANTONIO LLC
TX
6849 CRESTWAY DR
78239
Fax
(210) 599-1046
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANTONIO
0
ICF/IID: 0
PHONE:
,STE B
TX
(210) 599-4400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78239
FAX:
(210) 599-1046
SERVICE TYPE TYPE B
01/15/2017
Page 32 of 311
County
Reg Svcs:
BLANCO
Facility Information:
Facility ID:
HENRY HOUSE ASSISTED LIVING LC
515 3RD ST
TX
BLANCO
Phone
County
BROOKDALE TEXARKANA
4204 MOORES LN
TEXARKANA
Phone
ICF/IID: 0
TX
MILWAUKEE
(903) 832-8787
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 80
Cert Alzh Capacity: 0
PRIVATE Beds: 80
Sunday, October 09, 2016
SERVICE TYPE TYPE B
03/24/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
TEXARKANA
(903) 793-4562
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(903) 832-0429
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BOWIE
(903) 838-5001
FAX:
4939 ELIZABETH
TITLE 18/19:
MSHC THE OAKS ASSISTED LIVING LLC
4317 MCKNIGHT RD
TX
TEXARKANA
PHONE:
License Exp Dt:
TITLE 18: 0
Facility ID:
77380
MSHC COLONIAL LODGE OF TEXARKANA LLC
Fax
PRIVATE Beds: 45
04 - TYLER
,STE 110
TX
PROGRAM TYPE: ASSISTED LIVING
0
MSHC COLONIAL LODGE OF TEXARKANA LLC
5001 N ELIZABETH
TX
TEXARKANA
75503
Cert Alzh Capacity: 0
Region
THE WOODLANDS
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 45
SERVICE TYPE TYPE B
11/01/2017
1440 LAKE FRONT CIRCLE
030066
(903) 792-0838
(414) 918-6076
METHODIST RETIREMENT COMMUNITIES
(903) 832-5553
BOWIE
Facility ID:
FAX:
(414) 918-5441
TYLER NW TEAM
TITLE19: 0
TITLE 18/19:
53214
Owner Information
TITLE 18: 0
PRIVATE Beds: 66
PHONE:
License Exp Dt:
000326
Fax
Cert Alzh Capacity: 36
Phone
04 - TYLER
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(903) 832-5515
Facility Information:
Region
6737 W WASHINGTON ST
75503
Fax
TOTAL Lic Capacity: 66
County
SERVICE TYPE TYPE B
12/30/2016
TYLER NW TEAM
CORNERSTONE RETIREMENT COMMUNITY PERSONAL CARE UNIT
4100 MOORES LN
TX
TEXARKANA
75503
Phone
(254) 675-3044
Owner Information
BOWIE
Facility Information:
FAX:
BROOKDALE SENIOR LIVING COMMUNITIES INC
PRIVATE Beds: 50
County
07 - AUSTIN
76634
(254) 675-8637
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000759
(903) 838-3562
Facility Information:
CLIFTON
(254) 675-3044
TITLE19: 0
TOTAL Lic Capacity: 50
County
Region
PO BOX 71
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
10/20/2016
WACO
76634
BOWIE
Facility Information:
(830) 833-5684
Owner Information
TITLE 18: 0
PRIVATE Beds: 32
FAX:
LUTHERAN SUNSET MINISTRIES
Fax
Cert Alzh Capacity: 0
78606
(830) 833-4674
License Exp Dt:
103643
(254) 675-8637
TOTAL Lic Capacity: 32
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
COLLEGE HILL ASSISTED LIVING
1700 W 9TH ST
TX
CLIFTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BOSQUE
Facility Information:
BLANCO
(830) 833-4684
TITLE 18: 0
PRIVATE Beds: 42
County
515 THIRD ST
78606
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
HENRY HOUSE ASSISTED LIVING LC
(830) 833-4674
TOTAL Lic Capacity: 42
Region
TEAM W
000522
75503
FAX:
(903) 255-0385
SERVICE TYPE TYPE A
10/01/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
000937
MSHC THE OAKS ASSISTED LIVING LLC
4939 ELIZABETH
75503
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
TEXARKANA
(903) 838-4898
0
ICF/IID: 0
PHONE:
TX
(903) 832-0429
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75503
FAX:
(903) 255-0385
SERVICE TYPE TYPE A
10/01/2017
Page 33 of 311
County
Reg Svcs:
BOWIE
Facility Information:
Facility ID:
TOTAL Lic Capacity: 55
4939 ELIZABETH
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
TITLE 18/19:
TOTAL Lic Capacity: 40
County
TITLE 18/19:
THE RETREAT AT KENWOOD
210 N. KENWOOD
TEXARKANA
Phone
TX
TX
SERVICE TYPE TYPE B
Region
ALVIN
(281) 331-0453
ICF/IID: 0
06 - HOUSTON
77511
FAX:
(281) 331-0453
SERVICE TYPE TYPE B
08/26/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
NJT PROPERTIES, INC
2960 ROWAN BURTON RD
77511
ALVIN
(281) 585-3914
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 331-4753
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BRAZORIA
KOZY KORNER ASSISTED LIVING
1501 PARKWAY
TX
ALVIN
(832) 512-3863
License Exp Dt:
050756
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
Sunday, October 09, 2016
(903) 336-6135
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 6
FAX:
2220 CR 144
TITLE 18/19:
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
75501
05/04/2017
UNIT 14
77511
(281) 331-6753
TOTAL Lic Capacity: 6
(903) 336-6134
License Exp Dt:
TITLE 18: 0
EVENING STAR PERSONAL CARE HOME
2960 ROWAN BURTON RD
TX
ALVIN
(281) 331-1289
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
Phone
ICF/IID: 0
104341
Fax
PRIVATE Beds: 9
Facility Information:
04 - TYLER
DESIRE TO LIVE
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
TEXARKANA
(903) 336-6135
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
Phone
(903) 838-0494
04/13/2017
TYLER NW TEAM
TITLE19: 0
TITLE 18/19:
(832) 512-3863
Facility Information:
FAX:
210 N KENWOOD
BRAZORIA
County
75503
Owner Information
TITLE 18: 0
PRIVATE Beds: 80
Phone
(903) 838-7319
License Exp Dt:
75501
Fax
Cert Alzh Capacity: 0
DESIRE TO LIVE
2220 CR 144
ALVIN
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106200
(903) 336-6134
Facility Information:
04 - TYLER
THE RETREAT AT KENWOOD INC
TOTAL Lic Capacity: 80
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
TEXARKANA
(903) 838-0494
BOWIE
Facility Information:
SERVICE TYPE TYPE A
4205 RICHARD MEADOW
TITLE19: 0
PRIVATE Beds: 40
(903) 255-0385
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 40
FAX:
OLMM PROPERTIES LLC
Fax
(903) 838-7319
75503
10/01/2017
TYLER NW TEAM
104639
THE MAGNOLIA ALZHEIMER'S ASSISTED LIVING
4205 RICHMOND MEADOWS
TX
TEXARKANA
75503
Phone
(903) 832-0429
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BOWIE
Facility Information:
TEXARKANA
(903) 792-6689
TITLE 18: 0
Cert Alzh Capacity: 0
County
MSHC WHISPERING PINES OF TEXARKANA, LLC
Fax
(903) 792-8014
04 - TYLER
Owner Information
MSHC WHISPERING PINES OF TEXARKANA, LLC
5002 N ELIZABETH
TX
TEXARKANA
75503
Phone
Region
TYLER NW TEAM
030351
77511
FAX:
(281) 585-3914
SERVICE TYPE TYPE B
05/27/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
102809
VSSL INVESTMENT INC
1501 PARKWAY
77511
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ALVIN
(281) 585-3914
0
ICF/IID: 0
PHONE:
TX
(832) 890-9005
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77511
FAX:
(281) 585-8914
SERVICE TYPE TYPE B
04/28/2017
Page 34 of 311
County
Reg Svcs:
BRAZORIA
Facility Information:
Facility ID:
Fax
(281) 581-9991
TOTAL Lic Capacity: 8
240 E HOUSE ST
TITLE 18/19:
TX
Sunday, October 09, 2016
06 - HOUSTON
PHONE:
TX
(979) 922-1800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77515
FAX:
(979) 922-1800
SERVICE TYPE TYPE B
06/03/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
000712
WHITE'S COTTAGE CENTER
TX
332 MARSHALL ALLEY
77515
Fax
ANGLETON
(979) 849-3506
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(979) 849-4744
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
CARRIAGE INN-LAKE JACKSON
130 LAKE ROAD
LAKE JACKSON
PRIVATE Beds: 50
ICF/IID: 0
0
BRAZORIA
Cert Alzh Capacity: 32
Region
ANGLETON
(979) 922-1800
Reg Svcs:
PRIVATE Beds: 16
TOTAL Lic Capacity: 50
SERVICE TYPE TYPE A
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
(979) 285-0300
FAX:
25806 CR 46
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
77515
02/01/2017
UNIT 14
77515
(979) 849-4744
Facility Information:
(979) 849-8281
License Exp Dt:
TITLE 18: 0
WHITE'S COTTAGE CENTER
332 MARSHALL ALLEY
ANGLETON
06 - HOUSTON
K'S PLACE PERSONAL CARE HOME, LLC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
County
ICF/IID: 0
106477
(979) 922-1800
PRIVATE Beds: 10
Region
ANGLETON
(979) 849-0249
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
721 W MULBERRY
BRAZORIA
TOTAL Lic Capacity: 10
FAX:
Owner Information
TITLE19: 0
K'S PLACE PERSONAL CARE HOME, LLC
25806 CR 46
TX
ANGLETON
77515
02/13/2018
UNIT 14
77515
TITLE 18/19:
Facility ID:
(979) 849-8281
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 38
Phone
06 - HOUSTON
COUNTRY VILLAGE CARE INC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000918
(979) 849-8281
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 38
County
Region
ANGLETON
(979) 849-0249
TITLE19: 0
TITLE 18/19:
COUNTRY VILLAGE CARE INC P C
721 W MULBERRY
TX
ANGLETON
Phone
SERVICE TYPE TYPE B
721 W MULBERRY
BRAZORIA
Facility Information:
(281) 581-2045
Owner Information
TITLE 18: 0
PRIVATE Beds: 32
County
FAX:
03/20/2018
UNIT 14
77515
Fax
Cert Alzh Capacity: 32
Phone
License Exp Dt:
105654
(979) 849-8281
Facility Information:
(281) 585-9109
77511
COUNTRY VILLAGE CARE INC
TOTAL Lic Capacity: 32
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
COUNTRY VILLAGE CARE INC
721 W.MULBERRY
ANGLETON
Phone
ICF/IID: 0
0
BRAZORIA
Facility Information:
ALVIN
(281) 581-2045
TITLE19: 0
PRIVATE Beds: 8
County
ALVIN LABOR OF LOVE MINISTRIES
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
LABORING WITH LOVED ONES PERSONAL CARE HOME
6911 COUNTY RD 171
TX
ALVIN
77511
Phone
Region
UNIT 14
105031
77515
FAX:
(979) 849-3506
SERVICE TYPE TYPE A
05/15/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
105675
CARDINAL BAY, INC
TX
317 MARTINIQUE PASS
77566
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LAKEWAY
(979) 285-0338
0
ICF/IID: 0
PHONE:
TX
(972) 377-3309
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78734
FAX:
SERVICE TYPE TYPE B
05/26/2018
Page 35 of 311
County
Reg Svcs:
BRAZORIA
Facility Information:
Facility ID:
ELMCROFT OF LAKE JACKSON
206 OAK DR S
LAKE JACKSON
Phone
TX
700 N HURSTBOURNE PKWY
77566
Fax
(979) 297-5577
TITLE 18/19:
REVERED TEXAN HEARTH & HOME LLC
1005 SYCAMORE
TX
LAKE JACKSON
Phone
Phone
SIX PALMS
5409 CROIX RD
MANVEL
Phone
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 16
PRIVATE Beds: 16
Sunday, October 09, 2016
,SUITE 1750
ORLANDO
(972) 385-0029
ICF/IID: 0
PHONE:
FL
(407) 999-2400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
32801
FAX:
(407) 999-7759
SERVICE TYPE TYPE B
04/02/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
105398
TX
5409 CROIX RD
77578
Fax
MANVEL
(281) 369-3635
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 543-9458
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
(281) 489-1505
06 - HOUSTON
SIX PALMS AT DAMOOR ESTATES LLC
PRIVATE Beds: 15
Phone
(713) 733-3695
SERVICE TYPE TYPE A
Region
1000 LEGION PLACE
Reg Svcs:
Cert Alzh Capacity: 0
AUTUMN GROVE-PEARLAND
3403 SOUTHFORK PARKWAY
PEARLAND
FAX:
Owner Information
TITLE19: 0
(832) 713-7256
Facility Information:
77233
10/04/2016
UNIT 14
77578
TITLE 18/19:
TOTAL Lic Capacity: 15
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(713) 240-1567
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
Facility Information:
PHONE:
TX
SOUTHFORK SENIOR CARE LLC
Fax
PRIVATE Beds: 136
County
ICF/IID: 0
105865
(713) 960-4727
Cert Alzh Capacity: 75
06 - HOUSTON
,330344
HOUSTON
(713) 733-3695
Reg Svcs:
TOTAL Lic Capacity: 136
(979) 266-9982
SERVICE TYPE TYPE B
Region
P O BOX
TITLE19: 0
ORCHARD PARK AT SOUTHFORK
3151 SOUTHFORK PARKWAY
TX
MANVEL
FAX:
08/18/2018
UNIT 14
77578
TITLE 18/19:
Facility ID:
77566
Owner Information
BRAZORIA
Facility Information:
(979) 429-1691
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 12
06 - HOUSTON
BRINGING LOVE BACK INTO THE COMMUNITY LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102118
(281) 756-8097
TOTAL Lic Capacity: 12
County
ICF/IID: 0
Reg Svcs:
MANVEL ASSISTED LIVING FACILITY
8903 HARVEST
TX
MANVEL
Region
LAKE JACKSON
(979) 529-9565
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
1005 SYCAMORE
77566
BRAZORIA
Facility Information:
(502) 753-6104
Owner Information
TITLE 18: 0
PRIVATE Beds: 13
FAX:
REVERED TEXAN HEARTH & HOME LLC
Fax
Cert Alzh Capacity: 0
40222
08/01/2017
UNIT 13
000980
(979) 266-9982
TOTAL Lic Capacity: 13
(502) 753-6004
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 200
KY
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 108
Phone
LOUISVILLE
(979) 297-5623
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
LAKE JACKSON OPERATIONS LLC
TOTAL Lic Capacity: 108
County
Region
UNIT 13
030051
77578
FAX:
(281) 369-3635
SERVICE TYPE TYPE B
05/29/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
104029
GLEN HOPE HARBOR INC
TX
101 FIREBIRD COVE
77578
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LAKEWAY
(281) 489-3380
0
ICF/IID: 0
PHONE:
TX
(469) 371-0445
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78734
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Page 36 of 311
County
Reg Svcs:
BRAZORIA
Facility Information:
Facility ID:
AUTUMN LEAVES OF PEARLAND
11200 DISCOVERY BAY DRIVE
TX
PEARLAND
Phone
TX
(281) 464-8739
TX
ICF/IID: 0
TX
License Exp Dt:
(615) 221-2280
SERVICE TYPE TYPE B
07/25/2018
Region
UNIT 14
510 BERING DR
77584
06 - HOUSTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
77057
FAX:
(713) 780-8100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE 210
HOUSTON
(281) 997-1080
TITLE 18: 0
(713) 780-8105
SERVICE TYPE TYPE B
09/10/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
105090
LAKEHOUSE ON DIXIE INC
TX
3504 DIXIE FARM RD
77581
PASADENA
Fax
(281) 992-2650
TOTAL Lic Capacity: 14
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
TITLE 18/19:
77581
FAX:
(281) 723-3861
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
SERVICE TYPE TYPE B
08/21/2016
Region
UNIT 14
06 - HOUSTON
Owner Information
105584
LIGHT HEART MEMORY CARE - PEARLAND
6923 AMIE LN
TX
PEARLAND
77584
Sunday, October 09, 2016
FAX:
Owner Information
BRAZORIA
PRIVATE Beds: 8
37027
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
0
103887
Fax
PRIVATE Beds: 108
Cert Alzh Capacity: 0
PHONE:
TN
PEARLAND ASSISTED LIVING LP
Cert Alzh Capacity: 20
TOTAL Lic Capacity: 8
06 - HOUSTON
,STE 400
BRENTWOOD
(281) 464-8739
Reg Svcs:
Facility ID:
(281) 997-2500
(281) 282-0770
Region
UNIT 14
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 108
Phone
SERVICE TYPE TYPE A
07/25/2017
111 WESTWOOD PL
TITLE 18: 0
COLONIAL OAKS AT PEARLAND
2940 CULLEN PARKWAY
PEARLAND
Facility Information:
(615) 221-2280
Owner Information
BRAZORIA
County
FAX:
(615) 221-2250
License Exp Dt:
77581
Fax
PRIVATE Beds: 19
Phone
37027
ARC PEARLAND L P
Cert Alzh Capacity: 19
LAKEHOUSE ON DIXIE
3504 DIXIE FARM ROAD
PEARLAND
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
030227
(281) 464-8740
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 19
County
06 - HOUSTON
,STE 400
BRENTWOOD
TITLE19: 0
TITLE 18/19:
BROOKDALE PEARLAND
2121 SCARSDALE BLVD
PEARLAND
Phone
Region
111 WESTWOOD PL
BRAZORIA
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 84
County
(214) 845-4501
12/15/2017
UNIT 14
77581
Fax
Cert Alzh Capacity: 0
Phone
FAX:
(214) 845-4500
License Exp Dt:
030110
(281) 464-8740
Facility Information:
75062
ARC PEARLAND L P
TOTAL Lic Capacity: 84
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKDALE PEARLAND
2121 SCARSDALE BLVD
PEARLAND
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BRAZORIA
Facility Information:
IRVING
(713) 436-4159
TITLE 18: 0
PRIVATE Beds: 45
County
545 E JOHN CARPENTER FREEWAY #500
77584
Fax
Cert Alzh Capacity: 45
06 - HOUSTON
Owner Information
PEARLAND MEMORY CARE LLC
(713) 436-3941
TOTAL Lic Capacity: 45
Region
UNIT 14
104926
ALZHEIMER'S RESIDENTIAL MANAGEMENT INC
1615 BOWLINE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 280-8048
0
ICF/IID: 0
PHONE:
TX
(281) 282-0770
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77062
FAX:
(281) 280-8048
SERVICE TYPE TYPE B
12/17/2017
Page 37 of 311
County
Reg Svcs:
BRAZORIA
Facility Information:
TRINITY OAKS OF PEARLAND
3033 PEARLAND PKWY
PEARLAND
Phone
Facility ID:
TX
227 E EDGEWOOD DRIVE
77581
Fax
(281) 997-8880
TITLE 18/19:
TX
TX
(979) 731-8254
TX
07 - AUSTIN
317 MARTINIQUE PASS
LAKEWAY
(979) 774-0840
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 377-3309
License Exp Dt:
78734
FAX:
SERVICE TYPE TYPE B
05/26/2018
Region
BRENHAM
07 - AUSTIN
Owner Information
104850
MRC CRESTVIEW
1440 LAKE FRONT CIR
77802
Fax
THE WOODLANDS
(979) 774-7579
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 110
TX
(281) 363-2600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BRAZOS
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 72
Sunday, October 09, 2016
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 18
PRIVATE Beds: 8
SERVICE TYPE TYPE B
07/11/2017
BRENHAM
77802
Fax
TOTAL Lic Capacity: 72
Cert Alzh Capacity: 0
FAX:
License Exp Dt:
105402
(979) 776-4778
TOTAL Lic Capacity: 8
PHONE:
60611
CARDINAL BAY, INC
CRESTVIEW RETIREMENT COMMUNITY
2505 E VILLA MARIA RD
TX
BRYAN
(979) 823-1030
07 - AUSTIN
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
BRAZOS
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 41
DANSBY HOUSE INC
703 DEAN
BRYAN
CHICAGO
TITLE19: 0
(979) 731-1300
Facility Information:
(979) 548-1595
SERVICE TYPE TYPE B
Region
330 N WABASH AVE
TITLE 18/19:
Cert Alzh Capacity: 15
County
FAX:
09/07/2017
BRENHAM
77802
TITLE 18: 0
TOTAL Lic Capacity: 41
Phone
77480
Owner Information
BRAZOS
Facility Information:
(979) 548-1598
License Exp Dt:
000495
Fax
PRIVATE Beds: 36
County
06 - HOUSTON
MILLICAN AID OPCO LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 36
CARRIAGE INN-BRYAN
4235 BOONVILLE RD
BRYAN
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(979) 823-4446
Facility Information:
Region
SWEENY
(979) 548-1526
BRAZOS
County
SERVICE TYPE TYPE A
305 NORTH MCKINNEY
TITLE 18: 0
PRIVATE Beds: 46
Phone
(281) 482-9705
Owner Information
77480
Fax
Cert Alzh Capacity: 0
BROADMOOR PLACE
2601 E VILLA MARIA
BRYAN
FAX:
04/27/2018
UNIT 11
102247
(979) 548-1524
Facility Information:
77546
SWEENY HOSPITAL DISTRICT
TOTAL Lic Capacity: 46
County
(281) 482-9700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZORIA
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 120
THE FOUNTAINS
1101 E 2ND ST
SWEENY
FRIENDSWOOD
(281) 997-8497
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
CHG SENIOR LIVING OF PEARLAND LLC
TOTAL Lic Capacity: 120
County
Region
UNIT 14
100756
77380
FAX:
(281) 292-6360
SERVICE TYPE TYPE B
11/04/2017
Region
BRENHAM
07 - AUSTIN
Owner Information
000946
DANSBY HOUSE INC
TX
PO BOX 1773
77803
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRYAN
(979) 823-1030
0
ICF/IID: 0
PHONE:
TX
(979) 823-1030
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77806
FAX:
(979) 823-1030
SERVICE TYPE TYPE A
08/14/2017
Page 38 of 311
County
Reg Svcs:
BRAZOS
Facility Information:
Facility ID:
Fax
(979) 774-0700
TOTAL Lic Capacity: 66
189 S ORANGE AVENUE
(979) 774-7568
TITLE 18/19:
TX
TX
ICF/IID: 0
TX
(979) 778-3096
SERVICE TYPE TYPE A
Region
07 - AUSTIN
2333 MANOR DR
BRYAN
(979) 821-7301
ICF/IID: 0
TITLE19: 0
(979) 821-7330
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77802
FAX:
(979) 821-7301
SERVICE TYPE TYPE B
07/16/2017
Region
BRENHAM
07 - AUSTIN
Owner Information
000621
BLUEBONNET AID OPCO LLC
TX
330 N WABASH
77845
Fax
CHICAGO
(979) 694-2850
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
Region
07 - AUSTIN
Owner Information
THE WATERFORD AT COLLEGE STATION
1103 ROCK PRAIRIE RD
TX
COLLEGE STATION
77845-8343
CSL CE COLLEGE STATION, LLC
14160 DALLAS PKWY
DALLAS
(888) 753-6262
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
60611
07/11/2017
BRENHAM
000727
Fax
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
BRAZOS
Sunday, October 09, 2016
FAX:
04/17/2018
BRENHAM
77802
TITLE 18/19:
PRIVATE Beds: 48
PRIVATE Beds: 60
77807
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 27
(979) 778-3003
License Exp Dt:
030358
Fax
TOTAL Lic Capacity: 48
TOTAL Lic Capacity: 60
07 - AUSTIN
ST JOSEPH MANOR
(979) 693-9699
(979) 694-6496
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRAZOS
Phone
Region
BRYAN
(979) 778-3096
Reg Svcs:
Facility ID:
PRIVATE Beds: 44
Facility Information:
SERVICE TYPE TYPE B
04/30/2018
BRENHAM
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
8733 N HWY 6
TITLE 18: 0
TOTAL Lic Capacity: 44
Phone
License Exp Dt:
77807
(979) 821-7330
BLUEBONNET PLACE
3601 VICTORIA AVE
COLLEGE STATION
(979) 774-3401
77802
Owner Information
BRAZOS
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000903
Fax
PRIVATE Beds: 16
County
07 - AUSTIN
HEALTH ENRICHMENT AND LONGEVITY INSTITUTE INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
ST JOSEPH MANOR
2333 MANOR DR
BRYAN
Region
BRYAN
(979) 774-3021
TITLE19: 0
TITLE 18/19:
(979) 778-3003
Facility Information:
SERVICE TYPE TYPE B
4091 EASTCHESTER DRIVE
BRAZOS
County
(407) 999-5210
Owner Information
TITLE 18: 0
PRIVATE Beds: 75
Phone
FAX:
08/28/2016
BRENHAM
77802
Fax
Cert Alzh Capacity: 0
PARK PLACE
8733 N HWY 6
BRYAN
License Exp Dt:
104683
(979) 774-3401
Facility Information:
(407) 999-2438
32801
CHP ISLE AT WATERCREST-BRYAN TX TENANT CORP
TOTAL Lic Capacity: 75
County
PHONE:
,SUITE 1700
FL
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
ISLE AT WATERCREST-BRYAN
4091 EASTCHESTER DRIVE
BRYAN
Phone
ICF/IID: 0
0
BRAZOS
Facility Information:
ORLANDO
TITLE19: 0
PRIVATE Beds: 66
County
HUDSON CREEK TRS, LLC
TITLE 18: 0
Cert Alzh Capacity: 66
07 - AUSTIN
Owner Information
HUDSON CREEK ALZHEIMER'S SPECIAL CARE CENTER
3850 COPPERCREST DR
TX
BRYAN
77802
Phone
Region
BRENHAM
102654
0
ICF/IID: 0
PHONE:
,STE 300
TX
(972) 305-4776
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(512) 391-4776
SERVICE TYPE TYPE B
03/30/2018
Page 39 of 311
County
Reg Svcs:
BROWN
Facility Information:
REDSTONE PARK
2410 SONGBIRD CIR
BROWNWOOD
Phone
Facility ID:
TX
1230 ROSECRANS AVE
76801
Fax
(325) 643-9056
TITLE 18/19:
THE CHATFIELD ASSISTED LIVING
1605 CALVERT ROAD
TX
BROWNWOOD
FORT WORTH
(325) 200-4905
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
(325) 646-1172
TOTAL Lic Capacity: 7
Cert Alzh Capacity: 0
PRIVATE Beds: 7
Sunday, October 09, 2016
(325) 643-6333
SERVICE TYPE TYPE A
Region
02 - ABILENE
13601 FM 1176
SANTA ANNA
(325) 646-6971
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(325) 348-3047
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
76878
FAX:
(325) 646-6971
SERVICE TYPE TYPE A
07/01/2017
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
050462
ROLLING OAKS PERSONAL CARE WEST INC
5151 CR 292
TX
EARLY
76802
Phone
FAX:
01/15/2017
ABILENE GERIATRIC
76802
TITLE 18/19:
Facility ID:
76802
Owner Information
BROWN
Facility Information:
(325) 646-5608
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
02 - ABILENE
VICKIE E. RICE
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000354
(325) 646-4771
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
ROLLING OAKS PERSONAL CARE INC
5151 CR 292
TX
EARLY
Phone
EARLY
(325) 643-6333
BROWN
Facility Information:
Region
5001 HIGHWAY 183/84 EAST
TITLE19: 0
PRIVATE Beds: 9
SERVICE TYPE TYPE A
04/18/2018
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(325) 643-6333
ALDERSGATE ENRICHMENT CENTER INC
Fax
TOTAL Lic Capacity: 9
FAX:
ABILENE GERIATRIC
030226
(325) 646-5608
02 - ABILENE
76802
(325) 646-5608
License Exp Dt:
ALDERSGATE ENRICHMENT CENTER INC
5001 HWY 183/84 E
TX
EARLY
76802
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
EARLY
(325) 643-6333
BROWN
Facility Information:
SERVICE TYPE TYPE B
10/01/2018
5001 HIGHWAY 183/84 EAST
TITLE19: 0
PRIVATE Beds: 14
(817) 348-0466
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
(817) 348-8841
ALDERSGATE ENRICHMENT CENTER INC
Fax
TOTAL Lic Capacity: 14
76109
ABILENE GERIATRIC
102913
(325) 646-5608
PHONE:
License Exp Dt:
ALDERSGATE ENRICHMENT CENTER INC
5001 HWY 183/84 E
TX
EARLY
76802
Phone
02 - ABILENE
,STE. 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
4150 INTERNATIONAL PLAZA
76804
BROWN
Facility Information:
SERVICE TYPE TYPE B
09/02/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
(310) 469-0114
BROWNWOOD I ENTERPRISES, LLC
Fax
Cert Alzh Capacity: 0
FAX:
ABILENE GERIATRIC
104032
(325) 200-4904
TOTAL Lic Capacity: 60
90266
(310) 725-0120
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 405
CA
PROGRAM TYPE: ASSISTED LIVING
0
BROWN
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 70
Phone
MANHATTAN BEACH
(325) 643-9055
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
02 - ABILENE
Owner Information
LIVE OAKS HOLDINGS LLC
TOTAL Lic Capacity: 70
County
Region
ABILENE GERIATRIC
000312
VICKIE E. RICE
13601 FM 1176
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SANTA ANNA
(325) 646-6971
0
ICF/IID: 0
PHONE:
TX
(325) 348-3047
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76878
FAX:
(325) 646-6971
SERVICE TYPE TYPE A
07/01/2017
Page 40 of 311
County
Reg Svcs:
BURLESON
Facility Information:
Facility ID:
Fax
(979) 567-6400
TOTAL Lic Capacity: 16
TITLE 18/19:
PAFFORD PLACE
615 CR 340 A
BURNET
Phone
TX
TX
FAX:
SERVICE TYPE TYPE A
12/10/2016
Region
SOUTH AUSTIN
07 - AUSTIN
800 CLAREMONT
MARBLE FALLS
(830) 693-8249
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
78654
FAX:
(830) 693-8249
SERVICE TYPE TYPE A
10/31/2016
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
105513
MARBLE FALLS TX ARBOR HOUSE LP
1801 KING ROAD
78654
MARBLE FALLS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(405) 801-2879
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(830) 693-6446
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BURNET
Sunday, October 09, 2016
78611
Owner Information
TITLE 18: 0
PRIVATE Beds: 52
PRIVATE Beds: 52
(512) 756-7854
License Exp Dt:
78654
Fax
Cert Alzh Capacity: 18
Cert Alzh Capacity: 0
07 - AUSTIN
MARBLE FALLS ASSISTED LIVING LLC
TOTAL Lic Capacity: 52
TOTAL Lic Capacity: 52
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100058
(830) 613-3260
(830) 693-1903
ICF/IID: 0
Reg Svcs:
Facility ID:
ARBOR HOUSE OF MARBLE FALLS
1801 KING ROAD
TX
MARBLE FALLS
Phone
SERVICE TYPE TYPE B
Region
BURNET
(512) 756-8088
BURNET
GATEWAY GARDENS
605 GATEWAY CENTRAL
MARBLE FALLS
(512) 756-2646
08/23/2017
TEMPLE
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 35
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
78611
615 CR 340-A
Fax
TOTAL Lic Capacity: 35
Phone
(512) 756-4724
License Exp Dt:
78611
(830) 693-6446
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BURNET
County
07 - AUSTIN
DMKF, INC
PRIVATE Beds: 16
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
800 CLAREMONT
800 CLAREMONT
MARBLE FALLS
Region
BURNET
(512) 756-2646
100800
(512) 756-7854
Facility Information:
SERVICE TYPE TYPE A
407 W JACKSON ST
TITLE19: 0
TOTAL Lic Capacity: 16
County
(214) 396-3482
08/01/2017
TEMPLE
78611
TITLE 18/19:
Facility ID:
FAX:
Owner Information
BURNET
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 60
(214) 396-3462
75230
COUNTRY OAKS BURNET LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101942
(512) 756-4724
TOTAL Lic Capacity: 60
County
ICF/IID: 0
Reg Svcs:
Facility ID:
COUNTRY OAKS AT HAMILTON CREEK
407 W JACKSON ST
TX
BURNET
Phone
DALLAS
(979) 567-6434
BURNET
Facility Information:
6203 TURNER WAY
TITLE19: 0
PRIVATE Beds: 16
County
COPPERAS AL OPERATOR LLC
TITLE 18: 0
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
COPPERAS HOLLOW NURSING & REHABILITATION CENTER
343 COUNTRY CLUB DR
TX
CALDWELL
77836
Phone
Region
BRENHAM
103836
78654
FAX:
(405) 360-3301
SERVICE TYPE TYPE B
07/18/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
101238
SNH SE TENANT TRS INC
TX
TWO NEWTON PLACE
78654
Fax
(830) 693-1990
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NEWTON
0
ICF/IID: 0
PHONE:
,255 WASHINGTON ST STE 300
MA
(617) 796-8350
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
02458
FAX:
(617) 796-8349
SERVICE TYPE TYPE B
12/19/2016
Page 41 of 311
County
Reg Svcs:
BURNET
Facility Information:
GATEWAY VILLA
601 STEVE HAWKINS PKWY
MARBLE FALLS
Phone
Facility ID:
TX
TWO NEWTON PLACE
78654
Fax
(830) 693-1800
TITLE 18/19:
Phone
TX
LOCKHART
TX
ICF/IID: 0
07 - AUSTIN
FAX:
(512) 357-4025
SERVICE TYPE TYPE A
06/30/2016
Region
TEAM W
07 - AUSTIN
Owner Information
TANGRAM REHABILITATION NETWORK INC
9901 LINN STATION ROAD
78656
LOUISVILLE
(512) 357-2523
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
KY
License Exp Dt:
Reg Svcs:
40223-3808
FAX:
(502) 394-2100
PROGRAM TYPE: ASSISTED LIVING
0
CALDWELL
RESCARE PREMIER SIERRA VERDE
2385 FM 1984 AT REEDVILLE
TX
MAXWELL
78667
(512) 567-1704
License Exp Dt:
000763
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 12
Sunday, October 09, 2016
Region
SAN MARCOS
(512) 357-0264
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 12
SERVICE TYPE TYPE B
PO BOX 705
TITLE 18/19:
TOTAL Lic Capacity: 12
Cert Alzh Capacity: 0
(512) 398-5591
03/19/2018
TEAM W
78655
(512) 357-6022
TOTAL Lic Capacity: 12
FAX:
(512) 398-2421
License Exp Dt:
TITLE 18: 0
RESCARE PREMIER ROCA VISTA
320 MILL RD
TX
MAXWELL
(512) 357-6033
78644
Owner Information
CALDWELL
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101807
Fax
PRIVATE Beds: 16
Facility Information:
07 - AUSTIN
THERAPEUTIC COMMUNITIES LLC
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 16
Phone
LOCKHART
(512) 398-5591
TITLE19: 0
(512) 357-1510
Facility Information:
Region
1505 S MAIN ST
CALDWELL
County
SERVICE TYPE TYPE A
05/06/2018
TEAM Y
78644
TITLE 18/19:
Facility ID:
(210) 826-8548
Owner Information
TITLE 18: 0
PRIVATE Beds: 44
FAX:
GOLDEN AGE HOME
Fax
Cert Alzh Capacity: 0
Phone
07 - AUSTIN
78644
(512) 620-0900
License Exp Dt:
000767
(512) 398-2421
TOTAL Lic Capacity: 44
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
GOLDEN AGE HOME PERSONAL CARE
1505 S MAIN ST
TX
LOCKHART
LIVEOAK LIVING COMMUNITY
7343 FM 621
MARTINDALE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CALDWELL
Facility Information:
Region
1017 BOIS D'ARC
78644
TITLE 18: 0
PRIVATE Beds: 16
County
SERVICE TYPE TYPE A
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
(617) 796-8349
12/19/2016
TEAM Y
103391
(512) 620-0900
Facility Information:
FAX:
1017 BOIS D'ARC, LLC
TOTAL Lic Capacity: 16
County
02458
(617) 796-8350
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
CALDWELL
1017 BOIS D'ARC
1017 BOIS D'ARC ST
LOCKHART
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 32
,255 WASHINGTON ST STE 300
NEWTON
(830) 693-2564
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
SNH SE TENANT TRS INC
TOTAL Lic Capacity: 32
County
Region
SOUTH AUSTIN
000875
(502) 394-2285
SERVICE TYPE TYPE A
10/15/2017
Region
TEAM W
07 - AUSTIN
Owner Information
000435
TANGRAM REHABILITATION NETWORK INC
9901 LINN STATION ROAD
78656
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
(512) 357-2902
0
ICF/IID: 0
PHONE:
KY
(502) 394-2100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40223-3808
FAX:
(502) 394-2285
SERVICE TYPE TYPE A
10/15/2017
Page 42 of 311
County
Reg Svcs:
CALHOUN
Facility Information:
Facility ID:
TRINITY SHORES OF PORT LAVACA
201 TRINITY SHORES DR
TX
PORT LAVACA
Phone
TX
TX
TX
(956) 233-1202
License Exp Dt:
78566
FAX:
(956) 233-1175
SERVICE TYPE TYPE B
06/20/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
1184 BOCA CHICA
78520
BROWNSVILLE
(956) 542-9166
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(956) 541-1282
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SPANISH MEADOWS
440 E RUBEN M TORRES BLVD
BROWNSVILLE
78520
FAX:
(956) 542-9166
SERVICE TYPE TYPE A
05/18/2018
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
000734
EMPIRE SPANISH MEADOWS LTD
TX
25009 OAKHURST DR.
78520
Fax
(956) 546-7378
TOTAL Lic Capacity: 94
SPRING
(956) 546-8562
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 94
TITLE 18/19:
(281) 465-0636
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CAMERON
Sunday, October 09, 2016
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CAMERON
PRIVATE Beds: 14
ICF/IID: 0
030317
Fax
PRIVATE Beds: 9
Cert Alzh Capacity: 0
11 - CORPUS CHRISTI
ROSALINDA PARRA
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 14
SERVICE TYPE TYPE B
Region
LOS FRESNOS
(956) 838-6406
Reg Svcs:
Facility ID:
(956) 541-1282
(956) 357-3317
(956) 233-1175
06/20/2016
CORPUS CHRISTI 12
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 9
Phone
FAX:
220 E OCEAN BLVD
TITLE 18: 0
ROYAL VILLA
1184 BOCA CHICA
BROWNSVILLE
ANGELCARE ACRES
27927 SOUTH PALM BLVD
HARLINGEN
78566
Owner Information
CAMERON
Facility Information:
(956) 233-1202
License Exp Dt:
78521
Fax
PRIVATE Beds: 16
County
11 - CORPUS CHRISTI
ELITE PHC CORPORATION
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103704
(956) 831-6600
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
County
Region
LOS FRESNOS
(956) 233-1175
TITLE19: 0
TITLE 18/19:
#2 MEDFORD PLACE
715 N MEDFORD AVE
BROWNSVILLE
Phone
SERVICE TYPE TYPE B
220 E OCEAN BLVD
CAMERON
Facility Information:
(281) 482-9705
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
County
FAX:
04/27/2018
CORPUS CHRISTI 12
78521
Fax
Cert Alzh Capacity: 0
Phone
License Exp Dt:
103703
(956) 233-1202
Facility Information:
(281) 482-9700
77546
ELITE PHC CORPORATION
TOTAL Lic Capacity: 16
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
#1 MEDFORD PLACE
715 N MEDFORD AVE
BROWNSVILLE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CAMERON
Facility Information:
FRIENDSWOOD
(361) 552-6103
TITLE 18: 0
PRIVATE Beds: 100
County
227 E EDGEWOOD DR
77979
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
CHG SENIOR LIVING OF PORT LAVACA, LLC
(361) 552-2333
TOTAL Lic Capacity: 100
Region
TEAM V
102951
77386
FAX:
(281) 465-0748
SERVICE TYPE TYPE A
09/01/2018
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
100341
ANGELCARE HOMES LLC
TX
27927 SOUTH PALM BLVD
78552
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HARLINGEN
(214) 212-6435
0
ICF/IID: 0
PHONE:
TX
(956) 357-3317
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78552
FAX:
(214) 212-6435
SERVICE TYPE TYPE B
04/01/2018
Page 43 of 311
County
Reg Svcs:
CAMERON
Facility Information:
ANGELCARE HAVEN
2509 CLIFFORD DR
HARLINGEN
Phone
Facility ID:
TX
27927 SOUTH PALM BLVD
78550
Fax
(956) 564-1473
HARLINGEN
(956) 230-3311
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
Fax
(956) 430-3100
TOTAL Lic Capacity: 51
County
TITLE 18/19:
THE VILLA OF HARLINGEN
105 AL CONEWAY
HARLINGEN
Phone
TX
TX
(505) 797-9003
SERVICE TYPE TYPE B
Region
11 - CORPUS CHRISTI
3973 WEST VICKERY BLVD. SUITE 101
FORT WORTH
ICF/IID: 0
TITLE19: 0
76107
FAX:
(817) 386-8324
SERVICE TYPE TYPE B
01/01/2018
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
WOOD CARE CENTERS INC
3610 BARNETT RD
78550
WICHITA FALLS
(956) 440-9242
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(940) 767-0463
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
CAMERON
ASSISTED LIVING AT LAGUNA VISTA
925 SANTA ISABEL
TX
LAGUNA VISTA
(469) 387-3158
License Exp Dt:
101432
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
Sunday, October 09, 2016
FAX:
04/01/2018
CORPUS CHRISTI 12
78550
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 16
78550
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
(956) 425-7035
License Exp Dt:
030052
(956) 428-7012
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Fax
WOOD LIVING CENTER OF HARLINGEN 6
715 N AVE H
TX
HARLINGEN
(956) 943-1779
ICF/IID: 0
0
CAMERON
Phone
11 - CORPUS CHRISTI
CSL HARLINGEN COURT, LLC
PRIVATE Beds: 129
Facility Information:
SERVICE TYPE TYPE A
Region
HARLINGEN
(956) 425-6970
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 34
County
(972) 931-3801
11/01/2017
CORPUS CHRISTI 12
TITLE19: 0
TOTAL Lic Capacity: 129
Phone
FAX:
105 AL CONEWAY
TITLE 18/19:
(956) 226-0630
Facility Information:
75093
Owner Information
CAMERON
County
(972) 931-3800
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 46
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78550
Fax
Cert Alzh Capacity: 0
VALLEY VIEW SENIOR LIVING
900 CAMELOT DR
HARLINGEN
ICF/IID: 0
000770
(956) 425-7035
Facility Information:
11 - CORPUS CHRISTI
HARLINGEN VILLA LLC
TOTAL Lic Capacity: 46
County
PLANO
(956) 430-3175
Reg Svcs:
Facility ID:
Region
5420 W PLANO PKWY
CAMERON
Facility Information:
SERVICE TYPE TYPE B
GOLDEN PALMS OPERATING COMPANY LLC
TITLE19: 0
PRIVATE Beds: 51
(254) 212-6435
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
03/09/2018
CORPUS CHRISTI 12
000721
GOLDEN PALMS RETIREMENT & HEALTH CENTER
2101 TREASURE HILLS BLVD
TX
HARLINGEN
78550
Phone
78552
(956) 357-3317
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CAMERON
Facility Information:
11 - CORPUS CHRISTI
Owner Information
ANGELCARE HOMES LLC
TOTAL Lic Capacity: 16
County
Region
CORPUS CHRISTI 12
101249
76310
FAX:
(940) 767-0466
SERVICE TYPE TYPE A
08/20/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
102326
ELITE PHC CORPORATION
220 E OCEAN BLVD
78578
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOS FRESNOS
(956) 943-3391
0
ICF/IID: 0
PHONE:
TX
(956) 233-1202
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78566
FAX:
(956) 233-1175
SERVICE TYPE TYPE A
06/20/2017
Page 44 of 311
County
Reg Svcs:
CAMERON
Facility Information:
Facility ID:
BELLA VILLA ASSISTED LIVING
7385 OLD MILITARY RD
VILLA NUEVA
Phone
TX
7385 OLD MILITARY RD
78520
Fax
(956) 455-0501
TITLE 18/19:
TX
TX
ICF/IID: 0
TX
OLIVE BRANCH
(903) 586-4811
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
04 - TYLER
FAX:
(662) 895-1804
SERVICE TYPE TYPE B
01/01/2017
Region
TYLER SW TEAM
04 - TYLER
JACKSONVILLE I ENTERPRISES LLC
4150 INTERNATIONAL PLAZA
FORT WORTH
(903) 284-6123
ICF/IID: 0
TITLE19: 0
PHONE:
(817) 348-8959
License Exp Dt:
Reg Svcs:
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
CHILDRESS
Facility ID:
38654
Owner Information
TITLE 18: 0
TITLE 18/19:
(662) 895-1801
License Exp Dt:
104948
Fax
PHONE:
,STE A
MS
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
Sunday, October 09, 2016
(903) 270-6227
SERVICE TYPE TYPE B
Region
6933 CRUMPLER BLVD
TITLE 18: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 16
FAX:
Owner Information
75766
Fax
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
75457
VERITAS INCARE, LLC
(903) 284-6135
TOTAL Lic Capacity: 16
04 - TYLER
08/04/2018
TYLER SW TEAM
THE TRINITY ASSISTED LIVING OF JACKSONVILLE
131 ZIMMERMAN ST
TX
JACKSONVILLE
75766
(940) 937-2045
(903) 537-4116
License Exp Dt:
000990
CHEROKEE
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 48
COTTAGE VILLAGE
204 FIFTH ST N E
CHILDRESS
SERVICE TYPE TYPE B
Region
MOUNT VERNON
(903) 796-6325
TITLE19: 0
(903) 589-1105
Facility Information:
(903) 855-1585
PO BOX 612
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
09/19/2017
TYLER SE TEAM
75551
TITLE 18: 0
TOTAL Lic Capacity: 48
Phone
75686
Owner Information
CHEROKEE
Facility Information:
(903) 856-1111
License Exp Dt:
030365
Fax
PRIVATE Beds: 50
County
04 - TYLER
WESLEY PARTNERS LTD
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 50
ANGELINA HOUSE
211 PHILIP ST
JACKSONVILLE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 796-6300
Facility Information:
PITTSBURG
(903) 855-1585
CASS
County
Region
PO BOX 970
TITLE 18: 0
PRIVATE Beds: 50
Phone
SERVICE TYPE TYPE B
Owner Information
75686
Fax
Cert Alzh Capacity: 0
WESLEY HOUSE
1102 S WILLIAMS
ATLANTA
FAX:
06/14/2017
TYLER NW TEAM
102361
(903) 855-1555
Facility Information:
78520
JAMES WALLACE
TOTAL Lic Capacity: 50
County
(956) 559-0553
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CAMP
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
SOUTHERN WIND MANOR
618 QUITMAN ST
PITTSBURG
BROWNSVILLE
(956) 554-0553
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
11 - CORPUS CHRISTI
Owner Information
KJDO HEALTHCARE INC
TOTAL Lic Capacity: 8
County
Region
CORPUS CHRISTI 12
104513
76109
FAX:
(817) 348-0466
SERVICE TYPE TYPE B
10/01/2018
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
000982
COTTAGE VILLAGE LIVING LLC
TX
204 FIFTH ST NE
79201
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHILDRESS
(940) 937-2517
0
ICF/IID: 0
PHONE:
TX
(940) 937-2045
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79201
FAX:
(940) 937-2517
SERVICE TYPE TYPE B
06/01/2018
Page 45 of 311
County
Reg Svcs:
COLLIN
Facility Information:
AGAPE CARE HOME
19 GRAHAM LN
ALLEN
Phone
Facility ID:
TX
2712 HURSTVIEW DR
75002
Fax
(972) 727-0688
TITLE 18/19:
TX
TX
ALLEN
(214) 383-7594
ICF/IID: 0
TITLE19: 0
TX
ICF/IID: 0
PHONE:
TX
(972) 231-4337
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75074
FAX:
SERVICE TYPE TYPE B
05/01/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
030385
999 W FOREST GROVE RD
75002
Fax
ALLEN
(972) 562-7172
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
TITLE 18/19:
(972) 562-7172
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
75002
FAX:
SERVICE TYPE TYPE A
08/12/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
103492
MUSTANG CREEK ESTATES (BUILDING 4)
716 CREEK VALLEY COURT
TX
ALLEN
75002
Sunday, October 09, 2016
03 - ARLINGTON
ANIELA RUST
Cert Alzh Capacity: 0
PRIVATE Beds: 13
Region
PLANO
(972) 359-6970
Reg Svcs:
TOTAL Lic Capacity: 15
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
900 17TH ST
TITLE19: 0
(972) 562-7172
TOTAL Lic Capacity: 13
(214) 383-7594
09/10/2016
TEAM 1
75002
COLLIN
(972) 359-0200
FAX:
CYNTHIA M DESIMONE-BOGGS
TITLE 18/19:
Facility ID:
(214) 383-9077
75002
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
PHONE:
License Exp Dt:
104699
Fax
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
,STE 214
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(972) 359-6960
Facility Information:
(972) 521-2063
SERVICE TYPE TYPE B
Region
100 ALLENTOWN PKWY
TITLE 18/19:
TOTAL Lic Capacity: 8
County
FAX:
12/30/2017
TEAM 1
75002
TITLE 18: 0
HERITAGE HOUSE OF PLANO, LLC
1521 YORKSHIRE DR
TX
ALLEN
Phone
75086-7682
Owner Information
COLLIN
LOVING CARE HOME
999 W FOREST GROVE
ALLEN
(972) 521-2014
License Exp Dt:
104406
Fax
PRIVATE Beds: 14
Facility Information:
03 - ARLINGTON
GROOM SENIOR LIVING INC
Cert Alzh Capacity: 14
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 383-9077
Facility Information:
PLANO
(972) 521-2063
COLLIN
County
Region
PO BOX 867682
TITLE 18: 0
PRIVATE Beds: 6
Phone
SERVICE TYPE TYPE A
Owner Information
75002
Fax
Cert Alzh Capacity: 0
GROOM SENIOR LIVING INC
304 WILLOW CREEK CIR
ALLEN
FAX:
08/01/2017
TEAM 1
106236
(972) 521-2014
Facility Information:
76054
SOLAI ENTERPRISES LLC
TOTAL Lic Capacity: 6
County
(214) 226-0989
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 13
BERTHA'S CARE HOME
713 ROLLING HILLS DR
ALLEN
HURST
(817) 281-6717
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
BD ASSISTANT LIVING LLC
TOTAL Lic Capacity: 13
County
Region
TEAM 1
000525
CLERMONT AVENUE, LTD
720 CREEK VALLEY COURT
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ALLEN
(469) 519-1042
0
ICF/IID: 0
PHONE:
TX
(469) 519-1042
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75002
FAX:
SERVICE TYPE TYPE B
08/21/2017
Page 46 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
MUSTANG CREEK ESTATES BLDG 3
714 CREEK VALLEY CT
TX
ALLEN
Phone
ALLEN
TITLE 18: 0
TITLE 18/19:
Fax
(972) 359-0200
TOTAL Lic Capacity: 13
County
TITLE 18/19:
ALLEN
ICF/IID: 0
Fax
TOTAL Lic Capacity: 26
County
TITLE 18/19:
Fax
TOTAL Lic Capacity: 13
County
TITLE 18/19:
TEXAS STAR ASSISTED LIVING
650 S GREENVILLE AVENUE
ALLEN
Phone
TX
PRIVATE Beds: 113
Sunday, October 09, 2016
75002
FAX:
SERVICE TYPE TYPE A
10/18/2017
Region
TEAM 1
03 - ARLINGTON
650 S GREENVILLE AVE
75002
ALLEN
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(469) 552-3333
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
THE HERITAGE AT TWIN CREEKS
920 STOCKTON DRIVE
TX
ALLEN
Cert Alzh Capacity: 46
03 - ARLINGTON
Owner Information
COLLIN
TOTAL Lic Capacity: 113
(469) 519-1042
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 111
(214) 509-9005
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
Cert Alzh Capacity: 23
Phone
ALLEN
106350
(469) 552-3333
Facility Information:
Region
TEXAS STAR ASSISTED LIVING LLC
TOTAL Lic Capacity: 111
County
SERVICE TYPE TYPE A
720 CREEK VALLEY COURT
ICF/IID: 0
Reg Svcs:
Facility ID:
FAX:
CLERMONT AVENUE, LTD
(214) 383-0661
COLLIN
Facility Information:
75002
07/20/2017
TEAM 1
TITLE19: 0
PRIVATE Beds: 13
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(469) 519-1042
License Exp Dt:
102183
(972) 359-0200
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MUSTANG CREEK ESTATES RESIDENTIAL ASSISTED LIVING - BLDG. 2
712 CREEK VALLEY COURT
TX
ALLEN
75002
Phone
Region
ALLEN
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
720 CREEK VALLEY COURT
(469) 519-1042
COLLIN
Facility Information:
FAX:
CLERMONT AVENUE, LTD
TITLE19: 0
PRIVATE Beds: 26
75002
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
12/06/2017
TEAM 1
102182
(972) 359-0200
(469) 519-1042
License Exp Dt:
MUSTANG CREEK ESTATES RESIDENTIAL ASSISTED LIVING - BLDG 6
720 CREEK VALLEY COURT
TX
ALLEN
75002
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
720 CREEK VALLEY COURT
(469) 519-1042
COLLIN
Facility Information:
SERVICE TYPE TYPE B
CLERMONT AVENUE, LTD
TITLE19: 0
PRIVATE Beds: 13
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 13
75002
12/03/2016
TEAM 1
102185
MUSTANG CREEK ESTATES RESIDENTIAL ASSISTED LIVING - BLDG 1
710 CREEK VALLEY COURT
TX
ALLEN
75002
Phone
(469) 519-1042
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 13
County
720 CREEK VALLEY COURT
75002
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
CLERMONT AVENUE, LTD
(972) 359-0200
TOTAL Lic Capacity: 13
Region
TEAM 1
103493
75022
FAX:
SERVICE TYPE TYPE B
03/01/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
106459
TWIN CREEKS AL PARTNERS, LP
6370 LBJ FREEWAY
75013
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,SUITE 276
TX
(469) 619-5418
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75240
FAX:
(972) 385-0029
SERVICE TYPE TYPE B
02/11/2018
Page 47 of 311
County
Reg Svcs:
COLLIN
Facility Information:
THE MULBERRY HOUSE III
1056 BALMORHEA DR
ALLEN
Phone
Facility ID:
TX
1101 RAINTREE CIRCLE
75013
ALLEN
Fax
(214) 945-0009
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
B & Y CARE HOME
4311 BRETTON BAY LN
DALLAS
Phone
(972) 837-4105
ICF/IID: 0
License Exp Dt:
PRIVATE Beds: 88
Sunday, October 09, 2016
(972) 484-4739
SERVICE TYPE TYPE B
01/01/2018
Region
TEAM 1
TX
03 - ARLINGTON
4311 BRETTON BAY LN
75287
Fax
DALLAS
(972) 349-9251
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 349-9251
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
75287
FAX:
(972) 349-9251
SERVICE TYPE TYPE B
09/24/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
105429
CONTINUING CARE AT HIGHLAND SPRINGS
7910 FRANKFORD ROAD
TX
DALLAS
75252
Cert Alzh Capacity: 36
FAX:
Owner Information
COLLIN
TOTAL Lic Capacity: 88
(972) 241-9334
75234
FERVENT CARE HOMES LLC
PRIVATE Beds: 8
(972) 656-3500
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
,STE 140
DALLAS
105439
(972) 349-9251
Facility Information:
SERVICE TYPE TYPE B
Region
2655 VILLA CREEK
TITLE19: 0
TOTAL Lic Capacity: 8
County
(972) 484-4739
06/12/2018
TEAM 1
75409
TITLE 18/19:
Facility ID:
FAX:
Owner Information
COLLIN
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
(972) 241-9334
75234
PATE REHABILITATION ENDEAVORS, INC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030281
(972) 838-2602
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
BRINLEE CREEK RANCH WEST CAMPUS
4736 BRINLEE CREEK RANCH ROAD
TX
ANNA
03 - ARLINGTON
,STE 140
DALLAS
(972) 837-4105
COLLIN
Facility ID:
SERVICE TYPE TYPE B
Region
2655 VILLA CREEK
TITLE19: 0
PRIVATE Beds: 16
(972) 484-4739
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
PATE REHABILITATION ENDEAVORS, INC
Fax
TOTAL Lic Capacity: 16
75234
01/01/2018
TEAM 1
102515
(972) 838-2602
(972) 241-9334
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BRINLEE CREEK RANCH - HILLTOP HOUSE
3410 PATE WAY
TX
ANNA
75409
Phone
03 - ARLINGTON
,STE 140
DALLAS
(972) 837-4105
COLLIN
Facility Information:
Region
2655 VILLA CREEK
TITLE 18: 0
PRIVATE Beds: 16
County
SERVICE TYPE TYPE B
Owner Information
75409
Fax
Cert Alzh Capacity: 0
Phone
FAX:
07/08/2018
TEAM 1
000717
(972) 838-2602
Facility Information:
75013
PATE REHABILITATION ENDEAVORS, INC
TOTAL Lic Capacity: 16
County
(469) 569-1082
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,#180
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
BRINLEE CREEK RANCH
4817 MIRACLE LANE
ANNA
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
03 - ARLINGTON
Owner Information
MCKINNEY ASSISTED LIVING INC
TOTAL Lic Capacity: 6
County
Region
TEAM 1
105828
HIGHLAND SPRINGS INC
8000 FRANKFORD ROAD
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 232-8002
0
ICF/IID: 0
PHONE:
TX
(972) 232-8005
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75252
FAX:
(972) 232-8002
SERVICE TYPE TYPE B
02/12/2017
Page 48 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
BEEHIVE HOMES OF FRISCO
2660 TIMBER RIDGE ROAD
FRISCO
Phone
TX
5997 CORAL RIDGE COURT
75034
FRISCO
Fax
(805) 304-0144
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
HUNTLEIGH CARE HOMES - WIMBERLEY
13305 WIMBERLEY DRIVE
TX
FRISCO
County
TX
ICF/IID: 0
PHONE:
TX
(469) 682-8879
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75035
FAX:
SERVICE TYPE TYPE B
03/31/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
106466
TX
11777 LEBANON ROAD
75035
FRISCO
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
RAMBLING OAKS COURTYARD
10588 LEGACY DR
FRISCO
(214) 618-9519
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Sunday, October 09, 2016
03 - ARLINGTON
GO OPERATIONS 1, LLC
PRIVATE Beds: 40
PRIVATE Beds: 100
SERVICE TYPE TYPE B
Region
FRISCO
Reg Svcs:
Cert Alzh Capacity: 40
Cert Alzh Capacity: 0
(972) 455-8281
15620 PALO PINTO DR
TITLE19: 0
TOTAL Lic Capacity: 40
TOTAL Lic Capacity: 100
FAX:
03/20/2017
TEAM 1
75035
(214) 618-9519
(469) 213-8280
75033
Owner Information
COLLIN
Phone
03 - ARLINGTON
KINGSGATE HOMECARE SERVICES LLC
TITLE 18/19:
Facility ID:
(972) 455-8280
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
Cert Alzh Capacity: 0
Facility Information:
ICF/IID: 0
105901
(469) 682-8879
TOTAL Lic Capacity: 6
County
SERVICE TYPE TYPE B
Region
FRISCO
(972) 455-8281
Reg Svcs:
Facility ID:
KINGSGATE HOMECARE SERVICES LLC
15620 PALO PINTO DR
TX
FRISCO
Phone
(972) 455-8281
06/15/2018
TEAM 4
TITLE19: 0
TITLE 18/19:
LA FONTAINE MEMORY CARE
11777 LEBANON ROAD
FRISCO
FAX:
4133 VENETO DR
COLLIN
Facility Information:
75033
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
County
(972) 455-8280
License Exp Dt:
75035
Fax
Cert Alzh Capacity: 8
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105384
(972) 455-8280
Facility Information:
03 - ARLINGTON
HUNTLEIGH CARE HOMES, LLC
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
HUNTLEIGH CARE HOMES, LLC
6974 WAVERLY LANE
FRISCO
Phone
FRISCO
(214) 618-1028
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
4133 VENETO DR
75035
COLLIN
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
FAX:
HUNTLEIGH CARE HOMES, LLC
Fax
Cert Alzh Capacity: 0
75034
03/17/2018
TEAM 1
104607
(214) 415-8943
TOTAL Lic Capacity: 7
(805) 304-0144
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 25
Facility Information:
03 - ARLINGTON
Owner Information
EVANTAGE ASSISTED LIVING, LLC
TOTAL Lic Capacity: 25
County
Region
TEAM 1
106341
75035
FAX:
SERVICE TYPE TYPE B
03/16/2018
Region
TEAM 4
03 - ARLINGTON
Owner Information
103845
BSLC FRISCO LLC
TX
15475 GLENEAGLE DR
75034
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
COLORADO SPRINGS
(469) 362-7408
0
ICF/IID: 0
PHONE:
CO
(719) 481-0100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
80921
FAX:
(719) 481-5484
SERVICE TYPE TYPE B
05/02/2018
Page 49 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
TOTAL Lic Capacity: 65
111 MARKET STREET NE
TITLE 18/19:
Phone
TX
(888) 255-3821
ICF/IID: 0
TX
SEATTLE
(972) 668-4161
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
03 - ARLINGTON
(206) 441-1977
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
SRP FRONTIER MCKINNEY LP
8343 DOUGLAS AVE
DALLAS
(972) 542-9101
ICF/IID: 0
PHONE:
,STE 350
TX
(241) 635-4750
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
COLLIN
Facility ID:
FAX:
02/28/2018
TEAM 1
TITLE19: 0
TITLE 18/19:
98103
Owner Information
TITLE 18: 0
PRIVATE Beds: 128
(206) 441-1770
License Exp Dt:
105884
Fax
PHONE:
,STE 220
WA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 32
75225
FAX:
(214) 835-4768
SERVICE TYPE TYPE B
12/02/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
105635
ALPHA & OMEGA RESIDENTIAL CARE HOME
9604 LOG RUN CT
TX
MCKINNEY
75070
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
146 N CANAL ST
75035
Fax
TOTAL Lic Capacity: 128
PRIVATE Beds: 6
(888) 255-3821
LIVING CARE FRISCO, LP
(972) 804-4122
Cert Alzh Capacity: 0
FAX:
03/07/2018
TEAM 1
THE VILLAGE AT STONEBRIDGE ASSISTED LIVING AND MEMORY CARE
3300 S STONEBRIDGE DR
TX
MC KINNEY
75070
TOTAL Lic Capacity: 6
75205
Owner Information
COLLIN
(972) 346-2280
(214) 526-0021
License Exp Dt:
Reg Svcs:
PRIVATE Beds: 100
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100201
(972) 668-4100
Facility Information:
03 - ARLINGTON
,SUITE #211
DALLAS
TITLE19: 0
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
4514 TRAVIS STREET
TITLE 18/19:
TOTAL Lic Capacity: 100
Phone
(502) 357-9441
05/01/2018
TEAM 1
75034
COLLIN
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Facility ID:
(502) 357-9000
40223
THE COTTAGES AT CHAPEL CREEK, LLC
Fax
PRIVATE Beds: 90
PHONE:
License Exp Dt:
106486
(214) 526-0021
Cert Alzh Capacity: 90
County
03 - ARLINGTON
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 90
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE COTTAGES AT CHAPEL CREEK
8111 WADE BOULEVARD
TX
FRISCO
THE LODGE AT QUAIL PARK
5850 OHIO RD
FRISCO
LOUISVILLE
(469) 362-1488
COLLIN
Facility Information:
SERVICE TYPE TYPE B
Region
10350 ORMSBY PARK PLACE
TITLE 18: 0
PRIVATE Beds: 61
County
(360) 867-1956
Owner Information
75034
Fax
Cert Alzh Capacity: 43
Phone
FAX:
07/21/2017
TEAM 1
104019
(469) 362-1313
Facility Information:
98501
MS FRISCO SH LLC
TOTAL Lic Capacity: 61
County
(360) 867-1900
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 200
WA
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
SUNRISE OF FRISCO
2680 LEGACY DRIVE
FRISCO
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 65
Facility Information:
OLYMPIA
(214) 494-4265
TITLE 18: 0
Cert Alzh Capacity: 65
County
FRISCO MEMORY CARE LLC
Fax
(214) 494-4264
03 - ARLINGTON
Owner Information
SADDLE BROOK MEMORY CARE COMMUNITY
9966 LEGACY DRIVE
TX
FRISCO
75034
Phone
Region
TEAM 1
106148
ALICE LANG LLC
9804 LOG RUN CT
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MCKINNEY
(972) 346-2280
0
ICF/IID: 0
PHONE:
TX
(972) 346-2280
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75070
FAX:
(972) 346-2280
SERVICE TYPE TYPE A
12/03/2017
Page 50 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
AVALON MEMORY CARE -- MC-KINNEY
1801 MEADOW RANCH RD
TX
MCKINNEY
Phone
County
Phone
(972) 542-9270
MCKINNEY
ICF/IID: 0
TITLE19: 0
County
PLANO
(972) 542-0614
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
County
TITLE 18/19:
NORTH BROOK PLACE
2301 N BROOK
MCKINNEY
Phone
(972) 542-6006
TOTAL Lic Capacity: 55
Cert Alzh Capacity: 0
PRIVATE Beds: 55
Sunday, October 09, 2016
Region
MCKINNEY
(469) 619-4565
ICF/IID: 0
PHONE:
TX
(972) 540-1274
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
03 - ARLINGTON
3401 LOS ALAMOS LANE
COLLIN
Facility Information:
(469) 519-4151
12/23/2017
TEAM 4
TITLE19: 0
PRIVATE Beds: 6
FAX:
(469) 331-8200
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
75024
GREENFIELD RESIDENTIAL CARE HOMES LLC
Fax
TOTAL Lic Capacity: 6
PHONE:
License Exp Dt:
105058
(972) 540-1274
03 - ARLINGTON
,UNIT 100
TX
PROGRAM TYPE: ASSISTED LIVING
0
GREENFIELD RESIDENTIAL CARE HOMES LLC
3401 LOS ALAMOS LANE
TX
MCKINNEY
75070
Phone
Region
TEAM 4
7708 SAN JACINTO PLACE
TITLE 18: 0
Facility ID:
SERVICE TYPE TYPE A
02/24/2017
Owner Information
COLLIN
Facility Information:
FAX:
MCKINNEY OPCO LLC
Fax
PRIVATE Beds: 48
03 - ARLINGTON
75069
PHONE:
License Exp Dt:
102401
(972) 542-0606
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 48
Region
3933 COUNTY ROAD 317
75069
TITLE 18/19:
TOTAL Lic Capacity: 48
SERVICE TYPE TYPE B
01/01/2018
TEAM 1
GRAND BROOK MEMORY CARE OF MCKINNEY
175 PLATEAU DR
TX
MCKINNEY
75069
Phone
(414) 918-5054
CORNERSTONE MINISTRIES, INC
TITLE 18: 0
Facility ID:
FAX:
Owner Information
COLLIN
Facility Information:
37027
(414) 918-5441
License Exp Dt:
Fax
PRIVATE Beds: 7
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
102733
(469) 424-1887
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 7
03 - ARLINGTON
,STE 400
BRENTWOOD
TITLE19: 0
CORNERSTONE MINISTRIES INC
3933 CR 317
TX
MCKINNEY
Region
111 WESTWOOD PL
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
12/31/2017
TEAM 1
75070
COLLIN
Facility Information:
(214) 752-7054
Owner Information
TITLE 18: 0
PRIVATE Beds: 136
FAX:
ESC IV LP
Fax
Cert Alzh Capacity: 40
75207
(214) 752-7050
License Exp Dt:
030021
(972) 529-1420
TOTAL Lic Capacity: 136
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKDALE STONEBRIDGE RANCH
1650 S STONEBRIDGE DR
TX
MCKINNEY
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
COLLIN
Facility Information:
DALLAS
(214) 752-7054
TITLE 18: 0
PRIVATE Beds: 16
County
1625 N STEMMONS FRWY
75071
Fax
Cert Alzh Capacity: 16
03 - ARLINGTON
Owner Information
AVALON DEMENTIA CARE MANAGEMENT, LLC
(214) 752-7050
TOTAL Lic Capacity: 16
Region
TEAM 4
103912
75070
FAX:
(469) 619-4565
SERVICE TYPE TYPE B
05/16/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
000645
ASSISTED LIVING CONCEPTS LLC
TX
330 N WABASH AVE
75069
Fax
(972) 542-8008
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE A
07/11/2017
Page 51 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
RANDY LEE LANE SENIOR LIVING
308 RANDY LEE LANE
TX
MCKINNEY
Phone
REDBUD PLACE
101 W WILSON CREEK PKWY
MCKINNEY
Phone
TX
(972) 542-5162
ICF/IID: 0
ICF/IID: 0
Fax
Phone
TOTAL Lic Capacity: 30
Cert Alzh Capacity: 30
PRIVATE Beds: 30
Sunday, October 09, 2016
PHONE:
,STE 300
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75254
FAX:
(972) 308-8216
SERVICE TYPE TYPE B
09/10/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
TX
111 E. WACKER DRIVE
75069
CHICAGO
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(312) 673-4333
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 2200
IL
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
(972) 351-8888
03 - ARLINGTON
SLH MCKINNEY MANAGER LLC
PRIVATE Beds: 90
Phone
DALLAS
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
THE IVY OF MCKINNEY
3352 MEDICAL CENTER DRIVE
MCKINNEY
(214) 592-8414
SERVICE TYPE TYPE B
Region
14160 DALLAS PARKWAY
104787
(972) 351-8888
Facility Information:
FAX:
CSL S MCKINNEY LLC
TITLE19: 0
TOTAL Lic Capacity: 90
County
75070
04/04/2017
TEAM 1
(214) 491-1711
COLLIN
THE IVY OF MCKINNEY
3392 MEDICAL CENTER DRIVE
MCKINNEY
03 - ARLINGTON
Owner Information
TITLE 18: 0
TITLE 18/19:
(214) 592-8454
License Exp Dt:
104253
(214) 491-1710
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
STONEFIELD ASSISTED LIVING AND MEMORY CARE COMMUNITY
2701 ALMA ROAD
TX
MCKINNEY
75070
Facility ID:
Region
MC KINNEY
(214) 592-8414
Reg Svcs:
PRIVATE Beds: 90
SERVICE TYPE TYPE B
4401 CITABRIA DRIVE
75070
COLLIN
Cert Alzh Capacity: 25
(312) 332-5300
07/11/2017
TEAM 1
TITLE19: 0
TOTAL Lic Capacity: 90
FAX:
SEREIN RESIDENTIAL CARE HOME, LLC
TITLE 18/19:
Facility ID:
60611
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
(312) 725-7000
License Exp Dt:
105339
Fax
Cert Alzh Capacity: 6
PHONE:
IL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(214) 592-8454
Facility Information:
03 - ARLINGTON
,STE 3700
CHICAGO
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
County
SERVICE TYPE TYPE B
Region
330 N WABASH
TITLE 18: 0
SEREIN RESIDENTIAL CARE HOME
4401 CITABRIA DRIVE
TX
MCKINNEY
Phone
(469) 714-0028
Owner Information
COLLIN
Facility Information:
FAX:
08/05/2018
TEAM 1
75069
Fax
PRIVATE Beds: 48
County
75071
REDBUD AID OPCO LLC
Cert Alzh Capacity: 0
Phone
(469) 714-0028
License Exp Dt:
000659
(972) 562-9698
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 48
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
COLLIN
Facility Information:
MCKINNEY
(469) 714-0028
TITLE 18: 0
PRIVATE Beds: 8
County
308 RANDY LEE LN
75071
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
RANDY LEE LANE LLC
(469) 714-0028
TOTAL Lic Capacity: 8
Region
TEAM 1
104660
60601
FAX:
(312) 673-4487
SERVICE TYPE TYPE A
09/02/2016
Region
TEAM 1
03 - ARLINGTON
Owner Information
104759
SLH MCKINNEY MANAGER LLC
TX
111 E. WACKER DRIVE
75069
CHICAGO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,SUITE 2200
IL
(312) 673-4333
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60601
FAX:
(312) 673-4487
SERVICE TYPE TYPE B
09/02/2016
Page 52 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
THE MULBERRY HOUSE #1
2620 SAINT MICHELLE
MCKINNEY
Phone
TX
1101 RAINTREE CIRCLE
75070
Fax
(214) 592-8205
TITLE 18/19:
THE MULBERRY HOUSE #2
3216 BRENTWOOD DR
MCKINNEY
TX
1101 RAINTREE CIRCLE
75070
ALLEN
TITLE 18: 0
TITLE 18/19:
TX
EDMOND
(972) 569-8663
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HERITAGE HOUSE OF MURPHY
612 MAIZE DR
MURPHY
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 632-2382
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
03 - ARLINGTON
75074
FAX:
SERVICE TYPE TYPE B
07/02/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
105295
TCG MURPHY AL LLC
TX
1200 SUMMIT AVE
75094
FORT WORTH
Fax
(972) 382-7888
TOTAL Lic Capacity: 90
TITLE 18: 0
Cert Alzh Capacity: 33
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 90
TITLE 18/19:
FAX:
(817) 446-0923
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
Owner Information
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
3400 REMINGTON DR
TX
PLANO
75023
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
3400 REMINGTON DR
PLANO
(972) 985-6075
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
76102
08/21/2017
TEAM 4
103444
Fax
(817) 446-4792
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 444
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
PLANO
COLLIN
PRIVATE Beds: 6
(888) 753-6262
900 17TH ST
75094
TITLE 18: 0
PRIVATE Beds: 6
Cert Alzh Capacity: 6
FAX:
Owner Information
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 6
73013
06/17/2017
TEAM 4
106089
(469) 250-1430
(972) 985-6075
03 - ARLINGTON
THE HERITAGE HOUSE OF PLANO, LLC
TOTAL Lic Capacity: 6
Phone
(405) 822-7328
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
OK
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
Region
2956 VIA EXPERANZA
TITLE 18: 0
PRIVATE Beds: 72
County
SERVICE TYPE TYPE A
12/30/2016
Owner Information
75069
Fax
Cert Alzh Capacity: 72
Phone
FAX:
(469) 569-1082
SELECT OPERATIONS OF MCKINNEY LLC
TOTAL Lic Capacity: 72
ORCHARD PARK OF MURPHY
304 W FM 544
MURPHY
75013
TEAM 1
030286
(972) 569-8660
Facility Information:
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
VILLAGIO OF MCKINNEY
1601 W ELDORADO PKWY
MCKINNEY
County
03 - ARLINGTON
,#180
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
Region
Owner Information
Fax
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
01/04/2017
MCKINNEY ASSISTED LIVING INC
TOTAL Lic Capacity: 6
Phone
FAX:
TEAM 1
101626
(214) 592-8206
Facility Information:
75013
(469) 569-1082
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,#180
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Phone
ALLEN
(214) 592-8205
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
MCKINNEY ASSISTED LIVING INC
TOTAL Lic Capacity: 6
County
Region
TEAM 1
030148
0
ICF/IID: 0
PHONE:
TX
(214) 542-8527
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75023
FAX:
(972) 985-6075
SERVICE TYPE TYPE B
11/03/2018
Page 53 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
Fax
(972) 985-6075
TOTAL Lic Capacity: 5
3400 REMINGTON DR
TITLE 18/19:
ICF/IID: 0
Fax
(214) 542-8527
TOTAL Lic Capacity: 5
County
TITLE 18/19:
PLANO
(972) 867-6644
ICF/IID: 0
County
TITLE 18/19:
ASSISTED CONCEPTS LLC
7109 FALCON DR
PLANO
Phone
TX
ALLEN
(972) 618-9603
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 116
Cert Alzh Capacity: 27
PRIVATE Beds: 116
Sunday, October 09, 2016
DALLAS
(214) 752-7054
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(214) 752-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
COLLIN
(972) 519-0480
Region
03 - ARLINGTON
1625 N STEMMONS FRWY
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
(972) 727-9966
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
Cert Alzh Capacity: 8
FAX:
06/28/2017
TEAM 1
030015
(214) 752-7050
TOTAL Lic Capacity: 8
Phone
03 - ARLINGTON
75013
(972) 727-9966
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
AVALON MEMORY CARE - SPARROWS POINT
5013 SPARROWS PT
TX
PLANO
75023
BROOKDALE COLLIN OAKS
4045 W 15TH ST
PLANO
Region
TEAM 1
PO BOX 1835
COLLIN
Facility Information:
SERVICE TYPE TYPE B
07/22/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
County
FAX:
License Exp Dt:
75025
Fax
Cert Alzh Capacity: 0
Phone
98501
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
030338
(972) 618-9603
Facility Information:
WA
ASSISTED CONCEPTS LLC
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
03 - ARLINGTON
,SUITE 200
OLYMPIA
(972) 509-8906
COLLIN
Facility Information:
Region
111 MARKET ST. NE
TITLE19: 0
PRIVATE Beds: 69
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 69
(972) 985-6075
PLANO ARBOR HILLS, LLC
Fax
TOTAL Lic Capacity: 69
FAX:
05/11/2018
TEAM 1
105554
(972) 509-8905
03 - ARLINGTON
75023
(214) 542-8527
License Exp Dt:
ARBOR HILLS MEMORY CARE COMMUNITY
2625 W. PLANO PARKWAY
TX
PLANO
75075
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
3400 REMINGTON DR
COLLIN
Facility Information:
SERVICE TYPE TYPE B
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
TITLE19: 0
PRIVATE Beds: 5
(972) 985-6075
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
01/24/2017
TEAM 1
106449
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
3417 CROSS BEND RD
TX
PLANO
75023
Phone
75023
(214) 542-8527
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
PLANO
(972) 985-6075
TITLE19: 0
PRIVATE Beds: 5
County
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
TITLE 18: 0
Cert Alzh Capacity: 5
03 - ARLINGTON
Owner Information
ALLEGRO ASSISTED LIVING SERVICES OF TEXAS LLC
3200 APPALACHIAN WAY
TX
PLANO
75075
Phone
Region
TEAM 4
105204
75207
FAX:
(214) 752-7054
SERVICE TYPE TYPE B
04/15/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
000356
ESC-NGH, LP
TX
111 WESTWOOD PL
75093
Fax
(972) 519-9765
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2018
Page 54 of 311
County
Reg Svcs:
COLLIN
Facility Information:
BROOKDALE CREEKSIDE
2000 W SPRING CREEK PKWY
PLANO
Phone
Facility ID:
TX
111 WESTWOOD PL
75023
Fax
(972) 312-9993
TITLE 18/19:
Phone
TX
MILWAUKEE
(972) 473-7403
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 208-9893
ICF/IID: 0
(214) 383-9077
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 9
PRIVATE Beds: 9
Sunday, October 09, 2016
(972) 769-1113
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
9620 BULL CREEK
PLANO
(972) 584-9885
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 584-9880
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
75023
FAX:
(972) 584-9885
SERVICE TYPE TYPE B
12/18/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
103683
GROOM SENIOR CARE HOMES INC AT DIANE
2101 DIANE DR
TX
PLANO
75074
Phone
FAX:
10/19/2017
TEAM 1
75023
TITLE 18: 0
Facility ID:
75023
Owner Information
COLLIN
Facility Information:
03 - ARLINGTON
FOUR SEASONS SENIOR LIVING II LLC
Fax
PRIVATE Beds: 5
(972) 769-1109
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105153
Phone
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 5
Region
PLANO
(972) 769-1113
TITLE 18: 0
FOUR SEASONS SENIOR LIVING II
9620 BULL CREEK
TX
PLANO
SERVICE TYPE TYPE B
08/29/2018
6400 CHEYENNE TR
Fax
Facility ID:
(949) 407-8000
COLLIN CREEK ASSISTED LIVING CENTER INC
COLLIN
Facility Information:
FAX:
Owner Information
COLLIN CREEK ASSISTED LIVING CENTER INC
6400 CHEYENNE TR
TX
PLANO
75023
County
92614
(949) 407-0700
TEAM 4
030165
(972) 769-1109
PHONE:
License Exp Dt:
Reg Svcs:
PRIVATE Beds: 70
03 - ARLINGTON
,STE. 1200
CA
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Cert Alzh Capacity: 0
Region
IRVING
TITLE19: 0
TOTAL Lic Capacity: 70
SERVICE TYPE TYPE B
09/01/2017
1920 MAIN ST.
75023
TITLE 18/19:
Facility ID:
(414) 918-5054
Owner Information
TITLE 18: 0
PRIVATE Beds: 72
FAX:
(414) 918-5000
S-H OPCO SPRING CREEK GARDENS, LLC
Fax
Cert Alzh Capacity: 31
53214
TEAM 1
030405
(972) 208-9865
TOTAL Lic Capacity: 72
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
BROOKDALE SPRING CREEK GARDENS
6410 OLD ORCHARD DR
TX
PLANO
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 88
County
SERVICE TYPE TYPE B
Owner Information
75093
Fax
Cert Alzh Capacity: 78
Phone
(414) 918-5054
03/31/2017
TEAM 1
100148
(972) 473-7400
Facility Information:
FAX:
HBP LEASECO LLC
TOTAL Lic Capacity: 88
County
37027
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
BROOKDALE PLANO
3000 MIDWAY RD
PLANO
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 56
,STE 400
BRENTWOOD
(972) 312-1984
TITLE 18: 0
Cert Alzh Capacity: 56
Facility Information:
03 - ARLINGTON
Owner Information
ESC IV LP
TOTAL Lic Capacity: 56
County
Region
TEAM 1
030404
GROOM SENIOR CARE HOMES INC.
100 ALLENTOWN PKWY
Fax
(214) 383-7594
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ALLEN
0
ICF/IID: 0
PHONE:
,STE 214
TX
(214) 383-9077
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75002
FAX:
(214) 383-7594
SERVICE TYPE TYPE B
07/08/2015
Page 55 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
GROOM SENIOR CARE HOMES INC.
1525 AYLESBURY
TX
PLANO
Phone
County
HYGIEIA RCH INC
3814 TIMBERLAKE DR
PLANO
Phone
(972) 758-7842
TX
(214) 666-3201
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
2609 WEBSTER DR
PLANO
(972) 747-5194
ICF/IID: 0
PHONE:
TX
(214) 552-5606
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
75075
FAX:
(972) 747-6194
SERVICE TYPE TYPE B
09/21/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
030217
LPAL, INC.
TX
2104 MERKSEM CT
75025
Fax
PLANO
(214) 272-3338
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
TITLE 18/19:
MISSION RIDGE RESIDENTIAL CARE
3320 CANONCITA LN
TX
PLANO
(214) 361-4886
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Sunday, October 09, 2016
FAX:
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 8
75023
08/09/2017
TEAM 1
75075
TITLE 18/19:
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
03 - ARLINGTON
LOCARDIA HOME CARE LIVING LLC
(972) 943-5999
TOTAL Lic Capacity: 8
(972) 781-9271
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
(972) 985-6050
ICF/IID: 0
106251
Fax
PRIVATE Beds: 5
Phone
SERVICE TYPE TYPE B
Region
PLANO
(972) 516-4952
Reg Svcs:
Facility ID:
(972) 964-8127
Facility Information:
(214) 383-7594
02/08/2013
TEAM 1
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
3814 TIMBERLAKE DRIVE
TITLE 18: 0
TOTAL Lic Capacity: 5
Phone
License Exp Dt:
75023
Fax
LOCARDIA HOME CARE LIVING LLC
2609 WEBSTER DR
TX
PLANO
LPAL, INC.
2104 MERKSEM CT
PLANO
(214) 383-9077
Owner Information
COLLIN
Facility Information:
PHONE:
75002
HYGIEIA RCH INC
PRIVATE Beds: 8
County
03 - ARLINGTON
,STE 214
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
105416
(972) 781-9271
Facility Information:
ALLEN
TITLE19: 0
TOTAL Lic Capacity: 8
County
SERVICE TYPE TYPE B
Region
100 ALLENTOWN PKWY
TITLE 18/19:
Facility ID:
(214) 383-7594
01/21/2013
TEAM 4
75093
COLLIN
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
75002
GROOM SENIOR LIVING INC
Fax
Cert Alzh Capacity: 11
(214) 383-9077
License Exp Dt:
104572
(972) 758-9606
TOTAL Lic Capacity: 11
PHONE:
,STE 214
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
GROOM SENIOR LIVING AT AMBROSIA
4200 AMBROSIA
TX
PLANO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
COLLIN
Facility Information:
ALLEN
(214) 495-8055
TITLE 18: 0
PRIVATE Beds: 9
County
100 ALLENTOWN PKWY
75075
Fax
Cert Alzh Capacity: 9
03 - ARLINGTON
Owner Information
GROOM SENIOR CARE HOMES INC.
(972) 398-2920
TOTAL Lic Capacity: 9
Region
TEAM 4
103687
75025
FAX:
(214) 272-3338
SERVICE TYPE TYPE B
08/16/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
103405
JIUNY ENTERPRISES, LLC
3320 CANONCITA LN
75023
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PLANO
(972) 985-4793
0
ICF/IID: 0
PHONE:
TX
(214) 674-2227
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75023
FAX:
SERVICE TYPE TYPE B
12/31/2016
Page 56 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
MORE THAN HOME RESIDENTIAL CARE
3109 PHAETON CT
TX
PLANO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
County
DALLAS
(972) 618-0962
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 8
County
PRESTONWOOD COURT
7001 W PLANO PKWY
PLANO
Phone
TITLE 18/19:
TX
(972) 306-2285
(404) 704-3812
SERVICE TYPE TYPE B
07/11/2017
Region
03 - ARLINGTON
Owner Information
4500 DORR STREET
75093
TOLEDO
(972) 447-0441
ICF/IID: 0
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
COLLIN
Sunday, October 09, 2016
FAX:
(404) 704-3778
TEAM 4
TITLE19: 0
SUNRISE SENIOR LIVING OF PLANO
4800 W PARKER RD
TX
PLANO
30326
SUBTENANT 5521 VILLAGE CREEK DRIVE, LLC
TITLE 18/19:
Facility ID:
PHONE:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 56
PRIVATE Beds: 123
03 - ARLINGTON
,STE 1100
GA
PROGRAM TYPE: ASSISTED LIVING
0
000799
Fax
Cert Alzh Capacity: 56
Cert Alzh Capacity: 50
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 56
TOTAL Lic Capacity: 123
ATLANTA
TITLE19: 0
TITLE 18/19:
(972) 447-0038
(972) 985-9181
Region
TEAM 1
3348 PEACHTREE ROAD
TITLE 18: 0
SILVERADO SENIOR LIVING - PLANO
5521 VILLAGE CREEK DR
TX
PLANO
Phone
SERVICE TYPE TYPE B
03/10/2015
Owner Information
COLLIN
Facility Information:
FAX:
(469) 360-4493
License Exp Dt:
75093
Fax
PRIVATE Beds: 132
County
75248
SHP IV PRESTONWOOD, LLC C/O PRUDENTIAL REAL ESTATE INVESTORS
Cert Alzh Capacity: 26
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102673
(972) 306-2200
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 132
County
DALLAS
(972) 618-0316
COLLIN
Facility Information:
03 - ARLINGTON
17207 GRAYSTONE DR
TITLE19: 0
PRIVATE Beds: 8
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
NORTH TEXAS PERSONAL CARE HOMES INC
Fax
(469) 360-4493
FAX:
06/30/2017
TEAM 4
103360
NORTH TEXAS PERSONAL CARE HOMES INC
3453 HEARST CASTLE WAY
TX
PLANO
75025
Phone
75248
(469) 360-4493
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
03 - ARLINGTON
17207 GRAYSTONE DR
TITLE19: 0
PRIVATE Beds: 8
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
NORTH TEXAS PERSONAL CARE HOMES INC
Fax
(469) 360-4493
FAX:
10/18/2017
TEAM 4
103239
NORTH TEXAS PERSONAL CARE HOMES INC
2916 CHALFONT
TX
PLANO
75023
Phone
75023
(972) 849-4529
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
PLANO
(972) 599-4219
TITLE 18: 0
PRIVATE Beds: 7
County
3109 PHAETON CT
75023
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
EUSTINA CHOTO
(972) 599-4219
TOTAL Lic Capacity: 7
Region
TEAM 1
102845
43615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
04/11/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
102620
HCRI SUN III TENANT, LP
7902 WESTPARK DR
75093
Fax
(972) 985-9196
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MCLEAN
0
ICF/IID: 0
PHONE:
,STE T-900
VA
(703) 273-7500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
22102
FAX:
(888) 358-3259
SERVICE TYPE TYPE B
10/12/2017
Page 57 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
THE GARDEN VIEW HOME
6500 GENESEO CIR
PLANO
Phone
TX
2672 DAFFODIL DR
75023
Fax
(972) 208-2859
TITLE 18/19:
THE HEALTHCARE RESORT OF PLANO
3325 W PLANO PKWY
TX
PLANO
TX
TITLE 18/19:
ICF/IID: 0
TX
(972) 964-8445
ICF/IID: 0
SERVICE TYPE TYPE B
Region
14160 DALLAS PRWY
DALLAS
ICF/IID: 0
03 - ARLINGTON
PHONE:
,STE 300
TX
(972) 770-5600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
US MEMORY CARE - NORTH DALLAS
3690 MAPLESHADE LANE
TX
PLANO
(214) 635-4766
TRIAD SENIOR LIVING II LP
(972) 423-8898
COLLIN
Facility ID:
FAX:
01/11/2018
TEAM 4
TITLE19: 0
TITLE 18/19:
75225
Owner Information
TITLE 18: 0
PRIVATE Beds: 57
(214) 635-4750
License Exp Dt:
100348
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
03 - ARLINGTON
,STE 350
DALLAS
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 57
PRIVATE Beds: 90
(214) 291-9882
SERVICE TYPE TYPE B
Region
8343 DOUGLAS AVE.
TITLE 18: 0
(972) 423-7400
Cert Alzh Capacity: 90
FAX:
07/24/2017
TEAM 1
THE WATERFORD AT PLANO ASSISTED LIVING COMMUNITY
3401 PREMIER DR
TX
PLANO
75023
TOTAL Lic Capacity: 90
75024
Owner Information
COLLIN
(972) 479-5200
(972) 714-8922
License Exp Dt:
75075
Fax
PRIVATE Beds: 112
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106352
(972) 964-8444
Facility Information:
03 - ARLINGTON
SRP AL PLANO, L.P.
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
PLANO
(972) 468-6169
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 112
Phone
(972) 596-1395
6101 OHIO
COLLIN
Facility Information:
FAX:
05/13/2018
TEAM 1
TITLE19: 0
PRIVATE Beds: 72
County
75075
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 20
Phone
(972) 596-1260
License Exp Dt:
75024
Fax
THE VILLAGE AT MAPLESHADE
3670 MAPLESHADE LANE
PLANO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103432
(972) 468-6160
Facility Information:
03 - ARLINGTON
THE LEGACY AT WILLOW BEND RETIREMENT COMMUNITY INC
TOTAL Lic Capacity: 72
County
ICF/IID: 0
Reg Svcs:
THE LEGACY AT WILLOW BEND
6101 OHIO DR STE 600
PLANO
Phone
PLANO
(972) 596-1395
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
3325 W PLANO PKWY
75075
COLLIN
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 30
FAX:
OAK POINT HEALTHCARE INC
Fax
Cert Alzh Capacity: 0
75082
04/10/2017
TEAM 1
106269
(972) 596-1260
TOTAL Lic Capacity: 30
(972) 235-5513
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
RICHARDSON
(972) 491-5895
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
THE GARDENS RESIDENTIAL CARE HOMES INC
TOTAL Lic Capacity: 7
County
Region
TEAM 1
102496
75254
FAX:
SERVICE TYPE TYPE B
09/17/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
105952
USMC NORTH DALLAS, LLC
14881 QUORUM DRIVE
75075
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,SUITE 250
TX
(214) 782-9994
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(214) 782-9569
SERVICE TYPE TYPE B
09/29/2016
Page 58 of 311
County
Reg Svcs:
COLLIN
Facility Information:
VILLAGE CREEK PLACE
5217 VILLAGE CREEK DR
PLANO
Phone
Facility ID:
TX
330 N WABASH AVE
75093
Fax
(972) 735-0306
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TOTAL Lic Capacity: 80
TITLE 18/19:
ICF/IID: 0
TITLE 18/19:
ECKELBERRY'S ELDERLY CARE INC
500 WILLOWVIEW DR
TX
PROSPER
Phone
County
DIGNIFIED LIVING
2206 BLUE CYPRESS DR
RICHARDSON
Phone
(972) 907-1420
TOTAL Lic Capacity: 7
Cert Alzh Capacity: 0
PRIVATE Beds: 7
Sunday, October 09, 2016
(972) 618-8172
License Exp Dt:
75023
FAX:
(972) 734-3828
SERVICE TYPE TYPE A
05/04/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
500 WILLOWVIEW DR
75078
PROSPER
(866) 278-8020
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 347-3069
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Facility Information:
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 9
03 - ARLINGTON
ECKELBERRY'S ELDERLY CARE INC
Fax
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
PLANO
103322
(214) 385-6920
TOTAL Lic Capacity: 9
(972) 734-3828
6521 GENESEO
Reg Svcs:
Facility ID:
FAX:
VILLA ASUNCION INDEPENDENT LIVING CTR LLC
(972) 734-3828
COLLIN
Facility Information:
75023
08/17/2017
TEAM 1
TITLE19: 0
PRIVATE Beds: 96
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(972) 618-8172
License Exp Dt:
VILLA ASUNCION INDEPENDENT AND ASSISTED LIVING CENTER
830 E PRINCETON DR
TX
PRINCETON
75407
TOTAL Lic Capacity: 96
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Fax
SERVICE TYPE TYPE B
Region
PLANO
104286
(972) 734-8823
(888) 753-6262
6521 GENESEO
(972) 734-3828
COLLIN
Facility ID:
FAX:
VILLA ASUNCION INDEPENDENT LIVING CTR LLC
TITLE19: 0
PRIVATE Beds: 80
73013
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 20
County
03 - ARLINGTON
10/01/2017
TEAM 1
030128
(972) 734-8823
(405) 822-7328
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
OK
PROGRAM TYPE: ASSISTED LIVING
0
VILLA ASUNCION INDEPENDENT AND ASSISTED LIVING CENTER
830 E PRINCETON BLVD
TX
PRINCETON
75407
Phone
Region
EDMOND
(972) 612-7927
COLLIN
Facility Information:
SERVICE TYPE TYPE A
2956 VIA ESPERANZA
TITLE 18: 0
PRIVATE Beds: 32
County
(312) 332-5300
Owner Information
75023
Fax
Cert Alzh Capacity: 32
Phone
FAX:
07/11/2017
TEAM 1
100450
(972) 612-9336
Facility Information:
60611
SELECT OPERATIONS OF PLANO LLC
TOTAL Lic Capacity: 32
County
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 66
VILLAGIO OF PLANO
2129 BAYHILL DR
PLANO
CHICAGO
(972) 735-0326
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
ASSISTED LIVING CONCEPTS LLC
TOTAL Lic Capacity: 66
County
Region
TEAM 1
030011
75078
FAX:
(866) 278-8020
SERVICE TYPE TYPE B
06/26/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
030379
DIGNIFIED LIVING LLC
TX
2713 YAGGI DR
75082
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FLOWER MOUND
(972) 691-6530
0
ICF/IID: 0
PHONE:
TX
(817) 586-9575
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75028
FAX:
(972) 437-7813
SERVICE TYPE TYPE B
10/06/2017
Page 59 of 311
County
Reg Svcs:
COLLIN
Facility Information:
Facility ID:
DIGNIFIED LIVING, LLC
3304 BLUE BELL
RICHARDSON
Phone
TX
2713 YAGGI DR
75082
Fax
(972) 437-7827
TITLE 18/19:
THE FAMILY'S CHOICE
2212 BLUEBONNET DR
RICHARDSON
TX
RICHARDSON
(214) 272-9755
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(979) 732-2347
TOTAL Lic Capacity: 40
TITLE 18/19:
TX
06 - HOUSTON
License Exp Dt:
FAX:
(866) 354-8161
SERVICE TYPE TYPE B
01/01/2017
Region
TEAM W
08 - SAN ANTONIO
Owner Information
9621 MEADOW RUE
78266
GARDEN RIDGE
(210) 651-7400
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(210) 651-3770
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
COMAL
SODALIS ELDER LIVING GRACELAND
19095 FM 2252
TX
GARDEN RIDGE
(281) 414-5744
77354
MARIA MAGDALENA LOPEZ
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
ICF/IID: 0
101536
Fax
Cert Alzh Capacity: 0
PRIVATE Beds: 50
Region
MAGNOLIA
(979) 725-8460
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 9
SERVICE TYPE TYPE B
08/01/2017
UNIT 15
TITLE19: 0
(210) 651-3770
TOTAL Lic Capacity: 50
(979) 732-3473
32211 PATTYS LANDING
TITLE 18/19:
GARDEN RIDGE ASSISTED LIVING
9621 MEADOW RUE
TX
GARDEN RIDGE
(210) 651-6377
FAX:
Owner Information
COMAL
Phone
78934
(979) 732-2347
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78962
Fax
Cert Alzh Capacity: 0
County
06 - HOUSTON
WEIMAR ASSISTED LIVING PARTNERS INC
TOTAL Lic Capacity: 16
Phone
ICF/IID: 0
100620
(979) 725-8669
Facility Information:
COLUMBUS
(979) 732-3473
Reg Svcs:
HOMESTEAD ASSISTED LIVING
302 YOUENS DR
WEIMAR
Region
300 N STREET
COLORADO
Facility ID:
SERVICE TYPE TYPE B
02/27/2017
DHC OPCO-COLUMBUS LLC
TITLE19: 0
PRIVATE Beds: 40
(972) 675-0370
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
UNIT 15
030222
COLUMBUS OAKS HEALTHCARE COMMUNITY
203 CHARTER ST
TX
COLUMBUS
78934-1558
County
03 - ARLINGTON
75082
(469) 235-8195
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLORADO
Phone
Region
2212 BLUEBONNET DRIVE
TITLE 18: 0
PRIVATE Beds: 8
Facility Information:
SERVICE TYPE TYPE B
08/23/2018
Owner Information
75082
Fax
Cert Alzh Capacity: 0
County
(972) 437-7813
ZJM ENTERPRISES INCORPORATED
TOTAL Lic Capacity: 8
Phone
FAX:
TEAM 1
102886
(214) 272-9755
Facility Information:
75028
(817) 586-9575
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COLLIN
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
FLOWER MOUND
(972) 434-7813
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
DIGNIFIED LIVING LLC
TOTAL Lic Capacity: 7
County
Region
TEAM 1
102969
78266
FAX:
(210) 651-7400
SERVICE TYPE TYPE B
09/19/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
101917
SODALIS GRACELAND LLC
195 S ACADEMY
78266
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NEW BRAUNFELS
(210) 651-0957
0
ICF/IID: 0
PHONE:
TX
(830) 624-1044
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78130
FAX:
(830) 629-4884
SERVICE TYPE TYPE B
01/23/2017
Page 60 of 311
County
Reg Svcs:
COMAL
Facility Information:
Facility ID:
BROOKDALE NEW BRAUNFELS
2457 LOOP 337
NEW BRAUNFELS
Phone
TX
6737 W WASHINGTON ST
78130
Fax
(830) 606-5300
TITLE 18/19:
TX
TX
ICF/IID: 0
TX
SERVICE TYPE TYPE B
Region
NEW BRAUNFELS
(830) 626-2115
ICF/IID: 0
TITLE19: 0
(830) 626-2111
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
08 - SAN ANTONIO
78130
FAX:
(830) 626-2115
SERVICE TYPE TYPE B
07/29/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000396
BAYWIND VILLAGE INC
TX
411 ALABAMA AVE
78132
Fax
LEAGUE CITY
(830) 608-0995
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 332-4189
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COMAL
77573
FAX:
(281) 316-2715
SERVICE TYPE TYPE B
04/05/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
030347
SODALIS ELDER LIVING NEW BRAUNFELS I
550 ROCK ST BLDG B
TX
NEW BRAUNFELS
78130
Sunday, October 09, 2016
(515) 875-4780
1820 E COMMON ST
TITLE 18/19:
PRIVATE Beds: 60
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 16
78132
12/15/2017
TEAM Z
78130
Fax
TOTAL Lic Capacity: 60
TOTAL Lic Capacity: 16
08 - SAN ANTONIO
GRUENE SENIOR LIVING LP
(830) 608-9222
(830) 624-7702
(515) 875-4590
License Exp Dt:
103402
COMAL
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 60
Facility Information:
SERVICE TYPE TYPE B
Region
NEW BRAUNFELS
(830) 626-8021
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 14
County
(830) 620-7786
2140 INDEPENDENCE DR
TITLE 18: 0
TOTAL Lic Capacity: 60
Phone
FAX:
05/30/2018
TEAM Z
78132
(830) 626-2111
OAKTREE ASSISTED LIVING
1750 HIGHWAY 46 WEST
NEW BRAUNFELS
78130
Owner Information
COMAL
Facility Information:
(830) 625-6291
License Exp Dt:
106312
Fax
PRIVATE Beds: 128
County
08 - SAN ANTONIO
TSL NB OPCO, LLC
Cert Alzh Capacity: 38
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 128
GRUENE SENIOR LIVING LP
1820 E COMMON ST
NEW BRAUNFELS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(979) 739-4261
Facility Information:
Region
NEW BRAUNFELS
(830) 620-7786
COMAL
County
SERVICE TYPE TYPE B
631 LAKEVIEW BLVD
TITLE 18: 0
PRIVATE Beds: 64
Phone
(414) 918-6076
Owner Information
78130
Fax
Cert Alzh Capacity: 30
ELAN WESTPOINTE
2140 INDEPENDENCE DR
NEW BRAUNFELS
FAX:
12/01/2016
TEAM V
000529
(830) 625-6291
Facility Information:
53214
EDEN HOME INC
TOTAL Lic Capacity: 64
County
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
COMAL
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 60
EDEN HOME INC
631 LAKEVIEW BLVD
NEW BRAUNFELS
MILWAUKEE
(830) 625-7958
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
County
Region
TEAM V
000380
ALZ CARE LLC
195 S ACADEMY
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NEW BRAUNFELS
(830) 608-0309
0
ICF/IID: 0
TX
PHONE:
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78130
SERVICE TYPE TYPE B
01/14/2018
Page 61 of 311
County
Reg Svcs:
COMAL
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
195 S ACADEMY
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
Phone
THE WHITESTONE
100 ALAMO
COMANCHE
Phone
TOTAL Lic Capacity: 51
Cert Alzh Capacity: 0
PRIVATE Beds: 51
Sunday, October 09, 2016
SAN ANTONIO
(210) 651-7400
ICF/IID: 0
PHONE:
TX
08 - SAN ANTONIO
78266
FAX:
(830) 438-0649
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
(830) 438-0632
SERVICE TYPE TYPE B
03/22/2018
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
101251
TX
100 ALAMO
76442
Fax
COMANCHE
(325) 356-3875
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(325) 356-9303
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COOKE
(940) 668-8977
Region
COMANCHE COUNTY ASSISTED LIVING INC
PRIVATE Beds: 36
Phone
SERVICE TYPE TYPE B
9514 FM 1863
Reg Svcs:
Cert Alzh Capacity: 0
WHEELER PLACE
2310 E BROADWAY ST
GAINESVILLE
(817) 466-0923
Owner Information
TITLE19: 0
(325) 356-9303
Facility Information:
FAX:
03/29/2017
TEAM V
78266
TITLE 18/19:
TOTAL Lic Capacity: 36
County
License Exp Dt:
TITLE 18: 0
Facility ID:
78102
(817) 466-4792
PROGRAM TYPE: ASSISTED LIVING
0
COMANCHE
Facility Information:
PHONE:
TX
THE VILLAGE OF GARDEN REIDGE ASSISTED LIVING, INC.
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
106447
(210) 787-8555
Cert Alzh Capacity: 0
08 - SAN ANTONIO
,STE 444
FORT WORTH
(830) 221-4850
Reg Svcs:
TOTAL Lic Capacity: 16
Region
1200 SUMMIT AVE
TITLE19: 0
THE VILLAGE OF GARDEN RIDGE
9514 FM 1863
TX
SAN ANTONIO
SERVICE TYPE TYPE B
12/11/2017
TEAM V
78130
TITLE 18/19:
Facility ID:
FAX:
Owner Information
COMAL
Facility Information:
PHONE:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 75
78130
TCG NEW BRAUNFELS CAMPUS LLC
Fax
Cert Alzh Capacity: 24
TX
PROGRAM TYPE: ASSISTED LIVING
0
103926
(830) 221-4800
TOTAL Lic Capacity: 75
County
ICF/IID: 0
Reg Svcs:
Facility ID:
TCG NEW BRAUNFELS CAMPUS LLC
2294 E. COMMON ST
TX
NEW BRAUNFELS
Phone
NEW BRAUNFELS
(830) 629-4884
COMAL
Facility Information:
08 - SAN ANTONIO
195 S ACADEMY
TITLE19: 0
PRIVATE Beds: 16
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
SERVICE TYPE TYPE B
07/20/2017
ALZ CARE LLC
Fax
(830) 624-7702
FAX:
TEAM V
103037
SODALIS ELDER LIVING NEW BRAUNFELS III
550 ROCK ST BLDG A
TX
NEW BRAUNFELS
78130
Phone
78130
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
COMAL
Facility Information:
NEW BRAUNFELS
(830) 629-3434
TITLE 18: 0
Cert Alzh Capacity: 16
County
ALZ CARE LLC
Fax
(830) 609-2233
08 - SAN ANTONIO
Owner Information
SODALIS ELDER LIVING NEW BRAUNFELS II
302 CROSS ST
TX
NEW BRAUNFELS
78130
Phone
Region
TEAM V
102276
76442
FAX:
(325) 356-3875
SERVICE TYPE TYPE B
02/12/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
000997
WHEELER AID OPCO LLC
TX
330 N WABASH AVE
76240
Fax
(940) 668-8262
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 62 of 311
County
Reg Svcs:
CORYELL
Facility Information:
Facility ID:
STONEY BROOK OF COPPERAS COVE
1808 MARTIN LUTHER KING JR DRIVE
TX
COPPERAS COVE
Phone
County
COPPERAS COVE
(254) 547-1788
ICF/IID: 0
TITLE19: 0
Reg Svcs:
Fax
TOTAL Lic Capacity: 70
County
TITLE 18/19:
GATESVILLE
(254) 248-6331
ICF/IID: 0
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
A CARING HOME WITH FRIENDS
1501 MCCOY PLACE
CARROLLTON
Phone
TX
PRIVATE Beds: 70
Sunday, October 09, 2016
FAX:
(806) 675-2382
License Exp Dt:
(806) 675-2645
SERVICE TYPE TYPE B
05/25/2017
Region
TEAM 7
03 - ARLINGTON
1501 MCCOY PLACE
75006-1407
CARROLLTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
75006-1407
FAX:
(972) 785-7951
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
OXFORD GLEN AT CARROLLTON
2221 MARSH LANE
TX
CARROLLTON
Cert Alzh Capacity: 70
79322
Owner Information
DALLAS
TOTAL Lic Capacity: 70
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 6
(972) 820-5975
ICF/IID: 0
Fax
Cert Alzh Capacity: 0
Phone
CROSBYTON
(806) 675-2645
105835
(972) 785-7952
Facility Information:
01 - LUBBOCK
LIVE LIFE WELL LLC
TOTAL Lic Capacity: 6
County
Region
710 W MAIN ST
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
CROSBYTON CLINIC HOSPITAL
DALLAS
Facility Information:
(254) 248-6306
10/13/2018
HIGH PLAINS GERI 2
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
07 - AUSTIN
76528
(254) 248-6300
License Exp Dt:
030150
(806) 675-0104
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
REEVES RHOADES TERRACE ASSISTED LIVING CENTER
630 S HARRISON ST
TX
CROSBYTON
79322
Phone
Region
1507 W MAIN ST
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
CROSBY
Facility Information:
(254) 547-1788
02/03/2017
WACO
TITLE19: 0
PRIVATE Beds: 70
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
07 - AUSTIN
76522
(254) 547-1700
License Exp Dt:
030000
(254) 248-6330
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
1507 W MAIN ST
TX
GATESVILLE
76528
Phone
Region
1808 MARTIN LUTHER KING JR. DR.
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
02/03/2017
TEMPLE
76522
CORYELL
Facility Information:
(254) 547-1788
Owner Information
TITLE 18: 0
PRIVATE Beds: 22
FAX:
COPPERAS COVE A.L., LLC
Fax
Cert Alzh Capacity: 20
76522
(254) 547-1700
License Exp Dt:
104600
(254) 547-1700
TOTAL Lic Capacity: 22
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
STONEY BROOK OF COPPERAS COVE
1808 MARTIN LUTHER KING JR DRIVE
TX
COPPERAS COVE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CORYELL
Facility Information:
COPPERAS COVE
(254) 547-1788
TITLE 18: 0
PRIVATE Beds: 52
County
1808 MARTIN LUTHER KING JR. DR.
76522
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
COPPERAS COVE A.L., LLC
(254) 547-1700
TOTAL Lic Capacity: 52
Region
TEMPLE
104601
SERVICE TYPE TYPE B
10/03/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
106316
OXFORD CARROLLTON MEMORY CARE LTD
125 N MARKET
75006
WICHITA
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 1230
KS
(316) 201-3210
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
67202
FAX:
(316) 201-3219
SERVICE TYPE TYPE B
10/21/2017
Page 63 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
BROOKDALE CEDAR HILL
602 E BELTLINE RD
CEDAR HILL
Phone
TX
6737 W WASHINGTON ST
75104
Fax
(972) 291-5000
MILWAUKEE
(972) 291-5046
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 50
TITLE 18/19:
Fax
(972) 291-4955
TOTAL Lic Capacity: 85
County
TITLE 18/19:
ELSHADAI CARE HOME
1225 NUTTING STREET
CEDAR HILL
Phone
TX
03 - ARLINGTON
ICF/IID: 0
PHONE:
TX
(972) 299-6257
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75106
FAX:
SERVICE TYPE TYPE A
11/09/2018
Region
TEAM 4
03 - ARLINGTON
Owner Information
PASSIONATE LIVING INC
TX
489 KENYA ST
75104
Fax
CEDAR HILL
(972) 230-1975
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
CHRISTUS ST JOSEPH VILLAGE
1201 E SANDY LAKE RD
COPPELL
(972) 291-1384
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
CEDAR HILL
(972) 293-2431
Reg Svcs:
TOTAL Lic Capacity: 10
PRIVATE Beds: 54
(927) 293-2777
PO BOX 1471
104206
(214) 886-0094
Cert Alzh Capacity: 0
FAX:
Owner Information
DALLAS
TOTAL Lic Capacity: 54
75104
09/26/2016
TEAM 5
TITLE19: 0
PASSIONATE LIVING INC
489 KENYA ST
CEDAR HILL
(214) 715-5725
License Exp Dt:
75104
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 6
(972) 304-0300
03 - ARLINGTON
MARGARET M ADEYEMI
Fax
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
010228
(972) 299-6257
Facility Information:
SERVICE TYPE TYPE B
Region
CEDAR HILL
(972) 293-2777
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
County
(972) 770-5666
04/11/2017
TEAM 4
TITLE19: 0
TITLE 18/19:
MOJICARE RESIDENTIAL CARE CENTER
338 HASTINGS DR
TX
CEDAR HILL
Phone
FAX:
1225 NUTTING ST
DALLAS
Facility Information:
75254
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
County
(972) 770-5600
License Exp Dt:
75104
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
103024
(972) 291-7445
Facility Information:
ICF/IID: 0
TX
ELIZABETH AYORINDE
TOTAL Lic Capacity: 6
County
03 - ARLINGTON
,STE 300
DALLAS
(972) 293-0531
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
DALLAS
Facility Information:
(414) 918-6076
CSL LEASECO INC
TITLE19: 0
PRIVATE Beds: 85
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 20
53214
12/01/2016
TEAM 6
102594
CRESCENT PLACE ASSISTED LIVING & MEMORY CARE
225 W PLEASANT RUN RD
TX
CEDAR HILL
75104
Phone
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
03 - ARLINGTON
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 50
County
Region
TEAM 4
000300
75104
FAX:
(972) 230-1975
SERVICE TYPE TYPE A
06/09/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
101774
CHRISTUS HEALTH
TX
2707 NORTH LOOP WEST
75019
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(972) 462-1099
0
ICF/IID: 0
PHONE:
TX
(214) 492-8500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77008
FAX:
SERVICE TYPE TYPE B
07/01/2017
Page 64 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
FOUR SEASONS SENIOR LIVING V , LLC
205 PLANTATION DR
TX
COPPELL
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 584-9880
License Exp Dt:
Reg Svcs:
RIVER OAKS ASSISTED LIVING AND MEMORY CARE
1530 E. SANDY LAKE RD
TX
COPPELL
75019
COPPELL ALF LLC
Fax
TOTAL Lic Capacity: 86
TITLE 18: 0
Cert Alzh Capacity: 24
TITLE 18/19:
3 ANGELS CAREGIVERS
9754 AMBERLEY DR
DALLAS
Phone
TX
PHONE:
TX
(214) 500-8548
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
75230
FAX:
(214) 954-7499
SERVICE TYPE TYPE B
12/03/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
030401
SLH 2014 MANAGER LLC
TX
303 EAST WACKER DR
75234
Fax
CHICAGO
(972) 620-0514
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ADA M KING ADULT FOSTER HOME
1320 BAR HARBOR DR
TX
DALLAS
(312) 673-4387
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
ICF/IID: 0
Reg Svcs:
PRIVATE Beds: 108
PRIVATE Beds: 4
SERVICE TYPE TYPE B
Region
DALLAS
(214) 954-7499
TITLE19: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(214) 575-3585
6906 NORWAY PLACE
TITLE 18/19:
TOTAL Lic Capacity: 108
TOTAL Lic Capacity: 4
FAX:
10/18/2017
TEAM 6
75230
(469) 619-0687
(214) 375-5254
License Exp Dt:
TITLE 18: 0
Facility ID:
(214) 575-3585
75243
Owner Information
DALLAS
Phone
03 - ARLINGTON
ABBEY RESIDENTIAL CARE HOMES INC
Fax
PRIVATE Beds: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105125
(214) 500-8548
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
(316) 616-6255
SERVICE TYPE TYPE B
Region
DALLAS
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 12
Phone
FAX:
9754 AMBERLEY DR
75243
TITLE 18: 0
ABBEY RESIDENTIAL CARE HOMES INC
6906 NORWAY PLACE
TX
DALLAS
ACADIA ASSISTED LIVING
3344 FOREST LN
DALLAS
67206
Owner Information
DALLAS
Facility Information:
,STE 100
06/15/2017
TEAM 4
Fax
PRIVATE Beds: 8
County
03 - ARLINGTON
NATIVIDAD CHIPANA
Cert Alzh Capacity: 0
Phone
(316) 616-6288
License Exp Dt:
102051
(214) 575-3585
Facility Information:
PHONE:
(972) 584-9885
SERVICE TYPE TYPE B
KS
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
County
ICF/IID: 0
0
DALLAS
Facility Information:
WICHITA
TITLE19: 0
PRIVATE Beds: 86
County
8415 E 21ST STREET NORTH
(214) 390-5025
FAX:
Region
Owner Information
(214) 390-2450
75244
01/15/2018
TEAM 5
105575
Phone
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
COPPELL
(972) 584-9885
TITLE 18: 0
PRIVATE Beds: 6
County
205 PLANTATION DRIVE
75019
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
FOUR SEASONS SENIOR LIVING V LLC
(972) 584-9880
TOTAL Lic Capacity: 6
Region
TEAM 7
105609
60601
FAX:
(312) 673-4487
SERVICE TYPE TYPE B
12/31/2016
Region
TEAM 5
03 - ARLINGTON
Owner Information
001275
ADA M KING
1320 BAR HARBER DR
75232
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(214) 375-5254
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75232
FAX:
SERVICE TYPE TYPE C
03/12/2018
Page 65 of 311
County
Reg Svcs:
DALLAS
Facility Information:
AGAPE PLACE I I
631 W 10TH ST
DALLAS
Phone
Facility ID:
TX
738 W 10TH ST
75208
Fax
(214) 941-9925
TITLE 18/19:
AGAPE PLACE PERSONAL CARE HOME
801 W 10TH ST
TX
DALLAS
AIMEE'S HOUSE, INC.
7508 CHATTINGTON DRIVE
DALLAS
Phone
TX
Region
DALLAS
(972) 442-8014
ICF/IID: 0
PHONE:
TX
03 - ARLINGTON
75211
FAX:
(214) 566-7094
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
(972) 442-8014
SERVICE TYPE TYPE A
03/02/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
103315
JANICE L AUSTIN-DOUGLAS
TX
3337 GLADIOLUS LN
75233
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
TITLE 18/19:
ASSISTED LIVING AT SILVER GARDENS
3980 DEEP VALLEY DR
TX
DALLAS
75233
FAX:
(214) 337-9409
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
SERVICE TYPE TYPE B
10/19/2016
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 8
(972) 283-8127
4666 LA RUE ST
TITLE 18/19:
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 8
FAX:
TEAM 6
75211
(214) 337-9409
TOTAL Lic Capacity: 8
75116
(972) 709-7346
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
(214) 277-2413
03 - ARLINGTON
IMAOBONG UDOH AND AUGUSTINE UDOH
Fax
PRIVATE Beds: 8
Phone
ICF/IID: 0
105680
(214) 566-7094
Facility Information:
Region
DUNCANVILLE
(982) 788-1969
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
03/03/2016
TEAM 4
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
(214) 941-3822
1119 DULA CIRCLE
TITLE 18: 0
ALBERT ASSISTED LIVING FACILITY
4666 LA RUE ST
TX
DALLAS
ANGEL HANDS
3337 GLADIOLUS LN
DALLAS
FAX:
Owner Information
DALLAS
Facility Information:
75208
(214) 941-9925
License Exp Dt:
75248
Fax
PRIVATE Beds: 8
County
03 - ARLINGTON
AIMEE'S HOUSE INCORPORATED
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104962
(972) 788-1820
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 8
County
DALLAS
(214) 941-3822
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
738 W 10TH ST
75208
DALLAS
Facility Information:
SERVICE TYPE TYPE A
03/03/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 28
(214) 941-3822
AGAPE PLACE PERSONAL CARE HOMES INC
Fax
Cert Alzh Capacity: 0
FAX:
TEAM 7
000871
(214) 941-9925
TOTAL Lic Capacity: 28
75208
(214) 941-9925
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 24
Phone
DALLAS
(214) 941-3822
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
AGAPE PLACE PERSONAL CARE HOMES INC
TOTAL Lic Capacity: 24
County
Region
TEAM 4
050024
SERVICE TYPE TYPE A
03/31/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
103029
ASSISTED LIVING AT SILVER GARDENS LLC
11869 ROSSER ROAD
75244
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 620-2259
0
ICF/IID: 0
PHONE:
TX
(214) 529-3820
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75244
FAX:
SERVICE TYPE TYPE B
10/15/2017
Page 66 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
AT HOME ELDERLY LIVING, LLC
7541 ROYAL PLACE
DALLAS
Phone
TX
7541 ROYAL PLACE
75230
DALLAS
Fax
(214) 403-0445
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
TOTAL Lic Capacity: 12
County
DALLAS
(214) 613-1036
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 58
County
CAPITAL SQUARE
(214) 319-9184
TITLE 18/19:
County
DALLAS
(214) 752-7054
ICF/IID: 0
TITLE19: 0
Reg Svcs:
County
TITLE 18/19:
AVALON MEMORY CARE - CRESTMERE
6217 CRESTMERE DR
TX
DALLAS
Phone
(214) 752-7050
TOTAL Lic Capacity: 12
Cert Alzh Capacity: 12
PRIVATE Beds: 12
Sunday, October 09, 2016
DALLAS
(214) 752-7054
ICF/IID: 0
PHONE:
TX
03 - ARLINGTON
75207
FAX:
(214) 752-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
Region
1625 N STEMMONS FRWY
DALLAS
Facility Information:
SERVICE TYPE TYPE B
05/30/2018
TEAM 5
TITLE19: 0
PRIVATE Beds: 8
(214) 752-7054
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 8
FAX:
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
TOTAL Lic Capacity: 8
03 - ARLINGTON
75207
(214) 752-7050
License Exp Dt:
030116
(214) 752-7050
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
AVALON MEMORY CARE - CANNONGATE
7212 CANONGATE DR
TX
DALLAS
75248
Phone
Region
1625 N STEMMONS FRWY
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
06/30/2018
TEAM 5
75244
DALLAS
Facility Information:
(515) 875-4780
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
Cert Alzh Capacity: 16
50309
(515) 875-4651
License Exp Dt:
010380
(214) 752-7050
TOTAL Lic Capacity: 16
PHONE:
IA
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
AVALON MEMORY CARE - ALLENCREST
4330 ALLENCREST
TX
DALLAS
Phone
ICF/IID: 0
0
DALLAS
Facility Information:
03 - ARLINGTON
,800 LOCUST ST, STE 820
DES MOINES
TITLE19: 0
PRIVATE Beds: 58
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
04/25/2018
LCS-AL LLC
Fax
(214) 328-4161
FAX:
TEAM 6
000651
AUTUMN LEAVES PERSONAL CARE UNIT
1010 EMERALD ISLE DR
TX
DALLAS
75218
Phone
03 - ARLINGTON
75230
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
Region
6946 FOREST LANE
TITLE19: 0
PRIVATE Beds: 12
SERVICE TYPE TYPE B
09/23/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 613-1036
AT HOME LUXURY ASSISTED LIVING II LLC
Fax
(214) 361-8791
FAX:
TEAM 5
105690
AT HOME LUXURY ASSISTED LIVING II, LLC
6946 FOREST LANE
TX
DALLAS
75230
Phone
75230
(214) 264-1826
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
03 - ARLINGTON
Owner Information
AT HOME ELDERLY LIVING, LLC
TOTAL Lic Capacity: 8
County
Region
TEAM 5
104329
(214) 752-7054
SERVICE TYPE TYPE B
04/01/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
030058
AVALON DEMENTIA CARE MANAGEMENT, LLC
1625 N STEMMONS FRWY
75240
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 752-7054
0
ICF/IID: 0
PHONE:
TX
(214) 752-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75207
FAX:
(214) 752-7054
SERVICE TYPE TYPE B
07/31/2018
Page 67 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
AVALON MEMORY CARE - GLENDORA
7315 GLENDORA AVE
TX
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 10
County
TITLE 18/19:
ICF/IID: 0
County
BAKERS HOME
6125 SINGING HILLS
DALLAS
Phone
ICF/IID: 0
License Exp Dt:
PRIVATE Beds: 225
Sunday, October 09, 2016
FAX:
(214) 752-7054
SERVICE TYPE TYPE B
06/30/2017
Region
TEAM 4
TX
03 - ARLINGTON
6125 SINGING HILLS DR
75241
Fax
DALLAS
(972) 228-1628
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 372-8490
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
75241
FAX:
(972) 228-1628
SERVICE TYPE TYPE C
11/01/2016
Region
TEAM 5
03 - ARLINGTON
Owner Information
105593
BELMONT VILLAGE TURTLE CREEK TENANT, LLC
3535 N. HALL STREET
TX
DALLAS
75219
Cert Alzh Capacity: 31
(214) 752-7050
75207
Owner Information
DALLAS
TOTAL Lic Capacity: 225
03 - ARLINGTON
REGINA A JOHNSON
PRIVATE Beds: 4
(214) 559-7015
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
DALLAS
(214) 752-7054
100846
(214) 372-8490
Facility Information:
(214) 752-7054
07/31/2018
TEAM 6
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 4
County
FAX:
1625 N STEMMONS FRWY
TITLE 18: 0
Facility ID:
75207
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
AVALON RESIDENTIAL CARE HOMES INC
Fax
PRIVATE Beds: 10
(214) 752-7050
License Exp Dt:
030106
(214) 691-6457
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 10
Region
DALLAS
(214) 752-7054
TITLE19: 0
TOTAL Lic Capacity: 10
SERVICE TYPE TYPE B
1625 N STEMMONS FRWY
AVALON RESIDENTIAL CARE HOMES INC
7355 ROYAL CIRCLE
TX
DALLAS
75230
Phone
(214) 752-7054
06/30/2018
TEAM 6
75248
TITLE 18/19:
Facility ID:
FAX:
Owner Information
DALLAS
Facility Information:
75207
(214) 752-7050
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 12
03 - ARLINGTON
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
Cert Alzh Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030224
(214) 752-7050
TOTAL Lic Capacity: 12
County
ICF/IID: 0
Reg Svcs:
Facility ID:
AVALON MEMORY CARE-QUARTERWAY
6908 QUARTERWAY
TX
DALLAS
Phone
DALLAS
(214) 752-7054
DALLAS
Facility Information:
Region
1625 N STEMMONS FRWY
TITLE19: 0
PRIVATE Beds: 10
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 10
(214) 752-7054
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
(214) 752-7050
FAX:
12/31/2017
TEAM 6
030202
AVALON MEMORY CARE - HUGHES CIRCLE
13215 HUGHES CIR
TX
DALLAS
75240
Phone
75207
(214) 752-7050
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
DALLAS
(214) 373-8617
TITLE 18: 0
PRIVATE Beds: 10
County
1625 N STEMMONS FRWY
75230
Fax
Cert Alzh Capacity: 10
03 - ARLINGTON
Owner Information
AVALON DEMENTIA CARE MANAGEMENT, LLC
(214) 373-8617
TOTAL Lic Capacity: 10
Region
TEAM 6
030065
BELMONT VILLAGE TURTLE CREEK TENANT LLC
4500 DORR ST
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
TOLEDO
(214) 559-2663
0
ICF/IID: 0
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
73615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
04/01/2017
Page 68 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
BLUFFMAN HOUSE
5557 BLUFFMAN DRIVE
DALLAS
Phone
TX
PO BOX 17828
75241
FORT WORTH
Fax
(214) 484-4981
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
BRANCHCREST ASSISTED LIVING
15541 BRANCHCREST CIR
TX
DALLAS
County
Phone
TX
TX
(972) 661-9551
PHONE:
CA
(949) 407-0700
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
Reg Svcs:
Facility ID:
92614
FAX:
(949) 407-8000
SERVICE TYPE TYPE B
08/29/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
010356
ESC IV LP
TX
111 WESTWOOD PL
75238
Fax
BRENTWOOD
(214) 340-3044
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
C C YOUNG MEMORIAL HOME
4847 WEST LAWTHER DR STE 100
TX
DALLAS
Sunday, October 09, 2016
ICF/IID: 0
0
DALLAS
PRIVATE Beds: 88
03 - ARLINGTON
,STE 1200
IRVINE
TITLE19: 0
PRIVATE Beds: 56
Cert Alzh Capacity: 0
(414) 918-5054
SERVICE TYPE TYPE B
Region
1920 MAIN ST
TITLE 18/19:
Cert Alzh Capacity: 56
TOTAL Lic Capacity: 88
FAX:
10/01/2017
TEAM 4
75230
(214) 691-7400
(214) 827-8080
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 56
Phone
(414) 918-5000
37027
Owner Information
DALLAS
Facility Information:
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
000978
Fax
PRIVATE Beds: 107
County
ICF/IID: 0
TN
S-H OPCO PRESTON LLC
Cert Alzh Capacity: 28
Phone
03 - ARLINGTON
,STE 400
BRENTWOOD
(214) 343-9193
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 107
BROOKDALE WHITE ROCK
9271 WHITE ROCK TRL
DALLAS
(972) 240-5468
SERVICE TYPE TYPE A
Region
TEAM 7
TITLE19: 0
TITLE 18/19:
(972) 661-3111
Facility Information:
FAX:
03/13/2017
111 WESTWOOD PL
DALLAS
County
75228
Owner Information
TITLE 18: 0
PRIVATE Beds: 116
Phone
(214) 930-6346
License Exp Dt:
75238
Fax
Cert Alzh Capacity: 26
BROOKDALE PRESTON
12400 PRESTON RD
DALLAS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000371
(214) 343-7445
Facility Information:
03 - ARLINGTON
ESC-NGH, LP
TOTAL Lic Capacity: 116
County
ICF/IID: 0
Reg Svcs:
BROOKDALE LAKE HIGHLANDS
9715 PLANO RD
DALLAS
Region
DALLAS
(972) 240-5468
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
3018 WEATHER VANE LN
75248
DALLAS
Facility Information:
(817) 886-6425
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
FAX:
MARILYN H JACKSON
Fax
Cert Alzh Capacity: 0
76102
02/11/2017
TEAM 7
103242
(972) 677-7891
TOTAL Lic Capacity: 7
(214) 693-9089
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
03 - ARLINGTON
Owner Information
VANESSA ALVAREZ DBA BLUFFMAN HOUSE
TOTAL Lic Capacity: 6
County
Region
TEAM 5
103592
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
03/31/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
100042
C C YOUNG MEMORIAL HOME
4847 W LAWTHER DR
75214
Fax
(214) 841-2890
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 100
TX
(214) 827-8080
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75214
FAX:
(214) 841-2890
SERVICE TYPE TYPE B
05/26/2017
Page 69 of 311
County
Reg Svcs:
DALLAS
Facility Information:
C C YOUNG MEMORIAL HOME
4829 W LAWTHER DR
DALLAS
Phone
Facility ID:
TX
4847 W LAWTHER DR
75214
Fax
(214) 827-8080
TITLE 18/19:
Phone
TX
TX
SERVICE TYPE TYPE B
Region
DALLAS
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
75217
FAX:
SERVICE TYPE TYPE A
06/02/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
COMMUNITY HOMES FOR ADULTS INCORPORATED
13101 PRESTON RD
75254-8024
DALLAS
(972) 239-6147
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 312
TX
(214) 373-8600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
DALLAS
COMMUNITY HOMES FOR ADULTS INC
15606 MOONDUST DR
TX
DALLAS
(214) 391-8097
License Exp Dt:
000687
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 6
Sunday, October 09, 2016
(214) 503-3465
1364 GILLETTE ST
75217
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 6
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
75243
01/28/2017
TEAM 6
101308
(972) 239-7206
TOTAL Lic Capacity: 6
(214) 755-7019
License Exp Dt:
Fax
COMMUNITY HOMES FOR ADULTS INC
7628 VILLAGE TRAIL DR
TX
DALLAS
(214) 373-8600
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
03 - ARLINGTON
BARBARA J COLE
PRIVATE Beds: 6
Facility Information:
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
County
Region
DALLAS
(214) 503-3465
TITLE19: 0
TOTAL Lic Capacity: 6
Phone
SERVICE TYPE TYPE B
9606 MOSS FARM LANE
TITLE 18/19:
(214) 391-8097
Facility Information:
(407) 999-5210
01/22/2017
TEAM 5
75243
DALLAS
County
FAX:
Owner Information
TITLE 18: 0
Facility ID:
32801
CHANDLER WAY ASSISTED LIVING LLC
Fax
PRIVATE Beds: 9
(407) 999-7679
License Exp Dt:
104112
(214) 755-7019
Cert Alzh Capacity: 9
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CHANDLER WAY ASSISTED LIVING
9606 MOSS FARM
TX
DALLAS
COLES RESIDENTIAL HOME
1364 GILLETTE ST
DALLAS
03 - ARLINGTON
,STE 1700
ORLANDO
(214) 368-7344
DALLAS
Facility Information:
SERVICE TYPE TYPE B
Region
189 S ORANGE AVE
TITLE 18: 0
PRIVATE Beds: 95
County
(214) 841-2890
Owner Information
75225
Fax
Cert Alzh Capacity: 95
Phone
FAX:
02/09/2017
TEAM 4
030302
(214) 871-2155
Facility Information:
75214
CARUTH HAVEN TRS LLC
TOTAL Lic Capacity: 95
County
(214) 827-8080
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
CARUTH HAVEN COURT
5585 CARUTH HAVEN LN
DALLAS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
,STE 100
DALLAS
(214) 841-2890
TITLE 18: 0
Cert Alzh Capacity: 55
Facility Information:
03 - ARLINGTON
Owner Information
C C YOUNG MEMORIAL HOME
TOTAL Lic Capacity: 55
County
Region
TEAM 4
000532
75240
FAX:
(214) 373-8601
SERVICE TYPE TYPE A
08/25/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
030151
COMMUNITY HOMES FOR ADULTS INCORPORATED
13101 PRESTON RD
75248
Fax
(214) 373-8601
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 312
TX
(214) 373-8600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75240
FAX:
(214) 373-8601
SERVICE TYPE TYPE A
09/28/2017
Page 70 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
DARNELL RESIDENTIAL CARE
7532 GAYGLEN DR
DALLAS
Phone
TX
7532 GAYGLEN DR
75217
Fax
(214) 398-8642
TITLE 18/19:
DELLA'S RESIDENTIAL CARE
1363 OWEGA AVE
DALLAS
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
75216
FAX:
(214) 377-5009
SERVICE TYPE TYPE A
06/27/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
16401 AMBERWOOD RD
DALLAS
(972) 661-3480
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(972) 733-2988
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
DALLAS
Sunday, October 09, 2016
(214) 778-7228
License Exp Dt:
75248
TITLE 18/19:
EVERGREEN ASSISTED LIVING LLC
6322 PINEVIEW RD
TX
DALLAS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
Facility ID:
03 - ARLINGTON
EVERGREEN ASSISTED LIVING LLC
Fax
PRIVATE Beds: 6
PRIVATE Beds: 7
ICF/IID: 0
000383
(972) 661-3480
Cert Alzh Capacity: 6
SERVICE TYPE TYPE B
Region
DALLAS
(214) 377-5009
Reg Svcs:
TOTAL Lic Capacity: 6
(405) 360-3301
1620 GLEN AVE
DALLAS
EVERGREEN ASSISTED LIVING LLC
6521 CLEARHAVEN CIR
TX
DALLAS
FAX:
TONI MARTIN-MOORE
TITLE 18/19:
Facility ID:
75237
05/13/2018
TEAM 5
TITLE19: 0
PRIVATE Beds: 6
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(405) 801-2879
License Exp Dt:
105061
Fax
TOTAL Lic Capacity: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(214) 778-7228
TOTAL Lic Capacity: 7
Region
DALLAS
DESTINY ROSE RESIDENTIAL CARE FACILITY
1620 GLEN AVE
TX
DALLAS
75216
(972) 233-2470
SERVICE TYPE TYPE A
8027 WEST VIRGINIA
75237
DALLAS
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 52
Facility Information:
75216
08/06/2017
TEAM 4
Fax
Cert Alzh Capacity: 52
County
03 - ARLINGTON
DESOTO TX ARBOR HOUSE, LP
TOTAL Lic Capacity: 52
Phone
(214) 374-1636
License Exp Dt:
103393
(972) 298-1331
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
DESOTO TX ARBOR HOUSE LP
8027 W VIRGINIA
DALLAS
County
Region
DALLAS
DALLAS
Phone
SERVICE TYPE TYPE A
1363 OWEGA AVE
75216
TITLE 18: 0
PRIVATE Beds: 8
Facility Information:
(214) 398-8642
Owner Information
Fax
Cert Alzh Capacity: 0
County
FAX:
DELLA A WASHINGTON
TOTAL Lic Capacity: 8
Phone
75217
08/19/2017
TEAM 4
103736
(214) 374-1636
Facility Information:
(214) 398-8642
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
DALLAS
(214) 398-8642
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
JACQUELINE DARNELL
TOTAL Lic Capacity: 7
County
Region
TEAM 4
101446
75248
FAX:
(972) 930-7966
SERVICE TYPE TYPE B
11/30/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
101550
EVERGREEN ASSISTED LIVING LLC
16401 AMBERWOOD RD
75248
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 575-5303
0
ICF/IID: 0
PHONE:
TX
(972) 733-2988
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75248
FAX:
(972) 930-7966
SERVICE TYPE TYPE B
02/20/2017
Page 71 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
EVERGREEN ASSISTED LIVING LLC
16401 AMBERWOOD RD
TX
DALLAS
Phone
DALLAS
TITLE 18: 0
TITLE 18/19:
EVERGREEN ASSISTED LIVING, LLC
16830 HUNTERS POINT DR
TX
DALLAS
Phone
County
Phone
TX
TX
DESOTO
03 - ARLINGTON
PHONE:
,STE. 124
TX
(469) 774-3053
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
Reg Svcs:
Facility ID:
75115
FAX:
(800) 381-2143
SERVICE TYPE TYPE A
07/31/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
103063
FIVE STAR QUARTERS INC
TX
4023 MEHALIA DR
75241
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
PHONE:
75241
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
FOWLER CHRISTIAN APARTMENTS INC
105 JULIETTE FOWLER ST
TX
DALLAS
Sunday, October 09, 2016
ICF/IID: 0
0
DALLAS
PRIVATE Beds: 25
(214) 275-5791
SERVICE TYPE TYPE A
Region
1229 E. PLEASANT RUN RD.
TITLE19: 0
PRIVATE Beds: 5
Cert Alzh Capacity: 0
FAX:
Owner Information
75217
TITLE 18/19:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 25
75227
01/01/2017
TEAM 5
105845
(972) 225-8872
(214) 821-4061
(469) 733-3261
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 5
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
Fax
PRIVATE Beds: 5
County
03 - ARLINGTON
FAITH MINISTRIES OF TEXAS
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
DALLAS
(972) 496-8432
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 5
FIVE STAR QUARTERS INC
4023 MEHALIA DRIVE
DALLAS
(972) 930-7966
02/11/2017
TEAM 7
TITLE19: 0
TITLE 18/19:
(469) 774-3053
Facility Information:
FAX:
2155 GAYLORD
DALLAS
County
75248
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Phone
(972) 733-2988
License Exp Dt:
75227
Fax
Cert Alzh Capacity: 0
FAITH MINISTRIES OF TEXAS
1537 GILLETTE ST.
DALLAS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103092
(214) 275-5791
Facility Information:
03 - ARLINGTON
FAITH ASSISTED LIVING LLC
TOTAL Lic Capacity: 6
County
ICF/IID: 0
Reg Svcs:
FAITH HOME ASSISTED LIVING
2155 GAYLORD
DALLAS
Region
DALLAS
(214) 575-5303
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
16401 AMBERWOOD RD
75248
DALLAS
Facility Information:
(972) 930-7966
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
EVERGREEN ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
75248
11/28/2016
TEAM 7
104581
(214) 575-5300
TOTAL Lic Capacity: 8
(972) 733-2988
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
County
16401 AMBERWOOD RD
75248
Fax
Cert Alzh Capacity: 8
03 - ARLINGTON
Owner Information
EVERGREEN ASSISTED LIVING LLC
(972) 735-9604
TOTAL Lic Capacity: 8
Region
TEAM 5
103088
SERVICE TYPE TYPE A
08/26/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
101878
FOWLER CHRISTIAN APARTMENTS INC
105 JULIETTE FOWLER ST
75214
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 818-0345
0
ICF/IID: 0
PHONE:
TX
(214) 821-4061
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75214
FAX:
(214) 818-0345
SERVICE TYPE TYPE B
02/17/2017
Page 72 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
GRACE PRESBYTERIAN VILLAGE
550 E ANN ARBOR AVE
TX
DALLAS
Phone
County
GRIFFINS HOMECARE HAVEN
1208 WHISPERING CIR
DALLAS
Phone
DALLAS
TX
TX
PRIVATE Beds: 9
Sunday, October 09, 2016
Region
DESOTO
(972) 224-8747
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 372-2054
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
03 - ARLINGTON
75115
FAX:
(214) 374-7721
SERVICE TYPE TYPE A
12/30/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
101648
HAZEL'S HOME CARE LLC
TX
820 E WINTERGREEN RD
75216
Fax
DESOTO
(214) 374-7721
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 372-2054
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Cert Alzh Capacity: 0
SERVICE TYPE TYPE A
820 E WINTERGREEN RD
TITLE 18: 0
PRIVATE Beds: 6
TOTAL Lic Capacity: 9
FAX:
Owner Information
75232
Fax
Cert Alzh Capacity: 0
(214) 946-8697
75241
HAZEL'S HOME CARE LLC
TOTAL Lic Capacity: 6
Phone
03 - ARLINGTON
03/09/2017
TEAM 4
101573
(214) 372-2054
HELEN'S CARE
2318 MORRELL AVE
DALLAS
(214) 372-6831
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 9
County
DALLAS
(214) 372-1743
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
Region
1208 WHISPERING CIR
Fax
TOTAL Lic Capacity: 9
HAZEL'S HOME CARE LLC
4149 FORTUNE
DALLAS
SERVICE TYPE TYPE B
08/30/2017
TEAM 4
75241
(972) 224-8070
Facility Information:
FAX:
Owner Information
DALLAS
County
(214) 207-6605
75231
DARRENCE E GRIFFIN
PRIVATE Beds: 8
Phone
PHONE:
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
HAZELS HOME CARE LLC
533 HIGHFALL DRIVE
DALLAS
03 - ARLINGTON
,BOX 294
TX
PROGRAM TYPE: ASSISTED LIVING
0
102136
(214) 372-6831
Facility Information:
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 8
County
SERVICE TYPE TYPE B
Region
10455 N CENTRAL EXP# 109
75248
TITLE 18/19:
Facility ID:
(214) 376-8694
DELINDA RICHARDSON
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
75216
04/25/2018
TEAM 6
Fax
Cert Alzh Capacity: 0
(214) 376-1701
License Exp Dt:
050166
(214) 207-6605
TOTAL Lic Capacity: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
GRACEFIELD RESIDENTIAL CAREHOME
7412 GRACEFIELD LN
TX
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
DALLAS
(214) 376-4350
TITLE 18: 0
PRIVATE Beds: 71
County
550 E ANN ARBOR AVE
75216
Fax
Cert Alzh Capacity: 28
03 - ARLINGTON
Owner Information
GRACE PRESBYTERIAN MINISTRIES INC
(214) 376-1701
TOTAL Lic Capacity: 71
Region
TEAM 7
000541
75115
FAX:
(214) 374-7721
SERVICE TYPE TYPE A
12/30/2016
Region
TEAM 6
03 - ARLINGTON
Owner Information
050499
HELENS CARE INC
TX
2318 MORRELL AVE
75203
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 360-3201
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75203
FAX:
(214) 946-8697
SERVICE TYPE TYPE A
06/09/2018
Page 73 of 311
County
Reg Svcs:
DALLAS
Facility Information:
HELPING HANDS CARE INC
2923 GLADIOLUS LN
DALLAS
Phone
Facility ID:
TX
2923 GLADIOULS LN
75233
DALLAS
Fax
(214) 467-8781
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
Phone
TX
TX
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
03 - ARLINGTON
2819 AINWICK CT
DALLAS
(469) 223-0036
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(469) 569-0288
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
75227
FAX:
(469) 223-0036
SERVICE TYPE TYPE A
09/17/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
102212
BELINDA J HURD
TX
1530 RUSSELL GLEN LN
75232
Fax
DALLAS
(214) 376-4510
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 371-3539
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
PRIVATE Beds: 8
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
Cert Alzh Capacity: 0
75241
12/30/2017
TEAM 5
75227
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 8
(469) 939-0124
License Exp Dt:
105825
(214) 371-3539
(214) 948-6534
03 - ARLINGTON
VALERIA BROWN
TOTAL Lic Capacity: 8
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
INSPIRATIONAL CARE
707 HOKE SMITH
DALLAS
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 7
Facility Information:
Region
DALLAS
(214) 372-1492
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
2539 KIRKLEY ST
TITLE 18: 0
TOTAL Lic Capacity: 7
Phone
FAX:
08/26/2017
TEAM 6
75241
(214) 275-4676
HURD SENIOR CARE HOME
1530 RUSSELL GLEN LN
DALLAS
75359
Owner Information
DALLAS
Facility Information:
(214) 827-1878
License Exp Dt:
103595
Fax
PRIVATE Beds: 8
County
03 - ARLINGTON
ANGELA PROX
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
HOUSE OF VICTORY
2819 AINWICK CT
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 372-1492
Facility Information:
Region
DALLAS
DALLAS
County
SERVICE TYPE TYPE A
11240 HILLCREST
75230
TITLE 18: 0
PRIVATE Beds: 9
Phone
(972) 559-2090
Owner Information
Fax
Cert Alzh Capacity: 9
HOME OF HOPE
2539 KIRKLEY ST
DALLAS
FAX:
02/24/2017
TEAM 5
101130
(214) 696-1643
Facility Information:
75233
GOLD CREST RESIDENTIAL CARE LLC
TOTAL Lic Capacity: 9
County
(214) 467-8781
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
HILLCREST HOUSE
11240 HILLCREST RD
DALLAS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Facility Information:
03 - ARLINGTON
Owner Information
HELPING HANDS CARE INC
TOTAL Lic Capacity: 10
County
Region
TEAM 4
050617
75232
FAX:
(214) 376-4510
SERVICE TYPE TYPE A
08/08/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
050738
LILLIAN RENA GLOVER
TX
707 HOKE SMITH DR
75224
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 274-0698
0
ICF/IID: 0
PHONE:
TX
(214) 948-6534
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75224
FAX:
(972) 274-0698
SERVICE TYPE TYPE A
05/04/2017
Page 74 of 311
County
Reg Svcs:
DALLAS
Facility Information:
JACKSONS PLACE
7615 MEADOW RD
DALLAS
Phone
Facility ID:
TX
101 SOUTH COIT
75230
Fax
(214) 295-4632
TITLE 18/19:
Phone
TX
TX
(972) 733-1863
Region
DALLAS
(214) 376-0309
ICF/IID: 0
PHONE:
TX
(214) 356-7334
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
03 - ARLINGTON
75232
FAX:
SERVICE TYPE TYPE A
04/04/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
100028
WYOMIA JONES
TX
1012 SOUTHLAKE DR
75232
Fax
DESOTO
(972) 230-4321
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
TITLE 18/19:
(972) 230-2448
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
SERVICE TYPE TYPE B
808 W RED BIRD LN
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 7
(972) 733-1863
11/25/2016
TEAM 5
75249
TITLE 18/19:
TOTAL Lic Capacity: 5
Cert Alzh Capacity: 0
FAX:
JENNIFER ELLIS
(214) 372-6313
TOTAL Lic Capacity: 7
(469) 235-8195
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
75080
Owner Information
DALLAS
(214) 367-8944
03 - ARLINGTON
,STE 36-282
TX
PROGRAM TYPE: ASSISTED LIVING
0
102657
Fax
PRIVATE Beds: 8
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
JOY ASSISTED LIVING INC
3208 PLUMSTEAD DR
DALLAS
RICHARDSON
TITLE19: 0
(214) 356-7334
Facility Information:
SERVICE TYPE TYPE B
Region
101 SOUTH COIT
TITLE 18/19:
TOTAL Lic Capacity: 8
County
(972) 733-1863
12/15/2017
TEAM 5
75243
TITLE 18: 0
JENNYS RESIDENT GROUP CARE #3
7306 HARDWOOD TRL
TX
DALLAS
Phone
FAX:
Owner Information
DALLAS
JONES BOARD AND CARE
612 MISTY GLEN LN
DALLAS
License Exp Dt:
105873
Fax
PRIVATE Beds: 8
Facility Information:
(469) 235-8195
75080
EGANZA INCORPORATED
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 242-9882
Facility Information:
03 - ARLINGTON
,STE 36-282
RICHARDSON
(972) 733-1863
DALLAS
County
SERVICE TYPE TYPE B
Region
101 SOUTH COIT
TITLE 18: 0
PRIVATE Beds: 8
Phone
(972) 733-1863
Owner Information
75248
Fax
Cert Alzh Capacity: 0
JACKSONS PLACE
9010 WOODHURST DR
DALLAS
FAX:
11/01/2016
TEAM 7
103659
(972) 248-9795
Facility Information:
75080
EGANZA INCORPORATED
TOTAL Lic Capacity: 8
County
(469) 235-8195
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
JACKSONS PLACE
7210 DUFFIELD DR
DALLAS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
,STE 36-282
RICHARDSON
(972) 248-8995
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
EGANZA INCORPORATED
TOTAL Lic Capacity: 12
County
Region
TEAM 7
050139
75115
FAX:
(972) 230-4321
SERVICE TYPE TYPE A
10/31/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
102479
JOY ASSISTED LIVING II INC
TX
2128 GREEN POINT ST
75228
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 367-8944
0
ICF/IID: 0
PHONE:
TX
(214) 484-9943
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75228
FAX:
SERVICE TYPE TYPE A
05/16/2018
Page 75 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
JULIETTE FOWLER ASSISTED LIVING
1260 ABRAMS
TX
DALLAS
Phone
DALLAS
TITLE 18: 0
TITLE 18/19:
KINGS HELPING HAND INC
421 GLEN OAKS BLVD
DALLAS
Phone
TX
DALLAS
(214) 374-0209
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 7
TITLE 18/19:
TX
LEWISVILLE
ICF/IID: 0
TITLE19: 0
TX
FAX:
(972) 899-4806
SERVICE TYPE TYPE B
07/09/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
227 E. EDGEWOOD DRIVE
75243
FRIENDSWOOD
(214) 363-5133
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 54
TITLE 18/19:
(281) 482-9700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
77546
FAX:
(281) 482-9705
SERVICE TYPE TYPE B
04/04/2018
Region
TEAM 5
03 - ARLINGTON
Owner Information
102140
LEXINGTON PLACE ASSISTED LIVING HOMES
7205 LAVENDALE CIR
TX
DALLAS
75230
Sunday, October 09, 2016
75057
(214) 392-9991
License Exp Dt:
100715
Fax
Cert Alzh Capacity: 0
PRIVATE Beds: 10
03 - ARLINGTON
CHG SENIOR LIVING PRESTON HOLLOW, LLC
TOTAL Lic Capacity: 54
Cert Alzh Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(214) 363-5100
TOTAL Lic Capacity: 10
Region
1500 WATERS RIDGE DR
TITLE 18/19:
LEGACY AT PRESTON HOLLOW
11409 N CENTRAL EXPWY
DALLAS
(214) 361-4886
SERVICE TYPE TYPE A
07/16/2018
TEAM 4
75212
DALLAS
Phone
(214) 774-9443
Owner Information
TITLE 18: 0
PRIVATE Beds: 128
Facility Information:
FAX:
(214) 467-4933
License Exp Dt:
Fax
Cert Alzh Capacity: 0
County
75224
LW ALF OPS CO, LLC
TOTAL Lic Capacity: 128
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106161
(469) 206-0640
Facility Information:
ICF/IID: 0
Reg Svcs:
LAKEWEST ASSITED LIVING
3494 KINGBRIDGE STREET
DALLAS
County
DALLAS
(214) 774-9443
DALLAS
Facility ID:
03 - ARLINGTON
1611 WINDCHIME DR
TITLE19: 0
PRIVATE Beds: 7
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE A
DEIDRA WHYETE-BABERS
Fax
(214) 467-4933
FAX:
11/14/2017
TEAM 5
105062
KIYA'S & KETHAN'S HAVEN ASSISTED LIVING
1611 WINDCHIME DR
TX
DALLAS
75224
Phone
03 - ARLINGTON
75232
(214) 374-1880
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
Region
421 GLEN OAKS
TITLE 18: 0
PRIVATE Beds: 8
County
SERVICE TYPE TYPE B
Owner Information
75232
Fax
Cert Alzh Capacity: 0
Phone
(214) 827-7021
08/26/2018
TEAM 4
102840
(214) 374-1880
Facility Information:
FAX:
KINGS HELPING HAND INC
TOTAL Lic Capacity: 8
County
75214
(214) 827-0813
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
County
1234 ABRAMS RD
75214
Fax
Cert Alzh Capacity: 25
03 - ARLINGTON
Owner Information
JULIETTE FOWLER HOMES INC
(214) 827-0813
TOTAL Lic Capacity: 55
Region
TEAM 6
105940
LEXINGTON PLACE ASSISTED LIVING HOMES INC
3925 ROYAL LN
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 272-3338
0
ICF/IID: 0
PHONE:
TX
(214) 361-4886
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75229
FAX:
(214) 272-3338
SERVICE TYPE TYPE B
03/31/2017
Page 76 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 10
3925 ROYAL LN
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
Fax
(214) 361-4886
TOTAL Lic Capacity: 10
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 10
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 10
County
TITLE 18/19:
LINDA'S HOME HEALTH CARE
10208 HILLHOUSE
DALLAS
Phone
TX
PRIVATE Beds: 8
Sunday, October 09, 2016
(214) 361-4886
License Exp Dt:
03 - ARLINGTON
75229
FAX:
(214) 272-3338
SERVICE TYPE TYPE B
05/17/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
10204 HILLHOUSE
75227
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 484-2968
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
LOYDS OF DALLAS II ENTERPRISES LLC
7260 E. MOCKINGBIRD LANE
TX
DALLAS
Cert Alzh Capacity: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
TOTAL Lic Capacity: 8
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 4
(214) 924-5446
Region
DALLAS
(972) 380-0418
Fax
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
3925 ROYAL LN
104547
(214) 484-2968
Facility Information:
(214) 272-3338
LINDA WILLIAMS-WHITE
TOTAL Lic Capacity: 4
County
FAX:
LEXINGTON PLACE ASSISTED LIVING HOMES INC
Reg Svcs:
Facility ID:
75229
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
05/17/2017
TEAM 6
TITLE19: 0
PRIVATE Beds: 10
(214) 361-4886
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030208
(972) 380-0418
SERVICE TYPE TYPE B
Region
DALLAS
(214) 272-3338
LEXINGTON PLACE ASSISTED LIVING HOMES SPANKY BRANCH
6906 SPANKY BRANCH
TX
DALLAS
75248
Phone
(214) 272-3338
3925 ROYAL LN
Reg Svcs:
Facility ID:
FAX:
LEXINGTON PLACE ASSISTED LIVING HOMES INC
DALLAS
Facility Information:
75229
05/17/2018
TEAM 5
TITLE19: 0
PRIVATE Beds: 10
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 10
(214) 361-4886
License Exp Dt:
030211
(214) 654-0483
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LEXINGTON PLACE ASSISTED LIVING HOMES ROYAL
3925 ROYAL LN
TX
DALLAS
75229
Phone
Region
DALLAS
(214) 272-3338
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
3925 ROYAL LN
DALLAS
Facility Information:
(214) 272-3338
LEXINGTON PLACE ASSISTED LIVING HOMES INC
TITLE19: 0
PRIVATE Beds: 10
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 10
75229
07/08/2017
TEAM 5
000391
LEXINGTON PLACE ASSISTED LIVING HOMES MEADOW
7123 MEADOW RD
TX
DALLAS
75230
Phone
(214) 361-4886
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
DALLAS
(214) 272-3338
TITLE 18: 0
Cert Alzh Capacity: 10
County
LEXINGTON PLACE ASSISTED LIVING HOMES INC
Fax
(214) 361-4886
03 - ARLINGTON
Owner Information
LEXINGTON PLACE ASSISTED LIVING HOMES INC
7125 MERRIMAN PKWY
TX
DALLAS
75231
Phone
Region
TEAM 5
101218
75227
FAX:
SERVICE TYPE TYPE A
06/27/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
105993
LOYDS OF DALLAS II ENTERPRISES LLC
7214 RUTGERS DR
75214
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(214) 208-4445
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75214
FAX:
SERVICE TYPE TYPE B
08/29/2016
Page 77 of 311
County
Reg Svcs:
DALLAS
Facility Information:
MANCHESTER PLACE LLC
7109 SPRING VALLEY
DALLAS
Phone
Facility ID:
TX
7109 SPRING VALLEY RD.
75240
Fax
(972) 247-2228
TITLE 18/19:
TX
TX
(972) 423-5889
SERVICE TYPE TYPE B
Region
5720 LBJ FRWY
DALLAS
(972) 432-3600
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
PHONE:
,STE 630
TX
(972) 423-3600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
75240
FAX:
(972) 423-5889
SERVICE TYPE TYPE B
07/09/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
000539
LCS-MW LLC
TX
CAPITAL SQUARE, 800 LOCUST ST
75205
Fax
DES MOINES
(214) 520-2511
TITLE 18: 0
Cert Alzh Capacity: 49
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 159
TITLE 18/19:
MORNING STARR NEW BEGINNINGS
814 AMAROSA RD
TX
DALLAS
(515) 875-4671
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 820
IA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
FAX:
07/27/2016
TEAM 4
75230
TITLE 18/19:
TOTAL Lic Capacity: 159
PRIVATE Beds: 4
75254
MANCHESTER ST. MICHAELS, LLC
(214) 528-0660
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
DALLAS
TOTAL Lic Capacity: 4
(972) 423-3600
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103915
Fax
PRIVATE Beds: 16
(469) 236-4913
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
DALLAS
(972) 423-5889
TITLE19: 0
(214) 987-2710
Facility Information:
SERVICE TYPE TYPE B
7109 SPRING VALLEY RD.
TITLE 18/19:
TOTAL Lic Capacity: 16
County
(972) 423-5889
05/01/2017
TEAM 4
75218
TITLE 18: 0
MANCHESTER ST. MICHAELS, LLC
10754 ST MICHAELS
TX
DALLAS
Phone
FAX:
Owner Information
DALLAS
MONTICELLO WEST
5114 MCKINNEY AVE
DALLAS
License Exp Dt:
105045
Fax
PRIVATE Beds: 8
Facility Information:
(972) 423-3600
75240
MANCHESTER PLACE LLC
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 423-3600
Facility Information:
03 - ARLINGTON
,SUITE 630
DALLAS
(972) 423-5889
DALLAS
County
SERVICE TYPE TYPE B
Region
5720 LBJ FREEWAY
TITLE 18: 0
PRIVATE Beds: 8
Phone
(972) 423-5889
Owner Information
75248
Fax
Cert Alzh Capacity: 0
MANCHESTER PLACE LLC
1438 TRANQUILLA
DALLAS
FAX:
07/29/2017
TEAM 4
105262
(972) 423-3600
Facility Information:
75254
MANCHESTER QUEENS FERRY LLC
TOTAL Lic Capacity: 8
County
(972) 423-3600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
MANCHESTER PLACE LLC
7701 QUEENSFERRY DRIVE
DALLAS
DALLAS
(972) 241-5889
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
MANCHESTER PLACE LLC
TOTAL Lic Capacity: 16
County
Region
TEAM 4
103885
50309
FAX:
(515) 875-4780
SERVICE TYPE TYPE B
06/30/2018
Region
TEAM 5
03 - ARLINGTON
Owner Information
103515
MORNING STARR NEW BEGINNINGS
9016 TAMPAS LN
75217
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 224-0088
0
ICF/IID: 0
PHONE:
TX
(469) 236-4913
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75227
FAX:
(972) 224-0088
SERVICE TYPE TYPE A
11/25/2016
Page 78 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
MORNING STARR NEW BEGINNINGS
9016 TAMPAS LN
TX
DALLAS
Phone
County
NEW HORIZON HOMES LLC,
6806 ROCKY TOP CIRCLE
DALLAS
Phone
ICF/IID: 0
TX
DALLAS
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
DALLAS
ICF/IID: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
03 - ARLINGTON
3327 SPRINGWOOD LN
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 325-8628
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
75233
FAX:
SERVICE TYPE TYPE A
07/13/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
101259
ONLY THE STRONG SURVIVE ASSISTED LIVING
3018 WEATHER VANE LN
TX
DALLAS
75228
TOTAL Lic Capacity: 8
Region
OAKS RESIDENTIAL LIVING CORPORATION
DALLAS
(214) 930-6346
SERVICE TYPE TYPE B
07/17/2017
Owner Information
TITLE 18: 0
Facility ID:
FAX:
TEAM 4
Fax
PRIVATE Beds: 5
75248
(469) 360-4493
License Exp Dt:
OAKS ASSISTED LIVING
3327 SPRINGWOOD LN OAK ASSISTED LIVING
TX
DALLAS
75233
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 5
03 - ARLINGTON
17207 GRAYSTONE DR
103114
(214) 325-8628
Region
NORTH TEXAS PERSONAL CARE HOMES INC
(972) 732-6186
DALLAS
Facility ID:
SERVICE TYPE TYPE B
04/01/2018
TEAM 5
TITLE19: 0
PRIVATE Beds: 10
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
75243
(214) 469-4169
License Exp Dt:
100888
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(972) 732-1164
Facility Information:
Region
9826 BENT BRANCH LANE
75252
Fax
TOTAL Lic Capacity: 10
County
SERVICE TYPE TYPE A
12/11/2017
TEAM 6
NORTH TEXAS PERSONAL CARE HOMES INC GRAYSTONE
17207 GRAYSTONE
TX
DALLAS
75248
Phone
(972) 218-9246
Owner Information
DALLAS
Facility Information:
FAX:
NEW HORIZON HOMES LLC,
PRIVATE Beds: 8
County
03 - ARLINGTON
75233
(469) 236-4913
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104808
(972) 248-6316
Facility Information:
DALLAS
(972) 224-0088
TITLE19: 0
TOTAL Lic Capacity: 8
County
Region
3935 OAK ARBOR
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
05/13/2018
TEAM 5
75233
DALLAS
Facility Information:
(972) 224-0088
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
MORNING STARR NEW BEGINNINGS
Fax
Cert Alzh Capacity: 0
75227
(469) 236-4913
License Exp Dt:
105579
(469) 236-4913
TOTAL Lic Capacity: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MORNING STARR NEW BEGINNINGS
3935 OAK ARBOR DR
TX
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
DALLAS
(972) 224-0088
TITLE 18: 0
PRIVATE Beds: 8
County
9016 TAMPAS LN
75227
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
MORNING STARR NEW BEGINNINGS
(469) 236-4913
TOTAL Lic Capacity: 8
Region
TEAM 5
106244
MARILYN H JACKSON
3018 WEATHER VANE LN
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 240-5468
0
ICF/IID: 0
PHONE:
TX
(214) 930-6346
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75228
FAX:
(972) 240-5468
SERVICE TYPE TYPE A
05/02/2018
Page 79 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
ORA LEE'S GROUP HOME
5822 LAKE PLACID DR
DALLAS
Phone
TX
5822 LAKE PLACID DR
75232
Fax
(214) 374-3998
DALLAS
(214) 374-3998
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
TOTAL Lic Capacity: 51
County
SANTA BARBARA
(214) 357-8677
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 16
County
TITLE 18/19:
PATHWAYS SENIOR LIVING LLC
4408 FOREST BEND ROAD
DALLAS
Phone
TX
TX
ICF/IID: 0
Sunday, October 09, 2016
75201
FAX:
(972) 863-8478
SERVICE TYPE TYPE B
09/12/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
1657 S CORINTH STREET ROAD
75203
DALLAS
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(214) 942-1167
SERVICE TYPE TYPE A
Region
03 - ARLINGTON
Owner Information
PRESBYTERIAN VILLAGE NORTH
8600 SKYLINE DR
DALLAS
(214) 355-9100
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
75203
12/16/2016
TEAM 5
000540
Fax
(214) 374-1104
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
PRESBYTERIAN VILLAGE NORTH ASSISTED LIVING FACILITY
8750 WESTMINSTER TERRACE
TX
DALLAS
75243
PRIVATE Beds: 85
(214) 668-3758
License Exp Dt:
105712
DALLAS
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 5
TOTAL Lic Capacity: 85
03 - ARLINGTON
MY SECOND CHANCE INC
Cert Alzh Capacity: 0
(214) 355-9201
SERVICE TYPE TYPE B
Region
DALLAS
(972) 239-8696
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 5
Phone
(805) 966-2009
01/06/2017
TEAM 7
TITLE19: 0
TITLE 18/19:
(214) 374-7535
Facility Information:
FAX:
2215 CEDAR SPRING RD
DALLAS
County
93103
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
Phone
(805) 564-3341
License Exp Dt:
75244
Fax
Cert Alzh Capacity: 8
PEARL'S PLACE
1657 S. CORINTH ST RD.
DALLAS
PHONE:
,STE 200
CA
PROGRAM TYPE: ASSISTED LIVING
0
104690
(214) 668-3758
Facility Information:
03 - ARLINGTON
PATHWAYS SENIOR LIVING LLC
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
SANTA BARBARA
(214) 357-8677
DALLAS
Facility Information:
(805) 966-2009
01/06/2017
1 NORTH CALLE CESAR CHAVEZ
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
93103
PARSONS HOUSE PRESTON HOLLOW LP
Fax
(214) 357-7900
(805) 564-3341
TEAM 6
030155
PARSONS HOUSE PRESTON HOLLOW LP
4205 W NW HWY
TX
DALLAS
75220
Phone
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
03 - ARLINGTON
,STE 200
CA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
SERVICE TYPE TYPE A
Region
1 NORTH CALLE CESAR CHAVEZ
TITLE19: 0
PRIVATE Beds: 51
(214) 272-8772
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
PARSONS HOUSE PRESTON HOLLOW LP
Fax
(214) 357-7900
75232
08/28/2016
TEAM 6
030156
PARSONS HOUSE PRESTON HOLLOW LP
4205 W NW HWY
TX
DALLAS
75220
Phone
(214) 374-3998
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
03 - ARLINGTON
Owner Information
ORA L TURNER
TOTAL Lic Capacity: 8
County
Region
TEAM 7
101927
0
ICF/IID: 0
PHONE:
TX
(214) 355-9001
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75243
FAX:
(214) 355-9050
SERVICE TYPE TYPE B
01/01/2017
Page 80 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
RENAISSANCE ASSISTED LIVING LLC
7315 OAKSTONE DR
TX
DALLAS
Phone
RENEE'S HOUSE
5748 PLUM DALE ROAD
DALLAS
Phone
TX
TX
(972) 807-2179
ICF/IID: 0
(972) 807-2179
SERVICE TYPE TYPE B
03/30/2018
Region
03 - ARLINGTON
DENETTA SMITH
6611 GREENSPAN AVENUE
75232
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
75232
FAX:
(972) 333-6282
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
(214) 371-3505
SERVICE TYPE TYPE A
12/08/2016
Region
TEAM 5
03 - ARLINGTON
Owner Information
030103
LCS-SP LLC
TX
CAPITAL SQUARE 400 LOCUST ST
75254
Fax
DES MOINES
(972) 726-9742
TITLE 18: 0
Cert Alzh Capacity: 28
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 76
TITLE 18/19:
50309
FAX:
(515) 875-4671
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 820
IA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
(515) 875-4780
SERVICE TYPE TYPE B
06/30/2018
Region
TEAM 5
03 - ARLINGTON
Owner Information
000942
SILVERADO SENIOR LIVING-TURTLE CREEK
3611 DICKASON AVE
TX
DALLAS
75219
Sunday, October 09, 2016
FAX:
(972) 807-2331
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 76
PRIVATE Beds: 54
75219
TEAM 6
104427
Fax
Facility ID:
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
(972) 726-7575
Cert Alzh Capacity: 54
03 - ARLINGTON
,#512
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
TOTAL Lic Capacity: 54
Region
DALLAS
TITLE19: 0
PRIVATE Beds: 8
(214) 559-0140
SERVICE TYPE TYPE A
3824 CEDAR SPRINGS
TITLE 18/19:
Cert Alzh Capacity: 0
Phone
(469) 442-0121
07/17/2018
TEAM 6
75214
(972) 224-7407
Facility Information:
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 8
County
License Exp Dt:
104943
Fax
SHIELD OF FAITH ASSISTED LIVING
1206 DEERWOOD STREET
TX
DALLAS
Phone
75241
(469) 563-8884
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
SIGNATURE POINTE
14655 PRESTON RD
DALLAS
PHONE:
TX
SAGE OAK HOLDINGS II, LLC
PRIVATE Beds: 8
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 8
County
DALLAS
(469) 442-0121
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
03 - ARLINGTON
5748 PLUM DALE ROAD
TITLE 18: 0
(972) 807-2331
Facility Information:
Region
Owner Information
DALLAS
County
SERVICE TYPE TYPE A
08/18/2018
TEAM 7
75241
Fax
PRIVATE Beds: 6
Phone
FAX:
MARQIESE SIMS
Cert Alzh Capacity: 0
SAGE OAK ASSISTED LIVING
5105 CREIGTHON DRIVE
DALLAS
76002
(817) 419-8909
License Exp Dt:
105715
(469) 563-8884
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
ARLINGTON
(817) 887-2359
TITLE 18: 0
PRIVATE Beds: 6
County
7710 KITTERY LN
75249
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
RENAISSANCE ASSISTED LIVING LLC
(972) 298-0507
TOTAL Lic Capacity: 6
Region
TEAM 6
101775
SUBTENANT 3611 DICKASON AVENUE LLC
4500 DORR ST
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
TOLEDO
(214) 559-0171
0
ICF/IID: 0
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
43615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
04/11/2017
Page 81 of 311
County
Reg Svcs:
DALLAS
Facility Information:
SPEARS HOUSE OF CARE
734 SEABEACH ROAD
DALLAS
Phone
Facility ID:
TX
734 SEABEACH ROAD
75232
Fax
(972) 224-8704
DALLAS
(972) 224-5747
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
TOTAL Lic Capacity: 9
County
TITLE 18/19:
ST JOSEPH'S RESIDENCE INC
330 W PEMBROKE AVE
DALLAS
Phone
TX
TX
ICF/IID: 0
(972) 226-1938
License Exp Dt:
03 - ARLINGTON
75150
FAX:
SERVICE TYPE TYPE A
09/26/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
102658
SZR HILLCREST SENIOR LIVING LLC
10350 ORMSBY PARK PL
75240
Fax
LOUISVILLE
(972) 385-5268
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 300
KY
(502) 357-9000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
MESQUITE
(214) 948-0204
Reg Svcs:
Facility ID:
PRIVATE Beds: 115
PRIVATE Beds: 6
(214) 948-0358
Owner Information
TITLE19: 0
Cert Alzh Capacity: 43
Cert Alzh Capacity: 0
FAX:
317 CARISSA CT
TITLE 18/19:
TOTAL Lic Capacity: 115
TOTAL Lic Capacity: 6
75208-6532
04/24/2018
TEAM 4
75203
(972) 385-5267
(214) 375-7075
(214) 948-3597
License Exp Dt:
TITLE 18: 0
SUNRISE SENIOR LIVING OF HILLCREST
13001 HILLCREST RD
TX
DALLAS
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
TALCO HOUSE INC
2328 TALCO DR
DALLAS
ICF/IID: 0
102967
Fax
PRIVATE Beds: 6
Facility Information:
03 - ARLINGTON
AVIS L YOUNG SR
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
Region
DALLAS
(214) 948-0358
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
Phone
(972) 240-5468
06/24/2018
TEAM 4
TITLE19: 0
TITLE 18/19:
(214) 942-3215
Facility Information:
FAX:
330 W PEMBROKE AVE
DALLAS
County
75228
Owner Information
TITLE 18: 0
PRIVATE Beds: 89
Phone
(214) 930-6346
License Exp Dt:
75208-6532
Fax
Cert Alzh Capacity: 0
STELLA RD ASSISTED LIVING
1840 STELLA AVE
DALLAS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000406
(214) 948-3597
Facility Information:
03 - ARLINGTON
ST JOSEPH'S RESIDENCE INC
TOTAL Lic Capacity: 89
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
DALLAS
(972) 240-5468
DALLAS
Facility Information:
SERVICE TYPE TYPE A
3018 WEATHER VANE LN
TITLE19: 0
PRIVATE Beds: 9
(972) 224-5747
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
MARILYN H JACKSON
Fax
(214) 930-6346
75232
02/07/2017
TEAM 7
104195
ST BERNARD ASSISTED LIVING FACILITY
6005 BLACKBERRY CIRCLE
TX
DALLAS
75248
Phone
(972) 224-8704
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
03 - ARLINGTON
Owner Information
SPEARS HOUSE OF CARE
TOTAL Lic Capacity: 8
County
Region
TEAM 4
105219
40223
FAX:
(503) 357-9441
SERVICE TYPE TYPE B
04/26/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
102742
TALCO HOUSE INC
TX
2328 TALCO DR
75241
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 372-7149
0
ICF/IID: 0
PHONE:
TX
(214) 375-7075
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75241
FAX:
(214) 372-7149
SERVICE TYPE TYPE A
03/17/2018
Page 82 of 311
County
Reg Svcs:
DALLAS
Facility Information:
TEXSEN GROUP HOMES, LLC
3755 CROWN SHORE DR
DALLAS
Phone
Facility ID:
TX
4304 WILLIAMSON LANE
75244
CARROLTON
Fax
(972) 241-6035
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
Phone
TX
TX
ICF/IID: 0
TX
SERVICE TYPE TYPE B
Region
RICHARDSON
(972) 788-0872
ICF/IID: 0
TITLE19: 0
(469) 235-8195
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
03 - ARLINGTON
75082
FAX:
(972) 675-0370
SERVICE TYPE TYPE B
03/11/2018
Region
TEAM 4
03 - ARLINGTON
Owner Information
000772
FS TENANT POOL III TRUST
TX
400 CENTRE ST
75225
Fax
NEWTON
(214) 368-1760
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(617) 796-8387
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
02458
FAX:
(617) 658-1435
SERVICE TYPE TYPE A
12/30/2016
Region
TEAM 7
03 - ARLINGTON
Owner Information
001021
THE HOUSE OF HEARTS (HART) MISSION
700 CEDAR HILL AVE
TX
DALLAS
75208
Sunday, October 09, 2016
(972) 675-0370
2212 BLUEBONNET DRIVE
TITLE 18/19:
PRIVATE Beds: 38
PRIVATE Beds: 4
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
75082
10/01/2017
TEAM 4
75248
Fax
TOTAL Lic Capacity: 38
TOTAL Lic Capacity: 4
03 - ARLINGTON
ZJM ENTERPRISES INCORPORATED
(214) 369-9905
(214) 943-7662
(469) 235-8195
License Exp Dt:
103967
DALLAS
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
Facility Information:
SERVICE TYPE TYPE B
Region
RICHARDSON
(972) 233-3228
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(972) 675-0370
2212 BLUEBONNET DRIVE
TITLE 18: 0
TOTAL Lic Capacity: 8
Phone
FAX:
11/08/2016
TEAM 4
75248
(972) 788-0874
THE FORUM AT PARK LANE
7827 PARK LN
DALLAS
75082
Owner Information
DALLAS
Facility Information:
(469) 235-8195
License Exp Dt:
050387
Fax
PRIVATE Beds: 8
County
03 - ARLINGTON
ZJM ENTERPRISES INCORPORATED
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
THE FAMILY'S CHOICE
7405 HILLWOOD LANE
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 233-3228
Facility Information:
RICHARDSON
(972) 248-1075
DALLAS
County
Region
2212 BLUEBONNET DRIVE
TITLE 18: 0
PRIVATE Beds: 8
Phone
SERVICE TYPE TYPE B
Owner Information
75248
Fax
Cert Alzh Capacity: 0
THE FAMILY'S CHOICE
7048 HILLWOOD LN
DALLAS
FAX:
09/30/2016
TEAM 4
050274
(972) 248-1075
Facility Information:
75010
ZJM ENTERPRISES INCORPORATED
TOTAL Lic Capacity: 8
County
(469) 892-5332
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
THE FAMILYS CHOICE
17217 GRAYSTONE DR
DALLAS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
03 - ARLINGTON
Owner Information
TEXSEN GROUP HOME LLC
TOTAL Lic Capacity: 8
County
Region
TEAM 4
105604
LORETTA HARLEN
700 CEDAR HILL AVE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 943-7662
0
ICF/IID: 0
PHONE:
TX
(214) 943-7662
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75208
FAX:
(214) 943-7662
SERVICE TYPE TYPE C
10/26/2017
Page 83 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 101
8502 EDGEMERE RD
TITLE 18/19:
THE RESERVE AT NORTH DALLAS
12271 COIT RD
TX
DALLAS
County
(972) 702-9881
ICF/IID: 0
Reg Svcs:
Fax
TOTAL Lic Capacity: 130
County
TITLE 18/19:
Fax
TOTAL Lic Capacity: 130
County
TITLE 18/19:
TOPHILL PERSONAL CARE
7116 TOPHILL CIR
DALLAS
Phone
TX
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
PHONE:
TX
(214) 221-8200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
75248
FAX:
(214) 221-8222
SERVICE TYPE TYPE B
11/17/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
14905 OAKS NORTH DR
DALLAS
(972) 386-7906
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 762-8242
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
(214) 837-9646
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 8
Phone
Region
DALLAS
75248
Fax
Cert Alzh Capacity: 0
TOTAL JOY LIVING
5015 MENEFEE
DALLAS
SERVICE TYPE TYPE B
5555 ARAPAHO ROAD
101142
(972) 740-6776
Facility Information:
(214) 221-8222
SENIOR MANAGEMENT SOLUTIONS, INC.
TOTAL Lic Capacity: 8
County
FAX:
PRESTONWOOD TRADITION AL LP
(972) 661-1881
Reg Svcs:
Facility ID:
75206
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
11/10/2017
TEAM 1
TITLE19: 0
PRIVATE Beds: 130
(214) 221-8200
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 46
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106306
(972) 661-1880
Region
DALLAS
THE TRADITION-PRESTONWOOD ASSISTED LIVING AND MEMORY CARE
5555 ARAPAHO ROAD
TX
DALLAS
75248
Phone
SERVICE TYPE TYPE A
5850 EAST LOVERS LANE
ICF/IID: 0
Reg Svcs:
Facility ID:
(407) 999-7759
LOVERS TRADITION II, LP
(314) 361-2283
DALLAS
Facility Information:
FAX:
05/14/2018
TEAM 6
TITLE19: 0
PRIVATE Beds: 130
32801
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 30
(407) 999-2400
License Exp Dt:
106147
(214) 361-2219
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
THE TRADITION-LOVERS LANE ASSISTED LIVING AND MEMORY CARE
5855 MILTON AVENUE
TX
DALLAS
75206
Phone
03 - ARLINGTON
,STE 1750
ORLANDO
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
1000 LEGION PLACE
75251
DALLAS
Facility Information:
(214) 623-6115
Owner Information
TITLE 18: 0
PRIVATE Beds: 33
FAX:
COIT SENIOR CARE, LLC
Fax
Cert Alzh Capacity: 0
75225
08/08/2018
TEAM 7
103556
(972) 866-7575
TOTAL Lic Capacity: 33
(469) 576-1345
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 101
Facility Information:
DALLAS
(214) 615-7046
TITLE 18: 0
Cert Alzh Capacity: 31
County
NORTHWEST SENIOR HOUSING CORPORATION
Fax
(214) 615-7045
03 - ARLINGTON
Owner Information
THE PLAZA AT EDGEMERE ASSISTED LIVING
8502 EDGEMERE
TX
DALLAS
75225
Phone
Region
TEAM 5
101023
75254
FAX:
(972) 788-8147
SERVICE TYPE TYPE B
12/01/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
105832
TIFFANI ALLEN
TX
1614 SUMMIT RIDGE DR
75227
GARLAND
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(214) 837-9646
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75043
FAX:
(214) 381-9875
SERVICE TYPE TYPE A
11/24/2017
Page 84 of 311
County
Reg Svcs:
DALLAS
Facility Information:
TRINITY RESIDENTIAL CARE
1427 CARAVAN TRAIL
DALLAS
Phone
Facility ID:
TX
1427 CARAVAN TRAIL
75241
Fax
(214) 374-7458
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE 18/19:
DALLAS
(214) 350-8760
ICF/IID: 0
TITLE 18/19:
(214) 361-8923
TOTAL Lic Capacity: 100
Cert Alzh Capacity: 0
PRIVATE Beds: 100
Sunday, October 09, 2016
(214) 350-8760
SERVICE TYPE TYPE A
Region
03 - ARLINGTON
JSC LAKE HIGHLANDS OPERATIONS LP
1500 WATERS RIDGE DR
LEWISVILLE
(214) 221-1568
ICF/IID: 0
PHONE:
TX
(972) 899-4401
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
DALLAS
Facility ID:
FAX:
02/24/2017
TEAM 5
TITLE19: 0
PRIVATE Beds: 58
(214) 351-1212
75220
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 39
PHONE:
License Exp Dt:
VILLAGES OF LAKE HIGHLANDS ASSISTED LIVING
8615 LULLWATER DR
TX
DALLAS
75238
TOTAL Lic Capacity: 58
03 - ARLINGTON
,BLDG B
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Fax
(214) 374-5683
SERVICE TYPE TYPE A
Region
3120 W NORTHWEST HWY
104469
(214) 221-0444
FAX:
ELIZABETH I PEREZ & ASSOCIATES INC
DALLAS
Facility ID:
75123
04/04/2018
TEAM 5
TITLE19: 0
PRIVATE Beds: 12
Phone
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 814-3573
License Exp Dt:
000430
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
WALNUT PLACE PC UNIT
5515 GLEN LAKES DR
DALLAS
SERVICE TYPE TYPE A
Region
DESOTO
(866) 582-6837
TITLE19: 0
TITLE 18/19:
(972) 557-0279
Facility Information:
(214) 374-5683
PO BOX 1718
V S MORALES PERSONAL CARE HOME FOR THE AGING
9508 CIRCLEWOOD DR @ ST ROSALIE
TX
DALLAS
75217
County
FAX:
03/26/2018
TEAM 7
75216
DALLAS
Phone
75123
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Facility Information:
(214) 814-3573
License Exp Dt:
103245
Fax
Cert Alzh Capacity: 0
County
03 - ARLINGTON
TRINITY-FAITH'S PLACE INC
TOTAL Lic Capacity: 6
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(972) 814-3573
Facility Information:
DESOTO
(866) 582-6837
DALLAS
County
Region
PO BOX 1718
TITLE 18: 0
PRIVATE Beds: 8
Phone
SERVICE TYPE TYPE B
Owner Information
75216
Fax
Cert Alzh Capacity: 0
TRINITY-FAITH'S PLACE INC
2209 INCA
DALLAS
FAX:
03/13/2018
TEAM 4
104125
(972) 814-3573
Facility Information:
75241
TRINITY-FAITH'S PLACE INC
TOTAL Lic Capacity: 8
County
(972) 217-0598
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
TRINITY-FAITH'S PLACE II
2205 INCA
DALLAS
DALLAS
(214) 242-4598
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
TRINITY RESIDENTIAL CARE
TOTAL Lic Capacity: 7
County
Region
TEAM 4
102921
75057
FAX:
(972) 899-4806
SERVICE TYPE TYPE B
01/04/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
000542
LCS-WP LLC
TX
CAPITAL SQUARE
75231
Fax
(214) 361-4782
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DES MOINES
0
ICF/IID: 0
PHONE:
,800 LOCUST ST STE 820
IA
(515) 875-4671
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
50309
FAX:
(515) 875-4780
SERVICE TYPE TYPE B
06/30/2018
Page 85 of 311
County
Reg Svcs:
DALLAS
Facility Information:
WEISMER HOUSE
7038 LATTIMORE DRIVE
DALLAS
Phone
Facility ID:
TX
PO BOX 795545
75252
DALLAS
Fax
(972) 342-9783
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
WELLINGTON RESIDENTIAL CARE LLC
7304 CAMPBELL RD
TX
DALLAS
County
WILSON ASSISTANT LIVING
1537 SUTTER
DALLAS
Phone
TX
TX
PRIVATE Beds: 8
Sunday, October 09, 2016
SERVICE TYPE TYPE A
11/19/2018
Region
TEAM 4
NEW YORK
(972) 661-9991
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
(469) 304-5033
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,46TH FLOOR
NV
PROGRAM TYPE: ASSISTED LIVING
0
10105
FAX:
(972) 608-9716
SERVICE TYPE TYPE B
08/12/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
105996
A DAUGHTERS CARE LLC
TX
1237 CEDARBROOK TRAIL
75115
LANCASTER
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 400-8687
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Cert Alzh Capacity: 0
FAX:
1345 AVENUE OF THE AMERICAS
TITLE 18/19:
PRIVATE Beds: 6
TOTAL Lic Capacity: 8
75216
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(972) 224-9449
PHONE:
License Exp Dt:
75251
Fax
TOTAL Lic Capacity: 6
Phone
TX
PROGRAM TYPE: ASSISTED LIVING
104038
(214) 400-8687
A-VICTORIAN'S PLACE
1003 WEST LAKE DR
DESOTO
ICF/IID: 0
0
DALLAS
Facility Information:
03 - ARLINGTON
NIC 17 WINDSOR LEASING LLC
PRIVATE Beds: 270
County
Region
DALLAS
(214) 371-1433
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 85
Phone
SERVICE TYPE TYPE B
05/14/2016
TEAM 4
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 270
A DAUGHTERS CARE
521 SHENANDOAH DR
DESOTO
(214) 352-8620
1537 SUTTER ST
TITLE 18: 0
(972) 661-9990
Facility Information:
FAX:
Owner Information
DALLAS
County
(214) 662-3639
License Exp Dt:
75216
Fax
PRIVATE Beds: 6
Phone
PHONE:
75229
SOMOVA WILSON
Cert Alzh Capacity: 0
WINDSOR SENIOR LIVING
7750 LBJ FRWY
DALLAS
03 - ARLINGTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
105843
(469) 387-9761
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 6
County
DALLAS
(972) 490-6541
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
10434 ROSSER CIRCLE
75248
DALLAS
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
WELLINGTON RESIDENTIAL CARE LLC
Fax
Cert Alzh Capacity: 0
75379
02/06/2018
TEAM 6
100851
(972) 490-6541
TOTAL Lic Capacity: 8
(972) 342-9783
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
03 - ARLINGTON
Owner Information
SAFE PLACES 2003 LLC
TOTAL Lic Capacity: 8
County
Region
TEAM 7
101109
75146
FAX:
(972) 748-2604
SERVICE TYPE TYPE B
04/17/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
104033
DOREEN V. GUILLORY
TX
PO BOX 170082
75115
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(973) 224-9449
0
ICF/IID: 0
PHONE:
TX
(214) 560-8660
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75217
FAX:
(469) 855-9138
SERVICE TYPE TYPE A
09/11/2017
Page 86 of 311
County
Reg Svcs:
DALLAS
Facility Information:
BROOKDALE DESOTO
747 WEST PLEASANT RUN
DESOTO
Phone
Facility ID:
TX
6737 W WASHINGTON ST
75115-3838
Fax
(972) 274-1700
TITLE 18/19:
TX
DESOTO
(888) 817-8064
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
TITLE 18/19:
Phone
TX
TX
Sunday, October 09, 2016
PHONE:
TX
(214) 372-2054
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75115
FAX:
(214) 374-7721
SERVICE TYPE TYPE A
12/30/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
104194
341 SQUIREBROOK DR
75115
Fax
DESOTO
(888) 847-8217
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 697-5461
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PROFESSIONAL CARE FACILITY 3
1008 SPRINGBROOK DR
TX
DESOTO
PRIVATE Beds: 16
ICF/IID: 0
0
DALLAS
Cert Alzh Capacity: 0
03 - ARLINGTON
PINNACLE ASSISTED LIVING, INC
PRIVATE Beds: 8
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
Region
DESOTO
(214) 374-7721
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(972) 224-0606
(972) 228-4321
02/26/2018
TEAM 4
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
FAX:
820 E WINTERGREEN RD
TITLE 18: 0
(972) 223-3856
Facility Information:
75115
Owner Information
DALLAS
County
(972) 228-4321
License Exp Dt:
75115
Fax
PRIVATE Beds: 10
Phone
03 - ARLINGTON
HAZEL'S HOME CARE LLC
Cert Alzh Capacity: 0
PINNACLE ASSISTED LIVING
341 SQUIREBROOK DRIVE
DESOTO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102991
(214) 372-2054
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 10
County
DESOTO
(972) 228-4321
DALLAS
Facility ID:
Region
231 CHARLES ST
TITLE19: 0
PRIVATE Beds: 8
SERVICE TYPE TYPE A
03/01/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(888) 817-8064
GOD IS LOVE PERSONAL CARE HOME INC
Fax
(972) 228-4321
FAX:
TEAM 7
100513
GOD IS LOVE PERSONAL CARE HOME INC
231 CHARLES ST
TX
DESOTO
75115
HAZELS HOME CARE LLC
820 E WINTERGREEN RD
DESOTO
03 - ARLINGTON
75115
(972) 310-8741
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
Region
500 CREEKTREE DRIVE
TITLE 18: 0
PRIVATE Beds: 6
County
SERVICE TYPE TYPE B
Owner Information
75115
Fax
Cert Alzh Capacity: 0
Phone
(414) 918-6076
12/01/2016
TEAM 7
105365
(972) 310-8741
Facility Information:
FAX:
NOLAN FREEMAN
TOTAL Lic Capacity: 6
County
53214
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 58
FREEMANS ASSISTED LIVING
500 CREEKTREE DRIVE
DESOTO
MILWAUKEE
(972) 274-1488
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 58
County
Region
TEAM 5
000814
75115
FAX:
(888) 847-8217
SERVICE TYPE TYPE A
12/29/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
103317
PROFESSIONAL CARE FACILITY INC
870 MAGNOLIA LN
75115
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LANCASTER
(469) 913-8187
0
ICF/IID: 0
PHONE:
TX
(972) 218-5534
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75146
FAX:
(469) 913-8187
SERVICE TYPE TYPE B
05/28/2018
Page 87 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 9
325 SQUIREBROOK DR
DESOTO
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
THE HAVEN HOME
1216 HOLT AVE
DESOTO
Phone
TX
DESOTO
TX
TX
(972) 241-4090
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
1201 HIGH GROVE DR
75041
Fax
GARLAND
(972) 840-1511
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
(972) 840-9292
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
03 - ARLINGTON
ABBA CARE INC
TOTAL Lic Capacity: 16
PRIVATE Beds: 16
BRENTWOOD
101493
(972) 840-9292
ABBA CARE ASSISTED LIVING-B
1201 HIGH GROVE DR
GARLAND
(972) 283-8127
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
75234
Reg Svcs:
ABBA CARE ASSISTED LIVING-A
1207 HIGH GROVE DR
GARLAND
FAX:
ESC-NGH, LP
TITLE 18/19:
Facility ID:
75116
Owner Information
DALLAS
Cert Alzh Capacity: 0
03 - ARLINGTON
03/28/2017
TEAM 6
TITLE19: 0
PRIVATE Beds: 105
(972) 709-7346
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 22
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030289
Fax
TOTAL Lic Capacity: 105
TOTAL Lic Capacity: 16
ICF/IID: 0
Reg Svcs:
Facility ID:
(972) 241-3955
(972) 840-9292
SERVICE TYPE TYPE A
Region
DUNCANVILLE
(972) 283-8127
TITLE19: 0
TITLE 18/19:
BROOKDALE FARMERS BRANCH
13505 WEBB CHAPEL RD
TX
FARMERS BRANCH
Phone
(972) 803-5605
1119 DULA CIRCLE
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
County
75115
05/19/2018
TEAM 4
75116
Fax
Cert Alzh Capacity: 0
Phone
(972) 803-5605
License Exp Dt:
100216
(972) 709-7346
Facility Information:
03 - ARLINGTON
AIMEE'S HOUSE INCORPORATED
TOTAL Lic Capacity: 7
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
AIMEE'S HOUSE
1119 DULA CIR
DUNCANVILLE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
Region
1216 HOLT AVE
75115
TITLE 18: 0
PRIVATE Beds: 5
County
SERVICE TYPE TYPE A
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
FAX:
09/10/2017
TEAM 5
105752
(469) 734-7674
Facility Information:
75115
SCHNIKWA L. HICKS
TOTAL Lic Capacity: 5
County
(469) 245-4990
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
County
RISING SUN RESIDENTIAL CARE FACILITY INC
Fax
(469) 245-4990
03 - ARLINGTON
Owner Information
RISING SUN RESIDENTIAL CARE FACILITY INC #2
325 SQUIREBROOK DR
TX
DESOTO
75115
Phone
Region
TEAM 5
103650
75041
FAX:
SERVICE TYPE TYPE B
01/22/2018
Region
TEAM 5
03 - ARLINGTON
Owner Information
101492
ABBA CARE INC
TX
1201 HIGH GROVE DR
75041
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
GARLAND
(972) 840-9291
0
ICF/IID: 0
PHONE:
TX
(972) 840-9292
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75041
FAX:
SERVICE TYPE TYPE B
01/22/2017
Page 88 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
AVALON MEMORY CARE - GARLAND
1150 COLONEL DRIVE
TX
GARLAND
Phone
County
BETHEL SENIOR CARE LLC
3005 CLUB HILL DR
GARLAND
Phone
TX
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
BRENTWOOD
(972) 271-9931
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(615) 221-2250
37027
FAX:
(615) 221-8204
SERVICE TYPE TYPE A
07/05/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
GARLAND OPCO LLC
7708 SAN JACINTO PLACE
Fax
PLANO
(972) 530-7707
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,UNIT 100
TX
(469) 331-8200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
License Exp Dt:
102820
DALLAS
Sunday, October 09, 2016
03 - ARLINGTON
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 46
PRIVATE Beds: 8
SERVICE TYPE TYPE B
Region
111 WESTWOOD PLACE
TITLE 18: 0
Cert Alzh Capacity: 46
Cert Alzh Capacity: 8
FAX:
Owner Information
75043
Fax
TOTAL Lic Capacity: 46
TOTAL Lic Capacity: 8
75043
BLC-CLUB HILL LLC
(972) 530-7700
(972) 278-7848
03 - ARLINGTON
10/13/2017
TEAM 4
GRAND BROOK MEMORY CARE OF GARLAND
5600 NORTH SHILOH RD
TX
GARLAND
75044
Phone
(214) 566-9527
License Exp Dt:
000696
DALLAS
JOY ASSISTED LIVING INC
1614 JAMES GOOD LANE
GARLAND
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 134
Facility Information:
Region
GARLAND
(972) 926-4794
TITLE 18: 0
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
3005 CLUB HILL DRIVE
Fax
TOTAL Lic Capacity: 134
Phone
FAX:
03/01/2018
TEAM 4
75043
(972) 278-8500
Facility Information:
(214) 566-9527
75043
Owner Information
DALLAS
County
03 - ARLINGTON
BETHEL SENIOR CARE LLC
PRIVATE Beds: 8
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
BROOKDALE CLUB HILL
1321 COLONEL DR
GARLAND
ICF/IID: 0
103900
(214) 566-9527
Facility Information:
Region
GARLAND
(972) 278-7267
TITLE19: 0
TOTAL Lic Capacity: 8
County
SERVICE TYPE TYPE B
3005 CLUB HILL DRIVE
TITLE 18/19:
Facility ID:
(214) 752-7054
09/30/2017
TEAM 6
75043
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 4
75207
BETHEL SENIOR CARE LLC
Fax
Cert Alzh Capacity: 0
(214) 752-7050
License Exp Dt:
104883
(972) 278-7267
TOTAL Lic Capacity: 4
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BETHEL SENIOR CARE AT WEST SHORE
2013 WEST SHORE DRIVE
TX
GARLAND
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
DALLAS
(214) 752-7054
TITLE 18: 0
PRIVATE Beds: 24
County
1625 N STEMMONS FRWY
75043
Fax
Cert Alzh Capacity: 24
03 - ARLINGTON
Owner Information
AVALON DEMENTIA CARE MANAGEMENT, LLC
(214) 752-7050
TOTAL Lic Capacity: 24
Region
TEAM 7
105839
75024
FAX:
(469) 519-4151
SERVICE TYPE TYPE B
12/23/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
104590
JOY ASSISTED LIVING INC
TX
1614 JAMES GOOD LN
75043
GARLAND
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(972) 278-7848
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75043
FAX:
(972) 278-5457
SERVICE TYPE TYPE B
04/10/2017
Page 89 of 311
County
Reg Svcs:
DALLAS
Facility Information:
MAYBERRY GARDENS
3260 N GARLAND AVE
GARLAND
Phone
Facility ID:
TX
3272 N GARLAND AVE
75040
Fax
(972) 675-3603
TITLE 18/19:
MAYBERRY GARDENS ASSISTED LIVING
3258 N GARLAND AVE
TX
GARLAND
ICF/IID: 0
Reg Svcs:
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 79
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 13
County
TITLE 18/19:
MAYBERRY GARDENS INC
3250 N GARLAND AVE
GARLAND
Phone
(972) 414-6394
TOTAL Lic Capacity: 12
Cert Alzh Capacity: 0
PRIVATE Beds: 12
Sunday, October 09, 2016
FAX:
(972) 675-3603
SERVICE TYPE TYPE A
Region
03 - ARLINGTON
MAYBERRY GARDENS INC
3272 N GARLAND AVE
GARLAND
(972) 675-3603
ICF/IID: 0
PHONE:
TX
(972) 675-3603
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
75040
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
12/08/2016
TEAM 5
TITLE19: 0
PRIVATE Beds: 13
(972) 675-3603
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105351
(972) 675-3603
SERVICE TYPE TYPE B
Region
GARLAND
(972) 675-3504
MAYBERRY GARDENS ASSISTED LIVING FACILITY
3254 N GARLAND AVE
TX
GARLAND
75040
Phone
(972) 675-3603
3272 N GARLAND AVE
Reg Svcs:
Facility ID:
FAX:
MAYBERRY GARDENS INC
DALLAS
Facility Information:
75040
10/07/2017
TEAM 7
TITLE19: 0
PRIVATE Beds: 79
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(972) 675-3603
License Exp Dt:
010268
(972) 675-8572
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MAYBERRY GARDENS ASSISTED LIVING 3
3256 3260 3262 3264 3266 3268 3270 N GARLAND AVE
TX
GARLAND
75040
Phone
SERVICE TYPE TYPE B
Region
GARLAND
(972) 675-3504
Reg Svcs:
Facility ID:
(972) 675-3603
3272 N GARLAND AVE
DALLAS
Facility Information:
FAX:
12/18/2016
TEAM 7
TITLE19: 0
PRIVATE Beds: 12
75040
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
MAYBERRY GARDENS INC
Fax
TOTAL Lic Capacity: 12
(972) 675-3603
License Exp Dt:
030413
(972) 675-0915
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MAYBERRY GARDENS ASSISTED LIVING 2
3252 N GARLAND AVE
TX
GARLAND
75040
Phone
Region
GARLAND
(972) 675-3603
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
3272 N GARLAND AVE
75040
DALLAS
Facility Information:
(972) 675-3603
Owner Information
TITLE 18: 0
PRIVATE Beds: 13
FAX:
MAYBERRY GARDENS INC
Fax
Cert Alzh Capacity: 13
75040
01/22/2017
TEAM 6
105352
(972) 675-3603
TOTAL Lic Capacity: 13
(972) 675-3603
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
Phone
GARLAND
(972) 675-3603
TITLE 18: 0
Cert Alzh Capacity: 12
Facility Information:
03 - ARLINGTON
Owner Information
MAYBERRY GARDENS INC
TOTAL Lic Capacity: 12
County
Region
TEAM 4
106028
75040
FAX:
(972) 675-3603
SERVICE TYPE TYPE B
11/21/2016
Region
TEAM 4
03 - ARLINGTON
Owner Information
030292
MAYBERRY GARDENS INC
TX
3272 N GARLAND AVE
75040
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
GARLAND
(972) 675-3504
0
ICF/IID: 0
PHONE:
TX
(972) 675-3603
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75040
FAX:
(972) 675-3603
SERVICE TYPE TYPE B
04/02/2017
Page 90 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 134
ONE TOWN CENTER RD
BOCA RATON
TITLE 18: 0
Cert Alzh Capacity: 53
TITLE 18/19:
TOTAL Lic Capacity: 118
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 9
County
TITLE 18/19:
TLC FOR SENIORS INC
1201 CARDIGAN ST
GARLAND
Phone
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 114
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
75045
FAX:
(972) 675-0480
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
(972) 530-1671
SERVICE TYPE TYPE B
01/06/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
103200
TX
2010 BURROWS TR
75052
Fax
GRAND PRAIRIE
(972) 641-4505
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
75052
FAX:
(972) 641-4505
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
TOTAL Lic Capacity: 114
03 - ARLINGTON
SHIRLEY DABBS
PRIVATE Beds: 12
(972) 263-3663
Region
GARLAND
(972) 530-1671
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
03/26/2018
TEAM 4
TITLE19: 0
TOTAL Lic Capacity: 12
BROOKDALE GRAND PRAIRIE
355 W WESTCHESTER PKWY
GRAND PRAIRIE
(214) 501-2025
PO BOX 452736
TITLE 18/19:
(972) 641-4505
Facility Information:
FAX:
Owner Information
DALLAS
County
75043
(214) 501-2025
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 9
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
75040
Fax
Cert Alzh Capacity: 0
A HOUSE OF HOPE
2010 BURROWS TR
GRAND PRAIRIE
ICF/IID: 0
100067
(972) 530-1671
Facility Information:
03 - ARLINGTON
TLC FOR SENIORS INC
TOTAL Lic Capacity: 9
County
GARLAND
(214) 501-2025
Reg Svcs:
Facility ID:
Region
1817 ROYAL CREST DR
DALLAS
Facility Information:
SERVICE TYPE TYPE B
SPRINGFIELD SENIOR LIVING
TITLE19: 0
PRIVATE Beds: 9
(469) 814-0292
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
07/02/2017
TEAM 7
104041
(214) 501-2025
75010
(469) 814-0412
License Exp Dt:
SPRINGFIELD SENIOR LIVING
1817 ROYAL CREST DR SPRINGFIELD SENIOR LIVING
TX
GARLAND
75043
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
03 - ARLINGTON
,STE 100C
CARROLTON
DALLAS
Facility Information:
Region
2501 E HEBRON PKWY
TITLE19: 0
PRIVATE Beds: 118
SERVICE TYPE TYPE B
SCAL GARLAND, LLC
TITLE 18: 0
Cert Alzh Capacity: 0
(239) 908-2954
Owner Information
Fax
(469) 814-0412
FAX:
06/22/2018
TEAM 7
030394
SILVER CREEK ASSISTED LIVING GARLAND
1246 COLONEL DR
TX
GARLAND
75043
Phone
33486
(239) 908-2921
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 300
FL
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 134
County
WINTERS PARK SENIOR HOUSING I OPCO, LLC
Fax
(972) 530-4107
03 - ARLINGTON
Owner Information
RITTENHOUSE VILLAGE AT SPRING CREEK
3450 WAGON WHEEL RD
TX
GARLAND
75044
Phone
Region
TEAM 5
103872
SERVICE TYPE TYPE A
03/24/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
030313
S-H THIRTY FIVE OPCO GRAND PRAIRIE, LLC
TX
6737 W WASHINGTON ST
75052
Fax
(972) 266-9745
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE A
04/30/2018
Page 91 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
FAMILY TIES SENIOR CITIZEN HOME INC
2109 BUTTERFIELD TRL
TX
GRAND PRAIRIE
Phone
County
Phone
RENON ASSISTED LIVING LLC
119 MATAMOROS STREET
GRAND PRAIRIE
Phone
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
GRAND PRAIRIE
(214) 412-2246
ICF/IID: 0
03 - ARLINGTON
75051
FAX:
(214) 412-2246
SERVICE TYPE TYPE A
07/02/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
030399
THE ESTATES AT GRAND PRAIRIE, INC
1005 SW 3RD ST
75051
Fax
GRAND PRAIRIE
(972) 237-5964
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 237-1905
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(214) 412-2246
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
PRIVATE Beds: 8
(972) 660-2204
Owner Information
TITLE19: 0
PRIVATE Beds: 60
Cert Alzh Capacity: 0
FAX:
119 MATAMOROA ST
TITLE 18/19:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 8
76022
10/13/2017
TEAM 6
75051
(972) 237-1943
(214) 351-1900
(469) 682-6670
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 60
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
104869
Fax
THE ESTATES AT GRAND PRAIRIE
1005 SW 3RD ST
TX
GRAND PRAIRIE
PREMIER HOME LIVING
8014 INWOOD RD
HIGHLAND PARK
ICF/IID: 0
0
DALLAS
Facility Information:
03 - ARLINGTON
RENON ASSISTED LIVING LLC
PRIVATE Beds: 5
County
SERVICE TYPE TYPE B
Region
BEDFORD
(972) 660-2204
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(972) 660-2204
604 DONNA LANE
TITLE19: 0
(469) 441-3619
Facility Information:
FAX:
01/16/2017
TEAM 5
75050
TITLE 18/19:
TOTAL Lic Capacity: 5
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(469) 682-6670
76022
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
PBH RESIDENTIAL CARE HOMES LP
Fax
PRIVATE Beds: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104792
(972) 863-1000
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 6
Region
BEDFORD
(972) 660-2204
TITLE19: 0
PBH RESIDENTIAL CARE HOMES LP
902 N.W. 8TH ST
TX
GRAND PRAIRIE
SERVICE TYPE TYPE A
604 DONNA LANE
TITLE 18/19:
Facility ID:
(972) 602-0666
01/11/2017
TEAM 5
75050
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
75052
PBH RESIDENTIAL CARE HOMES LP
Fax
Cert Alzh Capacity: 0
(972) 647-4096
License Exp Dt:
105270
(214) 443-8180
TOTAL Lic Capacity: 11
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PBH RESIDENTIAL CARE HOMES L P
921 NW 9TH ST
TX
GRAND PRAIRIE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
GRAND PRAIRIE
(972) 602-0666
TITLE 18: 0
PRIVATE Beds: 8
County
2109 BUTTERFIELD TRL
75052
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
FAMILY TIES SENIOR CITIZEN HOME INC
(972) 647-4096
TOTAL Lic Capacity: 8
Region
TEAM 5
001020
75051
FAX:
(972) 237-5964
SERVICE TYPE TYPE B
09/14/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
105773
PREMIER HOME LIVING LLC
TX
8014 INWOOD RD
75209
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 351-1900
0
ICF/IID: 0
PHONE:
TX
(214) 437-7726
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75209
FAX:
(214) 351-1900
SERVICE TYPE TYPE B
12/02/2016
Page 92 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
AVALON MEMORY CARE-IRVING
3400 N COUNTRY CLUB RD
TX
IRVING
Phone
BROOKDALE IRVING
720 N BRITAIN RD
IRVING
Phone
TX
MILWAUKEE
(972) 438-4074
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TX
PRIVATE Beds: 8
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
BAKERSFIELD
(972) 255-3162
ICF/IID: 0
PHONE:
CA
(661) 872-3408
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
93313
FAX:
(661) 872-5150
SERVICE TYPE TYPE B
06/20/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
101050
CENTRE FOR NEURO SKILLS INC TEXAS
TX
5215 ASHE RD
75038
Fax
BAKERSFIELD
(972) 255-3162
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(661) 872-3408
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Cert Alzh Capacity: 0
(661) 872-5150
Owner Information
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
TOTAL Lic Capacity: 8
FAX:
08/16/2018
TEAM 4
TITLE19: 0
Cert Alzh Capacity: 0
(972) 580-8500
93313
5215 ASHE RD
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
(661) 872-3408
License Exp Dt:
TITLE 18: 0
(972) 594-0549
CENTRE FOR NEURO SKILLS
3849-3855 PORTLAND ST
IRVING
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
75038
Fax
PRIVATE Beds: 8
County
03 - ARLINGTON
CENTRE FOR NEURO SKILLS INC TEXAS
Cert Alzh Capacity: 0
Phone
Region
BAKERSFIELD
(972) 255-3162
Reg Svcs:
TOTAL Lic Capacity: 8
CENTRE FOR NEURO SKILLS
3951-57 PORTLAND
IRVING
SERVICE TYPE TYPE B
5215 ASHE RD
101049
(972) 580-8500
Facility Information:
(414) 918-5054
CENTRE FOR NEURO SKILLS INC TEXAS
DALLAS
Facility ID:
FAX:
08/31/2018
TEAM 4
TITLE19: 0
TITLE 18/19:
(414) 918-5000
53214
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
PHONE:
License Exp Dt:
105190
(972) 580-8500
Cert Alzh Capacity: 0
County
03 - ARLINGTON
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
Region
6737 W. WASHINGTON ST.
CENTRE FOR NEURO SKILLS
3841-3847 PORTLAND STREET 3841, 3843, 3845, 3847
TX
IRVING
75038
CENTRE FOR NEURO SKILLS
3941-47 PORTLAND
IRVING
SERVICE TYPE TYPE B
Owner Information
DALLAS
Facility Information:
(214) 752-7054
01/31/2018
TEAM 5
75061
Fax
PRIVATE Beds: 70
County
FAX:
SUMMERVILLE AT IRVING ASSOCIATES LP
Cert Alzh Capacity: 0
Phone
75207
(214) 752-7050
License Exp Dt:
000561
(972) 721-1500
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 70
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
DALLAS
(214) 752-7054
TITLE 18: 0
PRIVATE Beds: 48
County
1625 N STEMMONS FRWY
75062
Fax
Cert Alzh Capacity: 48
03 - ARLINGTON
Owner Information
AVALON DEMENTIA CARE MANAGEMENT, LLC
(214) 752-7050
TOTAL Lic Capacity: 48
Region
TEAM 6
030237
93313
FAX:
(661) 872-5150
SERVICE TYPE TYPE B
06/20/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
104301
CENTRE FOR NEURO SKILLS INC TEXAS
TX
5215 ASHE RD
75038
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BAKERSFIELD
(972) 255-3162
0
ICF/IID: 0
PHONE:
CA
(661) 872-3408
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
93313
FAX:
(661) 872-5150
SERVICE TYPE TYPE B
09/02/2018
Page 93 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
CENTRE FOR NEURO SKILLS UNIT 1
3901-3907 PORTLAND
TX
IRVING
Phone
County
Phone
County
ELMCROFT OF IRVING
2425 TEXAS DR
IRVING
Phone
TOTAL Lic Capacity: 130
Cert Alzh Capacity: 50
PRIVATE Beds: 130
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
BAKERSFIELD
(972) 255-3162
ICF/IID: 0
PHONE:
CA
(661) 872-3408
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
03 - ARLINGTON
93313
FAX:
(661) 872-5150
SERVICE TYPE TYPE B
08/03/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
010313
IRVING OPERATIONS LLC
TX
9510 ORMSBY STATION RD
75062
Fax
LOUISVILLE
(972) 659-6904
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(502) 753-6004
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 101
KY
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
(469) 521-1123
(661) 872-5150
Owner Information
TITLE19: 0
PRIVATE Beds: 113
Phone
FAX:
5215 ASHE RD
TITLE 18/19:
Cert Alzh Capacity: 0
MACARTHUR HILLS
1295 KINWEST PARKWAY
IRVING
93313
08/03/2018
TEAM 7
75038
(972) 659-6800
Facility Information:
(661) 872-3408
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 113
County
03 - ARLINGTON
CENTRE FOR NEURO SKILLS INC TEXAS
Fax
Facility ID:
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
000686
(972) 580-8500
PRIVATE Beds: 8
SERVICE TYPE TYPE B
Region
BAKERSFIELD
(972) 255-3162
Reg Svcs:
Cert Alzh Capacity: 0
(661) 872-5150
5215 ASHE RD
TITLE19: 0
TOTAL Lic Capacity: 8
FAX:
08/03/2016
TEAM 7
75038
TITLE 18/19:
CENTRE FOR NEURO SKILLS UNIT 4
3931-3937 PORTLAND
TX
IRVING
Phone
License Exp Dt:
TITLE 18: 0
Facility ID:
(661) 872-3408
93313
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
CENTRE FOR NEURO SKILLS INC TEXAS
Fax
PRIVATE Beds: 6
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
000685
(972) 580-8500
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 6
Region
BAKERSFIELD
(972) 255-3162
TITLE19: 0
CENTRE FOR NEURO SKILLS UNIT 3
3921-3927 PORTLAND
TX
IRVING
SERVICE TYPE TYPE B
5215 ASHE RD
TITLE 18/19:
Facility ID:
(661) 872-5150
08/03/2017
TEAM 7
75038
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 1
93313
CENTRE FOR NEURO SKILLS INC TEXAS
Fax
Cert Alzh Capacity: 0
(661) 872-3408
License Exp Dt:
000949
(972) 580-8500
TOTAL Lic Capacity: 1
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
CENTRE FOR NEURO SKILLS UNIT 2
3911 PORTLAND
TX
IRVING
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
BAKERSFIELD
(972) 255-3162
TITLE 18: 0
PRIVATE Beds: 8
County
5215 ASHE RD
75038
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
CENTRE FOR NEURO SKILLS INC TEXAS
(972) 580-8500
TOTAL Lic Capacity: 8
Region
TEAM 7
000684
40223
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
105957
SHP IV MACARTHUR HILLS LLC
TX
5310 HARVEST HILL RD
75063
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 280
TX
(214) 871-2155
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75230
FAX:
(214) 368-7341
SERVICE TYPE TYPE B
04/21/2017
Page 94 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 5
1028 GLOUCESTER ST S
IRVING
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
TOTAL Lic Capacity: 68
County
TOWNE LAKE COURT
200 ESTERS RD
IRVING
Phone
TITLE 18/19:
TX
TX
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(972) 254-4477
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
03 - ARLINGTON
75061
FAX:
SERVICE TYPE TYPE B
11/22/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
106354
A DAUGHTERS CARE LLC
TX
1237 CEDARBROOK TRAIL
75146
Fax
LANCASTER
(972) 748-2604
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 400-8687
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
ANGELS OF HANDS ASSISTANT LIVING
2401 N HOUSTON SCHOOL RD
TX
LANCASTER
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
IRVING
(972) 254-2629
DALLAS
PRIVATE Beds: 24
(972) 484-4739
121 N MACARTHUR BLVD
TITLE 18/19:
PRIVATE Beds: 6
Cert Alzh Capacity: 0
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 24
75234
07/11/2018
TEAM 4
75060
(214) 400-8687
(972) 572-1873
(972) 241-9334
License Exp Dt:
101521
Fax
TOTAL Lic Capacity: 6
Phone
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TX
VIP LIVING CENTERS LLC
PRIVATE Beds: 12
County
03 - ARLINGTON
,STE 140
DALLAS
(972) 514-6054
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
(419) 247-2826
SERVICE TYPE TYPE B
Region
TEAM 5
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 12
A DAUGHTERS CARE
1237 CEDARBROOK TRAIL
LANCASTER
FAX:
04/11/2017
2655 VILLA CREEK
TITLE 18: 0
(972) 513-0224
Facility Information:
43615
Owner Information
DALLAS
County
(419) 247-2800
License Exp Dt:
75061
Fax
PRIVATE Beds: 13
Phone
03 - ARLINGTON
PATE REHABILITATION ENDEAVORS, INC
Cert Alzh Capacity: 0
VIP LIVING CENTER IRVING
3219 VINSON CT
IRVING
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
100037
(972) 514-6032
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 13
County
TOLEDO
(972) 831-1515
DALLAS
Facility Information:
Region
4500 DORR STREET
TITLE19: 0
PRIVATE Beds: 68
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 68
FAX:
SUBTENANT 8855 WEST VALLEY RANCH PARKWAY LLC
Fax
(972) 831-8200
75062
01/13/2018
TEAM 5
101605
SILVERADO SENIOR LIVING - VALLEY RANCH
8855 W VALLEY RANCH PARKWAY
TX
IRVING
75063
Phone
(972) 841-3293
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
County
RUBIE HARRIS
Fax
(972) 841-3293
03 - ARLINGTON
Owner Information
MATURE HANDS II ASSISTED LIVING HOME
1028 S GLOUCESTER ST
TX
IRVING
75062
Phone
Region
TEAM 5
104691
75146
FAX:
(972) 748-2604
SERVICE TYPE TYPE B
12/11/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
103109
ANGELS OF HANDS HOME HEALTH AGENCY CORP
2401 N HOUSTON SCHOOL RD
75134
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LANCASTER
(972) 572-1890
0
ICF/IID: 0
PHONE:
TX
(972) 572-1873
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75134
FAX:
(972) 572-1890
SERVICE TYPE TYPE A
04/10/2017
Page 95 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
ANTHONY'S COMMUNITY HOME
1334 MEADOW GLEN
LANCASTER
Phone
TX
1334 MEADOW GLEN
75146
LANCASTER
Fax
(972) 230-8441
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
BRIXTON VILLAGE ASSISTED LIVING
107 N STEWART AVENUE
TX
LANCASTER
County
TX
MILWAUKEE
(972) 274-1850
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
Sunday, October 09, 2016
(972) 227-1212
SERVICE TYPE TYPE A
08/06/2017
Region
TEAM 5
LANCASTER
(972) 275-0175
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(972) 275-0175
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
MORNING STARR NEW BEGINNINGS
1242 APRIL SHOWERS LANE
TX
LANCASTER
FAX:
03 - ARLINGTON
909 PEPPERIDGE CT
TITLE 18/19:
Facility ID:
75146
BARBARA G. SMITH
DALLAS
PRIVATE Beds: 8
03 - ARLINGTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 4
(972) 227-5839
License Exp Dt:
105086
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
Cert Alzh Capacity: 0
Region
LANCASTER
(972) 227-1212
TITLE19: 0
TITLE 18/19:
(972) 275-0175
TOTAL Lic Capacity: 8
SERVICE TYPE TYPE B
PO BOX 217
HOUSE OF ELEGANCE ASSISTANT LIVING
909 PEPPERIDGE CT
TX
LANCASTER
75134
(469) 236-4913
(414) 918-6076
12/01/2017
TEAM 4
75146
DALLAS
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 12
Facility Information:
(414) 918-5441
License Exp Dt:
100424
Fax
Cert Alzh Capacity: 0
County
PHONE:
53214
ASSOCIATION FOR IMPROVING MEDICAL SERVICES CORPORATION
TOTAL Lic Capacity: 12
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(972) 227-5839
Facility Information:
Region
TEAM 4
6737 W WASHINGTON ST
DALLAS
County
SERVICE TYPE TYPE A
08/21/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 50
Phone
75104
FAX:
License Exp Dt:
75146
Fax
Cert Alzh Capacity: 0
HACKBERRY HOUSE
111 HACKBERRY ST
LANCASTER
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
000695
(972) 274-5000
Facility Information:
TX
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 50
County
ICF/IID: 0
Reg Svcs:
BROOKDALE LANCASTER
2400 WEST PLEASANT RUN RD
LANCASTER
Phone
LANCASTER
(972) 224-8317
TITLE19: 0
TITLE 18/19:
Facility ID:
03 - ARLINGTON
2727 HENRY RD
75146
DALLAS
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE A
02/12/2017
BRIXTON VILLAGE FOR THE ELDERLY INC
Fax
Cert Alzh Capacity: 0
FAX:
TEAM 7
103420
(972) 224-8367
TOTAL Lic Capacity: 6
75146
(972) 230-8441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
03 - ARLINGTON
Owner Information
FELICIA CHARMAINE EVANS
TOTAL Lic Capacity: 6
County
Region
TEAM 5
103018
75134
FAX:
(972) 224-0088
SERVICE TYPE TYPE A
06/24/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
103501
MORNING STARR NEW BEGINNINGS
3935 OAK ARBOR
75134
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(972) 218-9246
0
ICF/IID: 0
PHONE:
TX
(469) 236-4913
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75233
FAX:
(972) 218-9246
SERVICE TYPE TYPE A
08/05/2017
Page 96 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
MORNING STARR NEW BEGINNINGS
1855 WINDSOR DR
TX
LANCASTER
Phone
DALLAS
TITLE 18: 0
TITLE 18/19:
PROFESSIONAL CARE FACILITY I I
870 MAGNOLIA LN
TX
LANCASTER
Phone
County
BRADFIELD PLACE
3700 OATES DR
MESQUITE
Phone
TX
FORT WORTH
(972) 613-0905
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FORT WORTH
ICF/IID: 0
TITLE 18/19:
Phone
(972) 329-6069
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
(817) 386-8324
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
CHRISTIAN CARE CENTERS INC
900 WIGGINS PKWY
MESQUITE
(866) 529-3836
ICF/IID: 0
PHONE:
TX
(972) 686-2400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
DALLAS
Facility ID:
FAX:
12/19/2017
TEAM 6
TITLE19: 0
PRIVATE Beds: 69
(817) 386-8888
76107
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
CHRISTIAN CARE CENTER INC BENTLEY PERSONAL CARE UNIT
1010 WIGGINS PKWY
TX
MESQUITE
75150
TOTAL Lic Capacity: 69
03 - ARLINGTON
,SUITE 202
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Fax
SERVICE TYPE TYPE B
Region
3801 HULEN STREET
000700
(972) 686-3000
(312) 332-5300
CCAL RE 2013, LLC
(972) 285-9134
DALLAS
Facility ID:
FAX:
07/11/2017
TEAM 6
TITLE19: 0
TITLE 18/19:
(312) 725-7000
78102
Owner Information
TITLE 18: 0
PRIVATE Beds: 135
PHONE:
License Exp Dt:
050648
Fax
Cert Alzh Capacity: 30
DIANN'S PLACE INC
1106 SEASHELL DR
MESQUITE
03 - ARLINGTON
,STE 330
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(972) 285-9800
Facility Information:
(469) 913-8187
SERVICE TYPE TYPE A
Region
301 COMMERCE ST
TITLE 18: 0
TOTAL Lic Capacity: 135
County
FAX:
02/06/2017
TEAM 4
CAMBRIDGE COURT ASSISTED LIVING & MEMORY CARE COMMUNITY
711 MATADOR LN
TX
MESQUITE
75149
Phone
75146
Owner Information
DALLAS
Facility Information:
(972) 218-5534
License Exp Dt:
75150
Fax
PRIVATE Beds: 58
County
03 - ARLINGTON
BRADFIELD AID OPCO LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000485
(972) 613-8632
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 58
County
Region
LANCASTER
(972) 224-5589
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
870 MAGNOLIA LN
75146
DALLAS
Facility Information:
(972) 218-9246
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
PROFESSIONAL CARE FACILITY INC
Fax
Cert Alzh Capacity: 0
75233
01/24/2018
TEAM 7
050536
(972) 218-5534
TOTAL Lic Capacity: 8
(469) 236-4913
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
County
3935 OAK ARBOR
75134
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
MORNING STARR NEW BEGINNINGS
(972) 218-9246
TOTAL Lic Capacity: 6
Region
TEAM 6
104968
75150
FAX:
SERVICE TYPE TYPE B
03/16/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
101506
DIANN'S PLACE INC
TX
1106 SEA SHELL DR
75149
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MESQUITE
(972) 329-5175
0
ICF/IID: 0
PHONE:
TX
(972) 329-6069
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75149
FAX:
(972) 329-5175
SERVICE TYPE TYPE B
12/31/2016
Page 97 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
FREDISOLO ANNOINTED HOMES
1400 PARKWOOD TRAIL
TX
MESQUITE
Phone
County
NOTICE CARE HOMES
926 LAKESHORE DRIVE
MESQUITE
Phone
TX
TX
(972) 222-2398
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
2724 DANIEL CREEK
MESQUITE
(972) 222-2398
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
75181
FAX:
(972) 222-2398
SERVICE TYPE TYPE B
09/24/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
104471
NOTICE CARE HOMES LLC
2618 CROSSCREEK LN
75181
Fax
MESQUITE
(972) 222-2398
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 282-0009
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(214) 282-0009
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
PRIVATE Beds: 8
75181
01/23/2018
TEAM 4
75181
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
NATALIE J MILAS
TOTAL Lic Capacity: 6
TOTAL Lic Capacity: 8
(214) 282-0009
License Exp Dt:
104008
(214) 282-0009
(972) 333-0943
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
NOTICE RESIDENTIAL CARE HOME
2618 CROSSCREEK LN
TX
MESQUITE
Phone
ICF/IID: 0
0
DALLAS
SOPHYAS ASSISTED LIVING
2621 BEEMAN DR
MESQUITE
Region
MESQUITE
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 6
Facility Information:
SERVICE TYPE TYPE B
12/05/2016
TEAM 4
(972) 222-2398
TITLE 18: 0
Cert Alzh Capacity: 0
County
FAX:
2618 CROSSCREEK LN
Fax
TOTAL Lic Capacity: 6
Phone
License Exp Dt:
75149
(972) 222-7388
Facility Information:
(214) 235-3076
75149
Owner Information
DALLAS
County
03 - ARLINGTON
NOTICE CARE HOMES LLC
PRIVATE Beds: 6
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
NOTICE CARE HOMES
2724 DANIEL CREEK
MESQUITE
ICF/IID: 0
105774
(214) 282-0009
Facility Information:
Region
MESQUITE
(972) 222-0417
TITLE19: 0
TOTAL Lic Capacity: 6
County
SERVICE TYPE TYPE A
1819 ARAPAHO TRL
TITLE 18/19:
Facility ID:
(972) 222-9039
07/22/2016
TEAM 5
75149
DALLAS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
75149
BORIS E MASON
Fax
Cert Alzh Capacity: 0
(214) 753-9396
License Exp Dt:
102752
(972) 222-0414
TOTAL Lic Capacity: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MASONS PERSONAL CARE HOMES
1819 ARAPAHO TRL
TX
MESQUITE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DALLAS
Facility Information:
MESQUITE
(972) 222-9039
TITLE 18: 0
PRIVATE Beds: 5
County
1400 PARKWOOD TRAIL
75149
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
FREDISOLO ANNOINTED HOMES
(214) 753-9396
TOTAL Lic Capacity: 5
Region
TEAM 7
105435
75181
FAX:
(972) 222-2398
SERVICE TYPE TYPE B
09/09/2018
Region
TEAM 4
03 - ARLINGTON
Owner Information
101440
SOPHYA MILAS
TX
207 CLARY DR
75181
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MESQUITE
(972) 288-0183
0
ICF/IID: 0
PHONE:
TX
(972) 333-0943
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75149
FAX:
(972) 288-0183
SERVICE TYPE TYPE B
01/21/2017
Page 98 of 311
County
Reg Svcs:
DALLAS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 44
900 WIGGINS PKWY
TITLE 18/19:
APPLETREE COURT ASSISTED LIVING
870 W ARAPAHO RD
TX
RICHARDSON
County
ATRIA RICHARDSON
1493 RICHARDSON DR
RICHARDSON
Phone
TOLEDO
(972) 235-1267
ICF/IID: 0
TX
Fax
LOUISVILLE
(972) 231-2923
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 8
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
1111 WEST SHORE DRIVE
RICHARDSON
(972) 783-4267
ICF/IID: 0
PHONE:
TX
(972) 783-8000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
FAITH COMFORT CARE HOME LLC
525 BIRCH LN
TX
RICHARDSON
(502) 779-4749
DHC OPCO-RICHARDSON LLC
DALLAS
Facility ID:
FAX:
05/12/2017
TEAM 7
TITLE19: 0
TITLE 18/19:
(502) 779-4700
40223
Owner Information
TITLE 18: 0
PRIVATE Beds: 124
PHONE:
License Exp Dt:
000704
Fax
Cert Alzh Capacity: 20
Cert Alzh Capacity: 0
03 - ARLINGTON
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 124
TOTAL Lic Capacity: 8
(877) 385-9446
SERVICE TYPE TYPE B
Region
10350 ORMSBY PARK PLACE
75080
(972) 783-8000
(972) 664-0740
FAX:
04/07/2017
TEAM 7
COTTONWOOD CREEK HEALTHCARE COMMUNITY
1111 W SHORE DR
TX
RICHARDSON
75080
Phone
43604
Owner Information
DALLAS
Facility Information:
03 - ARLINGTON
WG RICHARDSON SH LLC
PRIVATE Beds: 114
County
(419) 252-5500
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 28
Phone
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
010273
(972) 231-3313
Facility Information:
Region
333 NORTH SUMMIT ST
TITLE19: 0
TOTAL Lic Capacity: 114
County
SERVICE TYPE TYPE B
02/02/2017
TEAM 7
75081
TITLE 18/19:
Facility ID:
(972) 889-8863
Owner Information
DALLAS
Facility Information:
FAX:
(972) 889-2300
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 60
75080
ARDEN COURTS OF RICHARDSON TX LLC
Fax
Cert Alzh Capacity: 60
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030337
(972) 235-1200
TOTAL Lic Capacity: 60
County
ICF/IID: 0
Reg Svcs:
ARDEN COURTS OF RICHARDSON
410 BUCKINGHAM RD
TX
RICHARDSON
Phone
RICHARDSON
(972) 889-8863
TITLE19: 0
TITLE 18/19:
Facility ID:
03 - ARLINGTON
870 W ARAPAHO RD
75080
DALLAS
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 126
SERVICE TYPE TYPE B
01/22/2018
LEONARD HEALTHCARE CORP.
Fax
Cert Alzh Capacity: 0
FAX:
TEAM 7
010312
(972) 889-2300
TOTAL Lic Capacity: 126
75150
(972) 686-2400
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 44
Facility Information:
MESQUITE
(972) 698-2630
TITLE 18: 0
Cert Alzh Capacity: 44
County
CHRISTIAN CARE CENTERS INC
Fax
(972) 698-2626
03 - ARLINGTON
Owner Information
THE COURTYARD AT CHRISTIAN CARE CENTER
950 WIGGINS PARKWAY
TX
MESQUITE
75150
Phone
Region
TEAM 5
100885
75080
FAX:
(972) 783-4267
SERVICE TYPE TYPE B
06/01/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
103842
FAITH COMFORT CARE HOME LLC
525 BIRCH LANE
75081
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
RICHARDSON
(972) 664-0720
0
ICF/IID: 0
PHONE:
TX
(214) 607-8763
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75081
FAX:
(972) 664-0720
SERVICE TYPE TYPE B
05/12/2017
Page 99 of 311
County
Reg Svcs:
DALLAS
Facility Information:
FIELDWOOD
406 FIELDWOOD
RICHARDSON
Phone
Facility ID:
TX
10503 METRIC DR
75081
Fax
(972) 690-4011
TITLE 18/19:
GUARDIAN ANGELS GROUP HOME LLC
426 BIRCH LANE
TX
RICHARDSON
PARK BEND
410 PARK BEND
RICHARDSON
Phone
TX
ICF/IID: 0
TX
Sunday, October 09, 2016
(972) 770-5600
License Exp Dt:
75254
FAX:
(972) 770-5666
SERVICE TYPE TYPE B
09/17/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
330 N WABASH AVE
CHICAGO
(972) 475-7311
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
PRIVATE Beds: 42
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 42
Cert Alzh Capacity: 42
ICF/IID: 0
75088
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 42
,STE 300
DALLAS
000830
(972) 463-1646
(214) 449-1884
03 - ARLINGTON
MERCER AID OPCO LLC
TOTAL Lic Capacity: 42
Phone
(210) 590-3143
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
Reg Svcs:
Facility ID:
FAX:
TRIAD SENIOR LIVING IV LP
TITLE19: 0
TITLE 18/19:
75243
03/26/2017
TEAM 6
(469) 330-2299
DALLAS
OXFORD GLEN AT SACHSE
4546 BUNKER HILL RD
SACHSE
03 - ARLINGTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 57
(210) 590-2107
License Exp Dt:
101007
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(469) 330-2800
Facility Information:
SERVICE TYPE TYPE B
Region
DALLAS
(972) 644-5650
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(972) 234-4041
10503 METRIC DR
TITLE 18: 0
TOTAL Lic Capacity: 57
Phone
FAX:
08/26/2016
TEAM 6
THE WELLINGTON AT ARAPAHO ASSISTED LIVING COMMUNITY
600 W ARAPAHO RD
TX
RICHARDSON
75080
MERCER PLACE
5701 DEXHAM RD
ROWLETT
75081
Owner Information
DALLAS
Facility Information:
(972) 234-4041
License Exp Dt:
75080
Fax
PRIVATE Beds: 6
County
03 - ARLINGTON
AUTISTIC TREATMENT CENTER INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030278
(972) 234-5348
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 6
County
RICHARDSON
(972) 234-4041
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
426 BIRCH LANE
75081
DALLAS
Facility Information:
SERVICE TYPE TYPE B
01/21/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
(210) 590-3143
GUARDIAN ANGELS LOVE AND CARE LLC
Fax
Cert Alzh Capacity: 8
FAX:
TEAM 7
105765
(972) 234-4041
TOTAL Lic Capacity: 8
75243
(210) 590-2107
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DALLAS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
Phone
DALLAS
(972) 644-5650
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
AUTISTIC TREATMENT CENTER INC
TOTAL Lic Capacity: 5
County
Region
TEAM 4
001506
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
TEAM 4
03 - ARLINGTON
Owner Information
105791
OXFORD SACHSE MEMORY CARE LTD
TX
125 N MARKET
75048
WICHITA
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 1416
KS
(316) 201-3210
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
67202
FAX:
(316) 201-3219
SERVICE TYPE TYPE B
06/05/2018
Page 100 of 311
County
Reg Svcs:
DAWSON
Facility Information:
Facility ID:
BEEHIVE HOMES OF LAMESA
101 NE 27TH ST
LAMESA
Phone
TX
101 NE 27TH ST
79331
Fax
(806) 872-0629
TITLE 18/19:
BEEHIVE HOMES OF LAMESA 2
109 NE 27TH STREET
LAMESA
TX
TX
ICF/IID: 0
SERVICE TYPE TYPE B
Region
01 - LUBBOCK
PO BOX 1999
HEREFORD
(806) 364-0675
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(806) 364-0661
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
79045
FAX:
(806) 364-0675
SERVICE TYPE TYPE A
08/20/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
030359
WG CARROLLTON SH, LLC
TX
10350 ORMSBY PARK PLACE
75010
Fax
TOTAL Lic Capacity: 125
LOUISVILLE
(972) 307-5865
TITLE 18: 0
Cert Alzh Capacity: 24
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 125
TITLE 18/19:
FAX:
(502) 779-4749
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
Owner Information
AUTUMN LEAVES OF NORTH CARROLLTON AT CASTLE HILLS
1800 KING ARTHUR BLVD
TX
CARROLLTON
75010
CARROLLTON AUTUMN LEAVES, LP
545 E JOHN CARPENTER FRWY
IRVING
(972) 492-7704
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
40223
05/12/2017
TEAM 6
101033
Fax
(502) 779-4700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Sunday, October 09, 2016
(806) 872-0023
01/15/2017
HIGH PLAINS GERI 1
79045
TITLE 18/19:
(972) 862-8700
PRIVATE Beds: 46
FAX:
KINGS MANOR METHODIST RETIREMENT SYSTEM INC
DENTON
Cert Alzh Capacity: 46
(806) 759-9811
79331
Owner Information
TITLE 18: 0
Facility ID:
PHONE:
License Exp Dt:
000453
Fax
PRIVATE Beds: 31
TOTAL Lic Capacity: 46
09 - ABILENE
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(972) 492-7700
Region
LAMESA
(806) 872-0023
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 31
Phone
SERVICE TYPE TYPE B
308 NORTH 20TH ST
TITLE 18: 0
(806) 364-0661
Facility Information:
(505) 821-1834
03/29/2018
MIDLAND GERIATRIC
79331
Fax
KINGS MANOR PERSONAL CARE HOME
400 RANGER DR
TX
HEREFORD
County
FAX:
Owner Information
DEAF SMITH
Phone
(505) 480-1445
87114
SHARLAN INC
PRIVATE Beds: 9
ATRIA CARROLLTON
1825 ARBOR CREEK DR
CARROLLTON
PHONE:
License Exp Dt:
100198
(806) 872-2030
Facility Information:
09 - ABILENE
NM
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 9
Phone
Region
ALBUQUERQUE
(806) 872-0651
DAWSON
Facility Information:
SERVICE TYPE TYPE B
4709 GOLDEN BARREL NW
TITLE 18: 0
PRIVATE Beds: 16
County
(505) 508-2837
Owner Information
79331
Fax
Cert Alzh Capacity: 0
Phone
FAX:
LAMESA CARE LLC
TOTAL Lic Capacity: 16
YOUNGBLOOD ELDER CARE
308 N 20TH ST
LAMESA
79331
07/16/2017
MIDLAND GERIATRIC
104153
(806) 872-0629
Facility Information:
(505) 480-1445
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DAWSON
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Phone
LAMESA
(806) 872-0651
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
09 - ABILENE
Owner Information
RATHMANN CARE LLC
TOTAL Lic Capacity: 16
County
Region
MIDLAND GERIATRIC
103079
0
ICF/IID: 0
PHONE:
,STE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
07/09/2018
Page 101 of 311
County
Reg Svcs:
DENTON
Facility Information:
AVALON AT WILLOW BEND
4229 MARSH LANE
CARROLLTON
Phone
Facility ID:
TX
1625 NORTH STEMMONS FREEWAY
75007
Fax
(214) 752-7050
TITLE 18/19:
TX
County
DALLAS
(972) 385-0500
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
(214) 463-2604
75225
FAX:
(972) 769-6136
SERVICE TYPE TYPE B
04/08/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
SONOMA HOUSE ASSISTED LIVING LLC
5949 SHERRY LN
75007
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 600
TX
(214) 463-2604
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
SONOMA HOUSE ASSISTED LIVING LLC
2048 E. HEBRON PARKWAY
TX
CARROLLTON
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
03 - ARLINGTON
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Phone
ICF/IID: 0
105849
(972) 385-0500
Facility Information:
(972) 584-9885
SERVICE TYPE TYPE B
Region
5949 SHERRY LN
75007
DENTON
PRIVATE Beds: 16
FAX:
06/21/2018
TEAM 7
TITLE19: 0
Cert Alzh Capacity: 16
75010
SONOMA HOUSE ASSISTED LIVING LLC
TITLE 18/19:
TOTAL Lic Capacity: 16
03 - ARLINGTON
Owner Information
TITLE 18: 0
SONOMA HOUSE ASSISTED LIVING LLC
2040 E HEBRON PRWY
TX
CARROLLTON
(972) 584-9880
License Exp Dt:
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105701
(972) 385-0500
PRIVATE Beds: 16
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
CARROLLTON
(214) 295-0827
TITLE19: 0
TOTAL Lic Capacity: 16
(214) 752-7054
3805 GILLESPIE
TITLE 18/19:
SONOMA HOUSE ASSISTED LIVING LLC
2052 E. HEBRON PARKWAY
TX
CARROLLTON
FAX:
05/18/2018
TEAM 2
75010
TITLE 18: 0
Facility ID:
75207
Owner Information
DENTON
Facility Information:
03 - ARLINGTON
FOUR SEASONS SENIOR LIVING III LLC
Fax
PRIVATE Beds: 5
(214) 752-7050
License Exp Dt:
105078
(214) 492-2452
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 5
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FOUR SEASONS SENIOR LIVING III
3805 GILLESPIE DR
TX
CARROLLTON
Phone
Region
DALLAS
(214) 752-7054
DENTON
Facility Information:
SERVICE TYPE TYPE B
1625 NORTH STEMMONS FREEWAY
TITLE 18: 0
PRIVATE Beds: 24
County
(214) 752-7054
Owner Information
75007
Fax
Cert Alzh Capacity: 24
Phone
FAX:
10/24/2018
TEAM 1
106406
(214) 752-7050
Facility Information:
75207
WISMISS MANAGEMENT, LLC
TOTAL Lic Capacity: 24
County
(214) 752-7050
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 32
AVALON AT WILLOW BEND II
4233 MARSH LANE
CARROLLTON
DALLAS
(214) 752-7054
TITLE 18: 0
Cert Alzh Capacity: 32
Facility Information:
03 - ARLINGTON
Owner Information
WISMISS MANAGEMENT, LLC
TOTAL Lic Capacity: 32
County
Region
TEAM 3
105959
75225
FAX:
(972) 769-6136
SERVICE TYPE TYPE B
05/01/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
105766
SONOMA HOUSE ASSISTED LIVING LLC
5949 SHERRY LN
75007
DALLAS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 600
TX
(214) 463-2604
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75225
FAX:
(972) 769-6136
SERVICE TYPE TYPE B
04/08/2018
Page 102 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
SONOMA HOUSE ASSISTED LIVING LLC
2056 E. HEBRON PARKWAY
TX
CARROLLTON
Phone
SONOMA HOUSE ASSISTED LIVING, LLC
2036 E. HEBRON PARKWAY
TX
CARROLLTON
Phone
County
Phone
Phone
TEXSEN GROUP HOMES LLC
4304 WILLIAMSON LN
CARROLLTON
Phone
TOTAL Lic Capacity: 70
Cert Alzh Capacity: 27
PRIVATE Beds: 70
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
75225
FAX:
(214) 463-2604
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
(972) 769-6136
SERVICE TYPE TYPE B
11/10/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
104248
TEXSEN GROUP HOME LLC
TX
4304 WILLIAMSON LANE
75010
CARROLTON
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
75010
FAX:
(469) 892-5332
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
(972) 395-3553
03 - ARLINGTON
,STE 600
DALLAS
Reg Svcs:
PRIVATE Beds: 6
Phone
Region
5949 SHERRY LN
TITLE19: 0
Cert Alzh Capacity: 0
VILLAGE OF CARROLLTON
1029 W SEMINOLE TRL
CARROLLTON
SERVICE TYPE TYPE B
02/11/2018
TEAM 6
75007
(469) 892-5332
Facility Information:
(972) 769-6136
SONOMA HOUSE ASSISTED LIVING LLC
TITLE 18/19:
TOTAL Lic Capacity: 6
County
FAX:
(214) 463-2604
License Exp Dt:
TITLE 18: 0
Facility ID:
75225
Owner Information
DENTON
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
105852
(972) 385-0500
Cert Alzh Capacity: 0
03 - ARLINGTON
,STE 600
DALLAS
Reg Svcs:
TOTAL Lic Capacity: 16
Region
5949 SHERRY LN
TITLE19: 0
SONOMA HOUSE ASSISTED LIVING, LLC
2044 E. HEBRON PARKWAY
TX
CARROLLTON
SERVICE TYPE TYPE B
10/20/2017
TEAM 7
75007
TITLE 18/19:
Facility ID:
(972) 769-6136
SONOMA HOUSE ASSISTED LIVING LLC
DENTON
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
75225
(214) 463-2604
License Exp Dt:
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105851
(972) 385-0500
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
SONOMA HOUSE ASSISTED LIVING, LLC
2032 E. HEBRON PARKWAY
TX
CARROLLTON
03 - ARLINGTON
,STE 600
DALLAS
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
5949 SHERRY LN
75007
DENTON
Facility Information:
SERVICE TYPE TYPE B
SONOMA HOUSE ASSISTED LIVING LLC
TITLE 18: 0
PRIVATE Beds: 16
(972) 769-6136
Owner Information
Fax
Cert Alzh Capacity: 16
FAX:
03/19/2018
TEAM 7
105850
(972) 385-0500
TOTAL Lic Capacity: 16
75225
(214) 463-2604
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,STE 600
DALLAS
TITLE 18: 0
PRIVATE Beds: 16
County
5949 SHERRY LN
75007
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
SONOMA HOUSE ASSISTED LIVING LLC
(972) 385-0500
TOTAL Lic Capacity: 16
Region
TEAM 7
105700
SERVICE TYPE TYPE B
06/23/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
000305
SELECT OPERATIONS OF CARROLLTON LLC
TX
102 W SEMINOLE TR
75007
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CARROLLTON
(888) 753-6262
0
ICF/IID: 0
PHONE:
TX
(888) 753-6262
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75007
FAX:
SERVICE TYPE TYPE B
08/01/2017
Page 103 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
TOTAL Lic Capacity: 42
545 E JOHN CARPENTER FRWY
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 42
TITLE 18/19:
TOTAL Lic Capacity: 6
County
VALLEY VIEW
TITLE 18/19:
TX
(940) 382-9906
TX
MILWAUKEE
(940) 566-1360
ICF/IID: 0
03 - ARLINGTON
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
53214
FAX:
SERVICE TYPE TYPE A
12/21/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
030109
DENTON ASSISTED LIVING LP
TX
1615 W ABRAM ST
76201
Fax
TOTAL Lic Capacity: 65
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 65
TITLE 18/19:
DENTON GOLDEN MEADOWS 2
1805 WESTRIDGE STREET
DENTON
(817) 861-8442
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
,STE 201
ARLINGTON
(940) 380-9606
TITLE 18: 0
Cert Alzh Capacity: 0
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
TEAM 7
TITLE19: 0
TITLE 18/19:
(940) 484-1066
PRIVATE Beds: 6
(414) 918-6076
12/01/2016
6737 WEST WASHINGTON ST
TITLE 18: 0
CARRIAGE HOUSE
1357 BERNARD ST
DENTON
Cert Alzh Capacity: 0
FAX:
Owner Information
DENTON
TOTAL Lic Capacity: 6
(414) 918-5441
License Exp Dt:
76210
Fax
PRIVATE Beds: 64
(940) 565-1249
PHONE:
53214
KGC OPERATOR INC
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
030309
(940) 320-1926
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 64
County
MILWAUKEE
TITLE19: 0
TITLE 18/19:
BROOKDALE DENTON SOUTH
2525 LILLIAN MILLER PKWY
DENTON
Phone
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
DENTON
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
County
76272
01/15/2017
TEAM 7
76201
Fax
Cert Alzh Capacity: 0
Phone
(940) 668-9008
License Exp Dt:
000498
(940) 566-7054
Facility Information:
03 - ARLINGTON
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
BROOKDALE DENTON NORTH
2525 N HINKLE DR
DENTON
Phone
ICF/IID: 0
0
DENTON
Facility Information:
Region
1540 NEELY TRAIL
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE B
06/02/2018
A JOYFUL JOURNEY ASSISTED LIVING LLC
TITLE 18: 0
Cert Alzh Capacity: 6
(214) 845-4501
Owner Information
Fax
(940) 393-2273
FAX:
TEAM 7
103403
A JOYFUL JOURNEY ASSISTED LIVING LLC
804 ABBOTS LN
TX
DENTON
76205
Phone
75062
(214) 845-4500
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
IRVING
(940) 497-9200
TITLE 18: 0
Cert Alzh Capacity: 0
County
CORINTH ASSISTED CARE LP
Fax
(940) 321-9933
03 - ARLINGTON
Owner Information
AUTUMN OAKS OF CORINTH - ASSISTED LIVING
3440 CORINTH PKWY
TX
CORINTH
76208
Phone
Region
TEAM 7
101899
76013-1788
FAX:
(817) 274-8679
SERVICE TYPE TYPE B
07/13/2016
Region
TEAM 6
03 - ARLINGTON
Owner Information
102659
DENTON GOLDEN MEADOWS CARE INC
TX
3674 SERENDIPITY HILLS
76210
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CORINTH
(940) 566-1975
0
ICF/IID: 0
PHONE:
TX
(214) 334-5764
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76210
FAX:
SERVICE TYPE TYPE B
10/11/2017
Page 104 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
DENTON GOLDEN MEADOWS CARE INC
3200 DONNA ROAD
TX
DENTON
Phone
TOTAL Lic Capacity: 6
County
CORINTH
(940) 566-1975
ICF/IID: 0
TOTAL Lic Capacity: 16
County
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
(940) 600-4178
ICF/IID: 0
(940) 600-4178
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
03 - ARLINGTON
3636 TEASLEY LN.
DENTON
PHONE:
TX
(940) 600-4178
76210
FAX:
SERVICE TYPE TYPE B
02/02/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
106328
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SERVICE TYPE TYPE A
MG AL DENTON, LLC
License Exp Dt:
MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES, DENTON HOUSE 3
3636 TEASLEY LANE, #3
TX
DENTON
76210
Phone
FAX:
Region
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
76210
Owner Information
DENTON
Facility Information:
03 - ARLINGTON
02/03/2018
TEAM 3
TITLE19: 0
PRIVATE Beds: 16
(940) 600-4178
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
106327
Fax
(940) 600-4178
SERVICE TYPE TYPE B
Region
DENTON
MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES, DENTON HOUSE 2
3636 TEASLEY LANE #2
TX
DENTON
76210
Phone
(605) 362-3897
3636 TEASLEY LN.
ICF/IID: 0
Reg Svcs:
Facility ID:
FAX:
MG AL DENTON, LLC
0
DENTON
Facility Information:
57108
Owner Information
TITLE19: 0
PRIVATE Beds: 16
03 - ARLINGTON
04/11/2017
TEAM 3
106310
TITLE 18: 0
Cert Alzh Capacity: 0
(605) 362-3100
License Exp Dt:
Fax
(940) 600-4178
PHONE:
SD
PROGRAM TYPE: ASSISTED LIVING
0
MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES, DENTON
3636 TEASLEY LAND
TX
DENTON
76210
Phone
Region
SIOUX FALLS
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
4800 W 57TH ST
(940) 891-0866
DENTON
Facility Information:
FAX:
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
TITLE19: 0
PRIVATE Beds: 16
76210
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
01/13/2017
TEAM 6
100868
Fax
(214) 334-5764
License Exp Dt:
Reg Svcs:
(940) 891-0856
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LAKE FOREST GOOD SAMARITAN VILLAGE ASSISTED LIVING
3901 MONTECITO DR
TX
DENTON
76210
Phone
Region
3674 SERENDIPITY HILLS
76209
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
DENTON GOLDEN MEADOWS CARE INC
DENTON
Facility Information:
FAX:
10/15/2017
TEAM 3
TITLE19: 0
PRIVATE Beds: 6
76210
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 334-5764
License Exp Dt:
104303
Fax
(214) 334-5764
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
DENTON GOLDEN MEADOWS CARE INC
2303 FOXCROFT
TX
DENTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
DENTON
Facility Information:
CORINTH
(940) 566-1975
TITLE 18: 0
PRIVATE Beds: 11
County
3674 SERENDIPITY HILLS
76207
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
DENTON GOLDEN MEADOWS CARE INC
(214) 334-5764
TOTAL Lic Capacity: 11
Region
TEAM 3
101459
0
ICF/IID: 0
MG AL DENTON, LLC
3636 TEASLEY LN.
DENTON
PHONE:
TX
(940) 600-4178
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76210
FAX:
SERVICE TYPE TYPE B
01/06/2018
Page 105 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
Fax
(940) 600-1478
TOTAL Lic Capacity: 16
TITLE 18/19:
TOTAL Lic Capacity: 16
TITLE 18: 0
Cert Alzh Capacity: 0
County
TITLE 18/19:
MORRISON RESIDENCE
2500 HINKLE DR
DENTON
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(940) 387-7139
ICF/IID: 0
TITLE 18/19:
Sunday, October 09, 2016
03 - ARLINGTON
PHONE:
,SUITE 450
TX
(512) 340-7829
78703
FAX:
(877) 634-9530
SERVICE TYPE TYPE A
05/01/2017
Region
03 - ARLINGTON
8415 EAST 21ST STREET NORTH SUITE 1
WICHITA
(940) 381-0600
ICF/IID: 0
PHONE:
KS
(316) 616-6288
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AUTUMN LEAVES OF FLOWER MOUND
3201 KARNES RD
TX
FLOWER MOUND
SERVICE TYPE TYPE B
DENTON ALF, LLC
DENTON
Facility ID:
(605) 362-3897
12/01/2016
TEAM 1
TITLE19: 0
PRIVATE Beds: 86
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 24
PRIVATE Beds: 50
03 - ARLINGTON
57108
Region
License Exp Dt:
104946
Fax
TOTAL Lic Capacity: 86
(605) 362-3100
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PHONE:
SD
AUSTIN
TITLE19: 0
TITLE 18/19:
(940) 381-3000
Cert Alzh Capacity: 50
Region
1717 W 6TH STREET
WILLOW BEND ASSISTED LIVING AND MEMORY CARE
2125 BRINKER ROAD
TX
DENTON
76208
TOTAL Lic Capacity: 50
SERVICE TYPE TYPE A
07/25/2018
TEAM 7
76201
DENTON
(972) 355-5432
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 88
Phone
(940) 600-4178
76210
VINTAGE SCC LLC
Fax
Cert Alzh Capacity: 0
Facility Information:
PHONE:
TX
License Exp Dt:
000544
(940) 384-1500
TOTAL Lic Capacity: 88
County
DENTON
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
VINTAGE HEALTH CARE CENTER
205 N BONNIE BRAE
TX
DENTON
Phone
3636 TEASLEY LN.
SIOUX FALLS
(940) 382-9306
DENTON
Facility Information:
MG AL DENTON, LLC
4800 W 57TH ST
TITLE 18: 0
PRIVATE Beds: 16
County
03 - ARLINGTON
Owner Information
76201
Fax
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
07/25/2018
TEAM 7
101950
(940) 383-2651
Facility Information:
FAX:
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
TOTAL Lic Capacity: 16
County
76210
Region
License Exp Dt:
Reg Svcs:
Facility ID:
(940) 600-4178
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
PHONE:
TX
Owner Information
Fax
(940) 600-4178
DENTON
TEAM 3
106330
MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES, DENTON HOUSE 5
3636 TEASELY #5
TX
DENTON
76210
Phone
3636 TEASLEY LN.
License Exp Dt:
Reg Svcs:
Facility ID:
MG AL DENTON, LLC
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
County
(940) 600-4178
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES, DENTON HOUSE 4
3636 TEASLEY LN.
TX
DENTON
76210
Phone
Region
TEAM 3
106329
67206
FAX:
(316) 616-6255
SERVICE TYPE TYPE B
06/16/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
103044
FLOWER MOUND AUTUMN LEAVES LP
545 E JOHN CARPENTER FRWY
75022
Fax
(972) 355-0396
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
IRVING
0
ICF/IID: 0
PHONE:
,STE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
08/03/2017
Page 106 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
AVALON MEMORY CARE-RAINTREE
6601 RAINTREE PLACE
TX
FLOWER MOUND
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(972) 539-9444
TOTAL Lic Capacity: 50
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
THE OAKS AT FLOWER MOUND
3281 LONG PRAIRIE
FLOWER MOUND
Phone
TX
PLANO
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FRISCO
(214) 618-1028
ICF/IID: 0
Sunday, October 09, 2016
PHONE:
TX
(972) 455-8280
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
03 - ARLINGTON
75033
FAX:
(972) 455-8281
SERVICE TYPE TYPE B
06/15/2018
Region
TEAM 7
03 - ARLINGTON
Owner Information
105813
MUSTANG CREEK ESTATES FRISCO HOUSE A
1200 W MAIN STREET
TX
FRISCO
75033
PRIVATE Beds: 16
Region
4133 VENETO DR
DENTON
Cert Alzh Capacity: 16
SERVICE TYPE TYPE B
HUNTLEIGH CARE HOMES, LLC
TITLE 18/19:
Facility ID:
FAX:
11/12/2017
TEAM 7
TITLE19: 0
PRIVATE Beds: 7
(214) 893-4202
75093
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 6
PHONE:
License Exp Dt:
105024
Fax
TOTAL Lic Capacity: 7
TOTAL Lic Capacity: 16
03 - ARLINGTON
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(214) 415-8943
(214) 683-5111
(316) 615-6255
SERVICE TYPE TYPE B
Region
5700 W PLANO PARKWAY
HUNTLEIGH CARE HOMES, LLC - CEDAR CREEK
3259 CEDAR CREEK TRAIL
TX
FRISCO
75034
Phone
FAX:
06/15/2017
TEAM 3
75022
DENTON
Facility Information:
67206
Owner Information
TITLE 18: 0
PRIVATE Beds: 103
County
(316) 616-6288
License Exp Dt:
Fax
Cert Alzh Capacity: 41
Phone
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
106343
(469) 630-0800
Facility Information:
ICF/IID: 0
KS
FM SENIOR LIVING OPERATIONS, LP
TOTAL Lic Capacity: 103
County
03 - ARLINGTON
,STE 100
WICHITA
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
8415 EAST 21ST ST N
DENTON
Facility Information:
(971) 252-4548
FLOWER MOUND ALF, LLC
TITLE19: 0
PRIVATE Beds: 86
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 24
97401
10/09/2016
TEAM 6
Fax
TOTAL Lic Capacity: 86
(971) 717-2483
License Exp Dt:
105287
(972) 829-2050
PHONE:
OR
PROGRAM TYPE: ASSISTED LIVING
0
ROSEWOOD ASSISTED LIVING AND MEMORY CARE
4141 LONG PRIARIE RD
TX
FLOWER MOUND
75028
Phone
03 - ARLINGTON
,STE 200
EUGENE
(972) 691-1914
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
59 E 11TH AVE
DENTON
Facility Information:
(214) 752-7054
FLOWER MOUND ASSISTED LIVING LLC
TITLE19: 0
PRIVATE Beds: 50
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
75207
05/30/2018
TEAM 7
000398
FLOWER MOUND ASSISTED LIVING COMMUNITY
6051 MORRISS RD
TX
FLOWER MOUND
75028-3710
Phone
(214) 752-7050
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
DALLAS
(214) 752-7054
TITLE 18: 0
PRIVATE Beds: 15
County
1625 N STEMMONS FRWY
75022
Fax
Cert Alzh Capacity: 15
03 - ARLINGTON
Owner Information
AVALON DEMENTIA CARE MANAGEMENT, LLC
(214) 752-7050
TOTAL Lic Capacity: 15
Region
TEAM 7
102844
MUSTANG CREEK MANAGEMENT LLC
1200 W MAIN ST
FRISCO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(214) 683-5111
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75033
FAX:
(972) 623-2275
SERVICE TYPE TYPE B
09/19/2018
Page 107 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
1200 W MAIN ST
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
Fax
(214) 683-5111
TOTAL Lic Capacity: 30
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 79
County
TITLE 18/19:
4 SEASONS SENIOR LIVING IX
1724 MILESTONE RIDGE
LEWISVILLE
Phone
(972) 584-9880
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
PRIVATE Beds: 9
Sunday, October 09, 2016
(972) 623-2275
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
1126 RAMBLING OAKS DR
NORMAN
ICF/IID: 0
PHONE:
OK
(405) 364-4370
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
FAX:
RAMBLING OAKS COURTYARD ALR HIGHLAND VILLAGE LLC
(972) 317-7734
DENTON
Facility Information:
75033
08/14/2018
TEAM 6
TITLE19: 0
PRIVATE Beds: 79
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 683-5111
License Exp Dt:
102151
(972) 317-7733
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
RAMBLING OAKS COURTYARD ASSISTED LIVING RESIDENCE
110 BARNETT BLVD
TX
HIGHLAND VILLAGE
75077
Phone
SERVICE TYPE TYPE B
Region
FRISCO
Reg Svcs:
Facility ID:
(972) 623-2275
1200 W MAIN ST
DENTON
Facility Information:
FAX:
MUSTANG CREEK MANAGEMENT LLC
TITLE19: 0
PRIVATE Beds: 14
75033
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
02/04/2017
TEAM 7
Fax
TOTAL Lic Capacity: 14
(214) 683-5111
License Exp Dt:
105814
(214) 683-5111
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MUSTANG CREEK ESTATES FRISCO HOUSE F
1200 MAIN ST
TX
FRISCO
75033
Phone
SERVICE TYPE TYPE A
Region
FRISCO
(972) 623-2275
Reg Svcs:
Facility ID:
(972) 623-2275
1200 W MAIN ST
DENTON
Facility Information:
FAX:
08/14/2018
TEAM 7
TITLE19: 0
PRIVATE Beds: 14
75033
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
03 - ARLINGTON
MUSTANG CREEK MANAGEMENT LLC
Fax
TOTAL Lic Capacity: 14
(214) 683-5111
License Exp Dt:
105812
(214) 683-5111
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MUSTANG CREEK ESTATES FRISCO HOUSE E
1200 MAIN STREET
TX
FRISCO
75033
Phone
Region
FRISCO
(972) 623-2275
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
1200 W MAIN ST
DENTON
Facility Information:
(972) 623-2275
MUSTANG CREEK MANAGEMENT LLC
TITLE19: 0
PRIVATE Beds: 30
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
75033
10/15/2017
TEAM 7
105811
MUSTANG CREEK ESTATES FRISCO HOUSE C AND D
1200 MAIN ST
TX
FRISCO
75033
Phone
(214) 683-5111
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
FRISCO
(972) 623-2275
TITLE 18: 0
Cert Alzh Capacity: 16
County
MUSTANG CREEK MANAGEMENT LLC
Fax
(214) 683-5111
03 - ARLINGTON
Owner Information
MUSTANG CREEK ESTATES FRISCO HOUSE B
1200 W MAIN ST
TX
FRISCO
75033
Phone
Region
TEAM 6
105809
73072
FAX:
SERVICE TYPE TYPE B
09/27/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
030067
FOUR SEASONS SENIOR LIVING IX LLC
TX
1724 MILESTONE RIDGE
75067
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LEWISVILLE
(972) 584-9885
0
ICF/IID: 0
PHONE:
TX
(972) 584-9880
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75067
FAX:
(972) 584-9885
SERVICE TYPE TYPE B
07/11/2017
Page 108 of 311
County
Reg Svcs:
DENTON
Facility Information:
Facility ID:
4 SEASONS SENIOR LIVING VI
2200 PEACHTREE LN
LEWISVILLE
Phone
TX
2200 PEACHTREE LN
75067
Fax
(972) 584-9880
TITLE 18/19:
4 SEASONS SENIOR LIVING VII
2204 PEACHTREE LN
LEWISVILLE
TX
TOTAL Lic Capacity: 7
TITLE 18/19:
ICF/IID: 0
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(214) 455-8834
License Exp Dt:
75067
FAX:
SERVICE TYPE TYPE B
08/23/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
6737 W WASHINGTON ST
MILWAUKEE
(972) 420-7698
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Sunday, October 09, 2016
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 60
PRIVATE Beds: 117
ICF/IID: 0
75067
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 16
03 - ARLINGTON
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
TOTAL Lic Capacity: 117
SERVICE TYPE TYPE B
Region
LEWISVILLE
000315
(972) 420-9600
(972) 315-1532
(972) 584-9885
301 N GARDEN RIDGE BLVD
Reg Svcs:
Facility ID:
FAX:
BHHLFM 1 LLC
TITLE19: 0
TITLE 18/19:
75067
Owner Information
DENTON
Phone
03 - ARLINGTON
11/10/2016
TEAM 3
106491
TITLE 18: 0
PRIVATE Beds: 24
(972) 584-9880
License Exp Dt:
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 24
ELMCROFT OF VISTA RIDGE
400 HIGHLAND DR
LEWISVILLE
SERVICE TYPE TYPE B
Region
LEWISVILLE
(972) 584-9885
TITLE 18: 0
(214) 974-8474
Facility Information:
(972) 584-9885
2208 PEACHTREE LN
BEEHIVE ASSISTED LIVING - LEWISVILLE, FLOWER MOUND
301 N. GARDEN RIDGE BLVD
TX
LEWISVILLE
75067
County
FAX:
Owner Information
DENTON
Phone
75067
11/10/2018
TEAM 2
75067
Fax
PRIVATE Beds: 7
BROOKDALE LEWISVILLE
965 GARDENRIDGE RD
LEWISVILLE
(972) 584-9880
License Exp Dt:
102343
(972) 584-9880
Facility Information:
03 - ARLINGTON
FOUR SEASONS SENIOR LIVING VIII LLC
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 7
Phone
Region
LEWISVILLE
(972) 584-9885
DENTON
Facility Information:
SERVICE TYPE TYPE B
2204 PEACHTREE LANE
75067
TITLE19: 0
PRIVATE Beds: 7
County
(972) 584-9885
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
FAX:
FOUR SEASONS SENIOR LIVING VII LLC
Fax
4 SEASONS SENIOR LIVING VIII
2208 PEACHTREE LN
LEWISVILLE
75067
11/10/2018
TEAM 3
100998
(972) 584-9880
Facility Information:
(972) 584-9880
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
LEWISVILLE
(972) 584-9885
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
FOUR SEASONS SENIOR LIVING VI, LLC
TOTAL Lic Capacity: 8
County
Region
TEAM 3
102938
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
030138
VISTA RIDGE OPERATIONS LLC
TX
700 N. HURSTBOURNE PARKWAY
75067
Fax
(972) 315-7284
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
0
ICF/IID: 0
PHONE:
,SUITE 200
KY
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40222
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Page 109 of 311
County
Reg Svcs:
DENTON
Facility Information:
FRANKIE LANE INC.
429 FRANKIE LANE
LEWISVILLE
Phone
Facility ID:
TX
429 FRANKIE LANE
75057
Fax
(972) 420-4293
TITLE 18/19:
TX
TX
ICF/IID: 0
03 - ARLINGTON
75077
FAX:
SERVICE TYPE TYPE B
06/20/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
101358
PROVIDENCIA AT LEWISVILLE INC
1101 BREEZEWOOD DR
75067
Fax
LEWISVILLE
(972) 420-4651
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 420-7909
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(972) 639-6985
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
LEWISVILLE
TITLE19: 0
PRIVATE Beds: 10
PRIVATE Beds: 16
(405) 360-3301
2024 ASPEN DR
75077
TITLE 18/19:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 16
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 10
TOTAL Lic Capacity: 16
73069
10/16/2018
TEAM 6
030395
(972) 420-7909
(940) 458-0645
License Exp Dt:
Fax
PROVIDENCIA AT LEWISVILLE INC
1101 BREEZEWOOD DR
TX
LEWISVILLE
Phone
(405) 801-2879
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
REDBIRD MANOR
1906 W CHAPMAN DR
SANGER
PHONE:
OK
PROVIDENCIA AT ASPEN INC
PRIVATE Beds: 11
Facility Information:
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
County
03 - ARLINGTON
,STE 103
NORMAN
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 11
Phone
Region
2401 TEE CIRCLE
75067
(972) 966-8199
Facility Information:
SERVICE TYPE TYPE B
LEWISVILLE TX ARBOR HOUSE LP
DENTON
County
FAX:
Owner Information
TITLE 18: 0
Facility ID:
77063
09/19/2018
TEAM 2
Fax
PRIVATE Beds: 52
(713) 974-4292
License Exp Dt:
103138
(972) 459-0600
Cert Alzh Capacity: 52
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 52
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LEWISVILLE TX ARBOR HOUSE LP
2215 ROCKBROOK DR
TX
LEWISVILLE
PROVIDENCIA AT ASPEN
2024 ASPEN DR
LEWISVILLE
03 - ARLINGTON
,SUITE 237
HOUSTON
(972) 434-1728
DENTON
Facility Information:
Region
7887 SAN FELIPE
TITLE 18: 0
PRIVATE Beds: 60
County
SERVICE TYPE TYPE B
Owner Information
75067
Fax
Cert Alzh Capacity: 0
Phone
FAX:
06/29/2018
TEAM 6
010063
(972) 434-1727
Facility Information:
75057
TARANTINO SENIOR LIVING COMMUNITIES, LLC
TOTAL Lic Capacity: 60
County
(214) 415-0424
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
LEWISVILLE ESTATES
800 COLLEGE PKWY
LEWISVILLE
LEWISVILLE
(972) 436-0547
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
FRANKIE LANE INC
TOTAL Lic Capacity: 12
County
Region
TEAM 7
103043
75077
FAX:
(972) 420-4651
SERVICE TYPE TYPE B
11/15/2017
Region
TEAM 7
03 - ARLINGTON
Owner Information
105187
OUTSTRETCHED ARM LLC
TX
1906 W CHAPMAN DR
76266
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SANGER
(940) 458-4402
0
ICF/IID: 0
PHONE:
TX
(940) 458-0645
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76266
FAX:
(940) 458-4402
SERVICE TYPE TYPE B
08/23/2016
Page 110 of 311
County
Reg Svcs:
DENTON
Facility Information:
THE SANGER HOUSE
804 N 3RD ST
SANGER
Phone
Facility ID:
TX
804 N 3RD ST
76266
Fax
(940) 458-4425
TITLE 18/19:
TX
IRVING
(940) 323-1712
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
Facility ID:
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
RHINEHART FAMILY ELDERCARE
216 EAST 4TH
TX
CLARENDON
Phone
(806) 874-5000
TOTAL Lic Capacity: 4
Cert Alzh Capacity: 0
PRIVATE Beds: 4
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
CUERO
(361) 275-9150
ICF/IID: 0
PHONE:
TX
(361) 275-8448
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(361) 275-9150
08 - SAN ANTONIO
131 INDUSTRIAL BLVD
DONLEY
Facility Information:
FAX:
09/22/2017
TEAM V
TITLE19: 0
PRIVATE Beds: 16
77954
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 1
08 - SAN ANTONIO
ALZCARE DEWITT COUNTY LLC
Fax
TOTAL Lic Capacity: 16
(361) 275-8448
License Exp Dt:
104682
(361) 275-8448
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ALZCARE OF DEWITT COUNTY - MEMORY CARE
131 INDUSTRIAL BLVD
TX
CUERO
77954
Phone
SERVICE TYPE TYPE B
06/15/2018
Region
CUERO
(361) 275-9150
Reg Svcs:
Facility ID:
(214) 635-4766
131 INDUSTRIAL BLVD
DEWITT
Facility Information:
FAX:
ALZCARE DEWITT COUNTY LLC
TITLE19: 0
PRIVATE Beds: 16
75225
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 635-4750
TEAM V
ALZCARE OF DEWITT COUNTY -- ASSISTED LIVING
131 INDUSTRIAL BLVD
TX
CUERO
77954
Fax
PHONE:
License Exp Dt:
Reg Svcs:
TOTAL Lic Capacity: 16
03 - ARLINGTON
,STE 350
TX
PROGRAM TYPE: ASSISTED LIVING
0
104852
(361) 275-8448
SERVICE TYPE TYPE B
Region
DALLAS
DEWITT
Facility ID:
(214) 845-4501
10/09/2018
8343 DOUGLAS AVE
TITLE19: 0
PRIVATE Beds: 114
FAX:
SRP AL DENTON LP
TITLE 18: 0
Cert Alzh Capacity: 32
75062
Owner Information
Fax
TOTAL Lic Capacity: 114
(214) 845-4500
TEAM 1
106583
(940) 380-9494
PHONE:
License Exp Dt:
THE VILLAGE ASSISTED LIVING & MEMORY CARE
1919 BRINKER ROAD
TX
SHADY SHORES
76208
Phone
03 - ARLINGTON
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Facility Information:
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER FREEWAY
TITLE 18: 0
PRIVATE Beds: 50
County
(940) 458-4402
Owner Information
76208
Fax
Cert Alzh Capacity: 50
Phone
FAX:
01/14/2018
TEAM 3
104333
(940) 323-1710
Facility Information:
76266
HSRE-LSGI V TRS LLC
TOTAL Lic Capacity: 50
County
(940) 458-4425
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
DENTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
AUTUMN LEAVES OF DENTON
2505 BRINKER ROAD
SHADY SHORES
SANGER
(940) 458-4402
TITLE 18: 0
Cert Alzh Capacity: 8
Facility Information:
03 - ARLINGTON
Owner Information
CALEB MERCER
TOTAL Lic Capacity: 8
County
Region
TEAM 7
000873
77954
FAX:
(361) 275-9150
SERVICE TYPE TYPE B
04/29/2017
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
001006
SUZIE D RHINEHART
216 E 4TH
79226
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CLARENDON
(806) 874-5010
0
ICF/IID: 0
PHONE:
TX
(806) 874-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79226
FAX:
(806) 874-5010
SERVICE TYPE TYPE C
11/06/2016
Page 111 of 311
County
Reg Svcs:
DONLEY
Facility Information:
Facility ID:
SAINTS ROOST ASSISTED LIVING
502 E 4TH
TX
CLARENDON
Phone
THE WOODLANDS
125 INSPIRATION BLVD
EASTLAND
Phone
TX
TX
(432) 366-6456
ICF/IID: 0
ICF/IID: 0
PHONE:
32801
FAX:
(407) 999-2400
License Exp Dt:
(407) 999-7759
SERVICE TYPE TYPE B
04/02/2017
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
ER OPCO PARKS LLC
PO BOX 2107
79765
BRENTWOOD
(432) 563-0430
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
FAX:
(615) 915-2938
SERVICE TYPE TYPE B
02/28/2017
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
THE COURTYARDS ASSISTED LIVING COMMUNITY
201 PARKS VILLAGE DRIVE
TX
ODESSA
79765
PREVARIAN AL ODESSA OPERATIONS LLC
8214 WESTCHESTER DRIVE
DALLAS
(432) 339-1051
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
37024-2107
(615) 915-2932
License Exp Dt:
105528
Fax
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
ECTOR
Sunday, October 09, 2016
09 - ABILENE
,STE 1750
FL
PROGRAM TYPE: ASSISTED LIVING
0
010227
Fax
Facility ID:
Region
ORLANDO
(432) 362-2525
Reg Svcs:
PRIVATE Beds: 30
SERVICE TYPE TYPE B
07/31/2018
1000 LEGION PL
79765
TITLE19: 0
Cert Alzh Capacity: 0
(414) 918-5054
HEADLEE SENIOR CARE, LLC
TITLE 18/19:
TOTAL Lic Capacity: 30
FAX:
(414) 918-5000
Owner Information
TITLE 18: 0
(432) 563-5707
53214
MIDLAND GERIATRIC
105510
Fax
Facility ID:
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
PARKS ASSISTED LIVING CENTER
111 PARKS VILLAGE DR
TX
ODESSA
PRIVATE Beds: 90
09 - ABILENE
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
ECTOR
Cert Alzh Capacity: 30
Region
MILWAUKEE
TITLE19: 0
PRIVATE Beds: 125
TOTAL Lic Capacity: 90
SERVICE TYPE TYPE B
04/30/2017
6737 W. WASHINGTON STREET
TITLE 18/19:
Cert Alzh Capacity: 68
(432) 339-1048
(254) 629-3559
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 125
Phone
FAX:
MIDLAND GERIATRIC
79762
(432) 847-4700
Facility Information:
76448
(254) 629-1001
License Exp Dt:
000747
Fax
ORCHARD PARK OF PERMIAN BASIN
8050 DR EMMET HEADLEE ST
TX
ODESSA
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ECTOR
Phone
02 - ABILENE
EMERITUS CORPORATION
PRIVATE Beds: 96
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
EASTLAND
(254) 629-1025
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 96
Phone
Region
125 INSPIRATION BLVD
TITLE 18: 0
(432) 362-5006
Facility Information:
SERVICE TYPE TYPE B
Owner Information
ECTOR
County
(806) 874-5204
07/13/2018
ABILENE GERIATRIC
76448
Fax
PRIVATE Beds: 64
Phone
FAX:
EASTLAND ASSISTED LIVING CORPORATION
Cert Alzh Capacity: 16
BROOKDALE SHERWOOD
3939 E 52ND ST
ODESSA
79226
(806) 874-5202
License Exp Dt:
103376
(254) 629-1001
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 64
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
EASTLAND
Facility Information:
CLARENDON
(806) 874-5064
TITLE 18: 0
PRIVATE Beds: 9
County
502 E 4TH
79226
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
SAINTS ROOST ASSISTED LIVING INC
(806) 874-1417
TOTAL Lic Capacity: 9
Region
HIGH PLAINS GERI 1
105154
0
ICF/IID: 0
PHONE:
,SUITE 600
TX
(214) 736-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75225
FAX:
(214) 736-7020
SERVICE TYPE TYPE B
07/25/2017
Page 112 of 311
County
Reg Svcs:
EL PASO
Facility Information:
ADAM MC CARE LLC
801 RUSTY BUCKET CT
EL PASO
Phone
Facility ID:
TX
801 RUSTY BUCKET CT
79932
Fax
(915) 877-2414
EL PASO
(915) 877-2314
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
TITLE 18/19:
TOTAL Lic Capacity: 44
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
CASA EVERAY #3
10548 JANWAY DR
EL PASO
Phone
TX
TX
ICF/IID: 0
Sunday, October 09, 2016
79925
FAX:
SERVICE TYPE TYPE A
07/27/2018
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
1609 BESSEMER
79936
EL PASO
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(915) 593-0431
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79936
FAX:
SERVICE TYPE TYPE B
10/01/2016
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
000778
EDEN NORTH ASSISTED LIVING CENTER
8961 ANKERSON
TX
EL PASO
79904
PRIVATE Beds: 16
(915) 474-9265
License Exp Dt:
000936
EL PASO
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 8
TOTAL Lic Capacity: 16
10 - EL PASO
DREAM HAVEN INC
Cert Alzh Capacity: 0
(915) 755-8543
SERVICE TYPE TYPE B
Region
EL PASO
(915) 594-4992
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Phone
(915) 772-7798
12/04/2017
EL PASO GERIATRIC
TITLE19: 0
TITLE 18/19:
(915) 593-0431
Facility Information:
FAX:
10548 JANWAY DR
EL PASO
County
79915
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
Phone
(915) 775-1965
License Exp Dt:
79925
Fax
Cert Alzh Capacity: 0
DREAM HAVEN INC
1609 BESSEMER
EL PASO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105105
(915) 588-1727
Facility Information:
10 - EL PASO
RAYMUNDO E SPENCER
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
EL PASO
(915) 772-7798
EL PASO
Facility Information:
(915) 875-8841
7235 NORTH LOOP DR
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
79930
CASA DE BELLAMIE LLC
Fax
TOTAL Lic Capacity: 16
10 - EL PASO
02/04/2017
EL PASO GERIATRIC
106138
(915) 775-1965
(915) 562-3444
License Exp Dt:
CASA DE BELLAMIE ASSISTED LIVING FACILITY
7235 NORTH LOOP DRIVE
TX
EL PASO
79915
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
EL PASO
(915) 875-8841
EL PASO
Facility Information:
SERVICE TYPE TYPE B
2300 MCKINLEY
TITLE19: 0
PRIVATE Beds: 44
(915) 877-2315
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 44
FAX:
BIENVIVIR SENIOR HEALTH SERVICES
Fax
(915) 562-3444
79932
05/22/2017
EL PASO GERIATRIC
101960
BIENVIVIR ALL-INCLUSIVE SENIOR HEALTH
2300 MCKINLEY
TX
EL PASO
79930
Phone
(915) 877-2414
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Facility Information:
10 - EL PASO
Owner Information
ADAM MC CARE LLC
TOTAL Lic Capacity: 11
County
Region
EL PASO GERIATRIC
104658
MODESTO A GOMEZ INC
8961 ANKERSON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EL PASO
(915) 500-5345
0
ICF/IID: 0
PHONE:
TX
(915) 755-8543
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79904
FAX:
(915) 755-7191
SERVICE TYPE TYPE B
04/30/2017
Page 113 of 311
County
Reg Svcs:
EL PASO
Facility Information:
GENESIS HOME CARE
3607 E YANDELL
EL PASO
Phone
Facility ID:
TX
3607 E YANDELL DR
79903
Fax
(915) 346-8174
EL PASO
(915) 564-0604
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
LA FAMILIA ASSISTING LIVING
9115 MT OLYMPUS DR
EL PASO
Phone
TX
TX
Sunday, October 09, 2016
(915) 755-5980
License Exp Dt:
79924
FAX:
(915) 759-6758
SERVICE TYPE TYPE B
04/04/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
001113
5709 LEXINGTON
79924
EL PASO
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(915) 751-4983
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
LOS ABUELOS ASSISTED LIVING
8230 MT LATONA
TX
EL PASO
PRIVATE Beds: 15
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Cert Alzh Capacity: 0
ICF/IID: 0
Fax
PRIVATE Beds: 4
TOTAL Lic Capacity: 15
10 - EL PASO
LETICIA BASURTO
Cert Alzh Capacity: 0
(915) 755-1613
SERVICE TYPE TYPE B
Region
EL PASO
(915) 757-6758
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
Phone
(605) 362-3897
06/27/2017
EL PASO GERIATRIC
TITLE19: 0
TITLE 18/19:
(915) 751-4983
Facility Information:
FAX:
9115 MT OLYMPUS DR
EL PASO
County
57108
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
Phone
(605) 362-3100
License Exp Dt:
79924
Fax
Cert Alzh Capacity: 0
LETICIA BASURTO
5709 LEXINGTON
EL PASO
PHONE:
SD
PROGRAM TYPE: ASSISTED LIVING
0
100898
(915) 755-5980
Facility Information:
10 - EL PASO
BERTHA ALICIA ORTIZ
TOTAL Lic Capacity: 7
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
SIOUX FALLS
(915) 581-5198
EL PASO
Facility Information:
(806) 855-4092
4800 W 57TH ST
TITLE19: 0
PRIVATE Beds: 36
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
79382
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Fax
TOTAL Lic Capacity: 36
10 - EL PASO
09/30/2017
EL PASO GERIATRIC
050642
(915) 581-4683
(806) 855-6464
License Exp Dt:
GOOD SAMARITAN SOCIETY - WHITE ACRES
7304 GOOD SAMARITAN CT BLDG 300
TX
EL PASO
79912
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
WOLFFORTH
EL PASO
Facility Information:
SERVICE TYPE TYPE A
21211 FM 179
TITLE19: 0
PRIVATE Beds: 16
(770) 210-8882
WESTWOOD DRIVE ENTERPRISES LLC
TITLE 18: 0
Cert Alzh Capacity: 16
FAX:
Owner Information
Fax
(915) 309-5822
79903
05/21/2016
EL PASO GERIATRIC
106225
GOOD LIFE SENIOR LIVING AND MEMORY CARE A
10400 RAILROAD DRIVE
TX
EL PASO
79924
Phone
(915) 564-0604
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Facility Information:
10 - EL PASO
Owner Information
MARIA P AGUIRRE
TOTAL Lic Capacity: 6
County
Region
EL PASO GERIATRIC
103203
79924
FAX:
SERVICE TYPE TYPE C
11/20/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
100200
WILLIAN J BURKETT AND ELIZABETH L BURKETT GP
8230 MT LATONA
79904
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EL PASO
(915) 772-2291
0
ICF/IID: 0
PHONE:
TX
(915) 755-1613
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79904
FAX:
(915) 755-1613
SERVICE TYPE TYPE B
10/13/2018
Page 114 of 311
County
Reg Svcs:
EL PASO
Facility Information:
LOVING AGE
2029 ANISE DR
EL PASO
Phone
Facility ID:
TX
2029 ANISE DR
79935
Fax
(915) 591-2017
EL PASO
(915) 996-9309
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
TITLE 18/19:
Fax
(915) 778-1112
TOTAL Lic Capacity: 37
County
TITLE 18/19:
M & L LOVING HANDS
7308 DESIERTO AZUL DR
EL PASO
Phone
TX
TX
PRIVATE Beds: 10
Sunday, October 09, 2016
(915) 585-7672
SERVICE TYPE TYPE A
09/24/2018
Region
EL PASO GERIATRIC
EL PASO
(915) 595-5905
ICF/IID: 0
TITLE19: 0
(915) 227-3410
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
10 - EL PASO
79925
FAX:
(915) 595-5905
SERVICE TYPE TYPE B
09/22/2018
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
001140
MARIA C RUVALCABA
TX
11217 QUINTANA DR
79936
EL PASO
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(915) 592-2304
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Cert Alzh Capacity: 0
FAX:
10541 KINROSS
TITLE 18/19:
PRIVATE Beds: 4
TOTAL Lic Capacity: 10
79912
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(915) 566-8841
(915) 581-4285
License Exp Dt:
79925
Fax
TOTAL Lic Capacity: 4
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
050647
(915) 592-2304
MCKINLEY HOUSE
3600 MCKINLEY AVE
EL PASO
ICF/IID: 0
0
EL PASO
Facility Information:
10 - EL PASO
MAILLAND HEALTH CARE SERVICES INC
PRIVATE Beds: 7
County
SERVICE TYPE TYPE A
Region
EL PASO
(915) 581-0714
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
(915) 772-2291
10/31/2018
EL PASO GERIATRIC
TITLE19: 0
TOTAL Lic Capacity: 7
MARIA C RUVALCABA
11217 QUINTANA DR
EL PASO
FAX:
7308 DESIERTO AZUL DR
TITLE 18/19:
(915) 227-3410
Facility Information:
79915
Owner Information
EL PASO
County
(915) 778-1112
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 7
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79912
Fax
Cert Alzh Capacity: 0
MAILLAND FOSTER CARE
10541 KINROSS
EL PASO
ICF/IID: 0
101720
(915) 581-4285
Facility Information:
10 - EL PASO
LILIA HERNANDEZ
TOTAL Lic Capacity: 7
County
Region
EL PASO
(915) 772-2291
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE C
180 CR CROOM RD
EL PASO
Facility Information:
(915) 996-9309
LOVING CARE ASSISTED LIVING COMMUNITY INC
TITLE19: 0
PRIVATE Beds: 37
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
79935
10/17/2016
EL PASO GERIATRIC
101674
LOVING CARE ASSISTED LIVING COMMUNITY, INC.
180 C.R. CROOM RD
TX
EL PASO
79915
Phone
(915) 591-2017
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Facility Information:
10 - EL PASO
Owner Information
PABLO E BUSTAMANTE
TOTAL Lic Capacity: 4
County
Region
EL PASO GERIATRIC
010280
79936
FAX:
SERVICE TYPE TYPE C
02/19/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
100891
ARAMIS (MITCH) E. AYALA
TX
3045 FILLMORE AVE
79930
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EL PASO
(915) 565-3755
0
ICF/IID: 0
PHONE:
TX
(915) 274-2021
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79930
FAX:
(915) 565-3755
SERVICE TYPE TYPE B
05/21/2016
Page 115 of 311
County
Reg Svcs:
EL PASO
Facility Information:
MENTIS NEURO EL PASO, LLC
1831 MURCHISON DR STE C
EL PASO
Phone
Facility ID:
TX
1831 MURCHISON DR
79902
Fax
(915) 351-4441
TITLE 18/19:
Phone
TX
TX
Region
EL PASO
(915) 832-0083
ICF/IID: 0
PHONE:
TX
(915) 584-1247
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
10 - EL PASO
79912
FAX:
(915) 832-0083
SERVICE TYPE TYPE C
12/22/2016
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
001284
MARTHA RICCI
TX
6621 SOUTHWIND
79912
Fax
EL PASO
(915) 584-2048
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
TITLE 18/19:
(915) 584-2273
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Sunday, October 09, 2016
SERVICE TYPE TYPE C
6724 PINO REAL DR
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 7
FAX:
06/29/2017
EL PASO GERIATRIC
79912
TITLE 18/19:
TOTAL Lic Capacity: 4
Cert Alzh Capacity: 0
79935
LUZ MARIA COUTTOLENC
(915) 584-2048
TOTAL Lic Capacity: 7
10 - EL PASO
Owner Information
EL PASO
(915) 598-1727
(915) 594-9418
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101738
Fax
PRIVATE Beds: 4
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
RODRIGUEZ FOSTER HOME
10165 BERMUDA
EL PASO
Region
EL PASO
TITLE19: 0
(915) 584-1247
Facility Information:
SERVICE TYPE TYPE B
10763 LIMAS
79935
TITLE 18/19:
TOTAL Lic Capacity: 4
County
(915) 351-3646
Owner Information
TITLE 18: 0
PINO REAL ADULT FOSTER HOME
6724 PINO REAL DR
TX
EL PASO
Phone
FAX:
08/21/2017
EL PASO GERIATRIC
100626
EL PASO
RICCI'S FOSTER HOME
6621 SOUTHWIND
EL PASO
License Exp Dt:
Fax
PRIVATE Beds: 4
Facility Information:
(915) 351-4441
79902
ELSA ELENA NUNEZ
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(915) 594-9418
Facility Information:
10 - EL PASO
,STE C
EL PASO
(915) 351-3646
EL PASO
County
SERVICE TYPE TYPE A
Region
1831 MURCHISON DR
TITLE 18: 0
PRIVATE Beds: 24
Phone
(915) 351-3646
Owner Information
79922
Fax
Cert Alzh Capacity: 0
NUNEZ FOSTER HOME
10763 LIMAS
EL PASO
FAX:
01/15/2017
EL PASO GERIATRIC
106227
(915) 351-4441
Facility Information:
79902
MENTIS NEURO EL PASO, LLC
TOTAL Lic Capacity: 24
County
(915) 351-4441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
MENTIS NEURO HEALTH
4360 DONIPHAN DR
EL PASO
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 22
,STE C
EL PASO
(915) 351-3646
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
10 - EL PASO
Owner Information
MENTIS NEURO EL PASO, LLC
TOTAL Lic Capacity: 22
County
Region
EL PASO GERIATRIC
103124
79912
FAX:
(915) 584-2273
SERVICE TYPE TYPE C
05/24/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
100351
ELVIA CORRAL
TX
10165 BERMUDA
79925
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EL PASO
(915) 592-6707
0
ICF/IID: 0
PHONE:
TX
(915) 598-1727
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79925
FAX:
(915) 592-6707
SERVICE TYPE TYPE B
08/16/2018
Page 116 of 311
County
Reg Svcs:
EL PASO
Facility Information:
Facility ID:
ROSEDALE ADULT FOSTER HOME
3111 EDGEROCK
TX
EL PASO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(915) 565-9330
TOTAL Lic Capacity: 12
County
TITLE 18/19:
ROYAL ESTATES OF EL PASO
435 S MESA HILLS DR
EL PASO
Phone
ICF/IID: 0
TX
CHICAGO
(915) 833-3346
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ICF/IID: 0
Phone
(915) 857-5487
TOTAL Lic Capacity: 129
Cert Alzh Capacity: 32
PRIVATE Beds: 129
Sunday, October 09, 2016
(915) 594-7230
SERVICE TYPE TYPE B
Region
10 - EL PASO
Owner Information
SERENTIY HOUSE ASSISTED LIVING INC
4200 SKYLINE AVE
EL PASO
(915) 715-0315
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
License Exp Dt:
Reg Svcs:
79904
FAX:
(915) 751-0300
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
SUNRIDGE AT CAMBRIA
1991 SAUL KLEINFELD DR
EL PASO
FAX:
10/17/2017
EL PASO GERIATRIC
103784
Fax
Facility ID:
10 - EL PASO
79935
(915) 309-6999
License Exp Dt:
SERENITY HOUSE ASSISTED LIVING, INC.
4200 SKYLINE AVE
TX
EL PASO
79904
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
EL PASO
(915) 594-7230
EL PASO
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
10/01/2018
EL PASO GERIATRIC
TITLE19: 0
(915) 751-0300
(312) 673-4430
3108 GASTON DR
TITLE 18/19:
Facility ID:
FAX:
(312) 673-4333
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
60601
YOLANDA RUIZ
Fax
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
050473
(915) 594-7230
Facility Information:
10 - EL PASO
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
County
SERVICE TYPE TYPE B
Region
EL PASO GERIATRIC
SCOTTSDALE PERSONAL CARE FACILITY
3113 FORNEY LN
TX
EL PASO
79935
Phone
(915) 565-9366
09/24/2018
303 E WACKER DR
EL PASO
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 70
County
79903
(915) 565-9330
License Exp Dt:
79912
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030084
(915) 833-3332
Facility Information:
10 - EL PASO
SENIOR LIFESTYLE TEXAS SAN ANTONIO LP
TOTAL Lic Capacity: 70
County
EL PASO
(915) 565-9366
Reg Svcs:
Facility ID:
Region
3330 E YANDELL
EL PASO
Facility Information:
SERVICE TYPE TYPE B
ROSEMARY WILLIAMS MELENDEZ
TITLE19: 0
PRIVATE Beds: 12
(915) 591-1031
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
05/06/2018
EL PASO GERIATRIC
010336
ROSEMARY WILLIAMS MELENDEZ CASA FELICITAS
3330 E YANDELL
TX
EL PASO
79903
Phone
79935
(915) 633-6794
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Facility Information:
EL PASO
(915) 591-1031
TITLE 18: 0
PRIVATE Beds: 10
County
3111 EDGEROCK
79935
Fax
Cert Alzh Capacity: 0
10 - EL PASO
Owner Information
FRANCISCO NAVARRO
(915) 633-6794
TOTAL Lic Capacity: 10
Region
EL PASO GERIATRIC
106042
(915) 751-0315
SERVICE TYPE TYPE B
04/03/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
000728
GOLDEN AGE SENIOR CARE OF CAMBRIA LLC
TX
125 S WACKER DR
79936
Fax
(915) 857-7404
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 1800
IL
(312) 357-1601
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60606
FAX:
(312) 357-1611
SERVICE TYPE TYPE B
01/01/2018
Page 117 of 311
County
Reg Svcs:
EL PASO
Facility Information:
SUNRIDGE AT CIELO VISTA
7949 SUNMOUNT DR STE 500
EL PASO
Phone
Facility ID:
TX
125 S WACKER DR
79925
Fax
(915) 772-4036
TITLE 18/19:
SUNRIDGE AT DESERT SPRINGS
5901 BANDOLERO DR
TX
EL PASO
County
SUNRIDGE AT PALISADES
1831 MURCHISON DR
EL PASO
Phone
(915) 842-0903
TX
ICF/IID: 0
TX
ICF/IID: 0
10 - EL PASO
SERVICE TYPE TYPE A
Region
10 - EL PASO
PENAN RETIREMENT CENTER LIMITED PARTNERSHIP
221 BARTLETT DR
EL PASO
(915) 584-5115
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(915) 584-8438
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
TITLE 18/19:
79930
01/28/2018
EL PASO GERIATRIC
000370
Fax
(915) 203-7163
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
EL PASO
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 70
PRIVATE Beds: 7
(312) 357-1611
2830 FILLMORE AVE
79930
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
FAX:
Owner Information
Fax
TOTAL Lic Capacity: 70
TOTAL Lic Capacity: 7
60606
01/01/2018
EL PASO GERIATRIC
050023
(915) 584-8438
(915) 249-6079
(312) 357-1601
License Exp Dt:
THE BARTLETT REHABILITATION, SKILLED CARE AND ASSISTED LIVING
221 BARTLETT DR
TX
EL PASO
79912
Phone
PHONE:
IL
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
THE ETERNAL YOUTH HOME
2218 MERMAID DR
EL PASO
10 - EL PASO
PATRICIA ANN ATTAGUILE
PRIVATE Beds: 7
Facility Information:
Region
CHICAGO
(915) 533-1307
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
01/01/2018
EL PASO GERIATRIC
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 7
Phone
(312) 357-1611
125 S WACKER DR STE 1800
TITLE 18: 0
(915) 203-7163
Facility Information:
FAX:
Owner Information
EL PASO
County
License Exp Dt:
79902
Fax
PRIVATE Beds: 170
Phone
(312) 357-1601
60606
GOLDEN AGE SENIOR CARE OF PALISADES LLC
Cert Alzh Capacity: 0
THE ARK
2830 FILMORE AVE
EL PASO
PHONE:
IL
PROGRAM TYPE: ASSISTED LIVING
0
000516
(915) 533-8271
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 170
County
10 - EL PASO
,STE 1800
CHICAGO
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
125 S WACKER DR
79912
EL PASO
Facility Information:
(312) 357-1611
Owner Information
TITLE 18: 0
PRIVATE Beds: 61
FAX:
GOLDEN AGE SENIOR CARE OF DESERT SPRINGS LLC
Fax
Cert Alzh Capacity: 61
60606
01/01/2018
EL PASO GERIATRIC
100118
(915) 842-0900
TOTAL Lic Capacity: 61
(312) 357-1601
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
IL
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 114
,STE 1800
CHICAGO
(915) 772-2191
TITLE 18: 0
Cert Alzh Capacity: 45
Facility Information:
10 - EL PASO
Owner Information
GOLDEN AGE SENIOR CARE OF CIELO VISTA LLC
TOTAL Lic Capacity: 114
County
Region
EL PASO GERIATRIC
030193
79912
FAX:
(915) 584-5115
SERVICE TYPE TYPE B
06/11/2017
Region
EL PASO GERIATRIC
10 - EL PASO
Owner Information
104538
BERNARDO M TERRES
TX
2218 MERMAID DR
79936
EL PASO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(915) 243-8188
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79936
FAX:
(915) 633-1994
SERVICE TYPE TYPE A
05/13/2017
Page 118 of 311
County
Reg Svcs:
EL PASO
Facility Information:
Facility ID:
THE FOREST ASSISTED LIVING
9355 NORTH LOOP
EL PASO
Phone
TX
9355 NORTH LOOP
79907
Fax
(915) 329-1897
TITLE 18/19:
TX
EL PASO
TX
TX
Sunday, October 09, 2016
MILWAUKEE
(972) 875-6935
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2017
Region
TEAM 5
03 - ARLINGTON
Owner Information
103077
MAURICE Y MILORD
TX
3037 DOROTHY LANE
75154
Fax
GLENN HEIGHTS
(469) 552-6330
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(469) 563-8884
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ELLIS
PRIVATE Beds: 94
(915) 591-1498
SERVICE TYPE TYPE A
Region
6737 W WASHINGTON ST
TITLE 18/19:
PRIVATE Beds: 7
Cert Alzh Capacity: 18
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 94
79925
03/14/2017
TEAM 5
75119
(469) 563-8884
(469) 672-1400
(915) 590-3762
License Exp Dt:
000499
Fax
TOTAL Lic Capacity: 7
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ELLIS
MIDTOWNE ASSISTED LIVING
910 S. 9TH STREET
MIDLOTHIAN
10 - EL PASO
BROOKDALE SENIOR LIVING COMMUNITIES INC
PRIVATE Beds: 60
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
EL PASO
(915) 591-1498
TITLE19: 0
TOTAL Lic Capacity: 60
Phone
SERVICE TYPE TYPE C
10628 DRILLSTONE
TITLE 18/19:
(972) 875-6900
IN MILORD HANDS
3037 DOROTHY LANE
GLENN HEIGHTS
FAX:
09/27/2017
EL PASO GERIATRIC
79925
ELLIS
Facility Information:
79936
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
County
(915) 855-1054
License Exp Dt:
010276
Fax
Cert Alzh Capacity: 0
Phone
10 - EL PASO
ANA L VEGA
TOTAL Lic Capacity: 8
BROOKDALE ENNIS
2500 YORKSTOWN DR
ENNIS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(915) 590-3762
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
EL PASO
County
Region
1809 PIEDRA ROJA
79936
TITLE 18: 0
PRIVATE Beds: 4
Phone
SERVICE TYPE TYPE A
Owner Information
Fax
Cert Alzh Capacity: 0
VEGA ADULT FOSTER HOME
10628 DRILLSTONE
EL PASO
FAX:
02/28/2017
EL PASO GERIATRIC
001145
(915) 855-1054
Facility Information:
79907
MARIA D UNZUETA
TOTAL Lic Capacity: 4
County
(915) 329-1897
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
EL PASO
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 13
UNZUETAS FOSTER HOME
1809 PIEDRA ROJA
EL PASO
EL PASO
(915) 858-1105
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
10 - EL PASO
Owner Information
SANTIAGO VEGA
TOTAL Lic Capacity: 13
County
Region
EL PASO GERIATRIC
102864
75154
FAX:
(469) 442-0121
SERVICE TYPE TYPE A
06/28/2018
Region
TEAM 5
03 - ARLINGTON
Owner Information
106233
MIDTOWN 2013 RE, LLC
TX
910 S. 9TH STREET
76065
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MIDLOTHIAN
(817) 386-8324
0
ICF/IID: 0
PHONE:
TX
(817) 386-8888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76065
FAX:
(817) 386-8324
SERVICE TYPE TYPE B
06/09/2017
Page 119 of 311
County
Reg Svcs:
ELLIS
Facility Information:
Facility ID:
SPRINGBROOK HOUSELLC
824 CLEARWATER DR
MIDLOTHIAN
Phone
TX
824 CLEARWATER DR
76065
Fax
(972) 723-0597
TITLE 18/19:
BROOKDALE WAXAHACHIE
2250 BROWN ST
WAXAHACHIE
TX
MILWAUKEE
(972) 938-1686
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
Facility ID:
TITLE 18: 0
Cert Alzh Capacity: 16
TITLE 18/19:
Phone
TX
TOTAL Lic Capacity: 65
Cert Alzh Capacity: 10
PRIVATE Beds: 65
Sunday, October 09, 2016
License Exp Dt:
75254
FAX:
(972) 770-5666
SERVICE TYPE TYPE B
06/01/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
118 E LIVE OAK
DUBLIN
(254) 445-3960
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(254) 445-2517
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ERATH
(254) 965-9897
(972) 770-5600
PROGRAM TYPE: ASSISTED LIVING
0
76446
Fax
PRIVATE Beds: 16
Phone
PHONE:
TX
KBN ENTERPRISES INC
Cert Alzh Capacity: 0
GOOD TREE RETIREMENT
2010 GOOD TREE STREET
STEPHENVILLE
ICF/IID: 0
100699
(254) 445-3180
Facility Information:
03 - ARLINGTON
,STE 300
DALLAS
(972) 923-3289
Reg Svcs:
TOTAL Lic Capacity: 16
County
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
TITLE19: 0
THREE OAKS ASSISTED LIVING
118 E LIVE OAK
DUBLIN
(972) 387-8216
09/10/2018
TEAM 7
75165
TITLE 18/19:
Facility ID:
FAX:
Owner Information
ERATH
Facility Information:
(972) 308-8366
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 55
PHONE:
75254
CSL LEASECO INC
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
030078
(972) 923-9911
TOTAL Lic Capacity: 55
SERVICE TYPE TYPE B
Region
DALLAS
ICF/IID: 0
Reg Svcs:
COVENANT PLACE OF WAXAHACHIE
401 SOLON RD
TX
WAXAHACHIE
(414) 918-6076
12/01/2016
14160 DALLAS PARKWAY
0
ELLIS
Facility ID:
FAX:
CSL S WAXAHACHIE LLC
TITLE19: 0
PRIVATE Beds: 70
53214
Owner Information
Fax
TOTAL Lic Capacity: 70
(414) 918-5441
TEAM 7
103398
(972) 937-5999
PHONE:
License Exp Dt:
BUFFALO CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY
1329 BROWN ST
TX
WAXAHACHIE
75165
County
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
ELLIS
Phone
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 96
Facility Information:
(972) 775-2474
Owner Information
75165
Fax
Cert Alzh Capacity: 96
County
FAX:
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 96
Phone
76065
08/01/2018
TEAM 5
000902
(972) 937-2600
Facility Information:
(972) 723-0597
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ELLIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
MIDLOTHIAN
(972) 775-2474
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
SPRINGBROOK HOUSE LLC
TOTAL Lic Capacity: 7
County
Region
TEAM 5
030312
76446
FAX:
(254) 445-4429
SERVICE TYPE TYPE A
01/19/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
030090
CSL CE STEPHENVILLE LLC
TX
14160 DALLAS PKWY
76401
Fax
(888) 753-6262
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 300
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
03/30/2016
Page 120 of 311
County
Reg Svcs:
ERATH
Facility Information:
Facility ID:
Fax
(254) 968-5229
TOTAL Lic Capacity: 60
303 E WACKER DRIVE
(254) 965-4164
TITLE 18/19:
County
MARLIN PERSONAL CARE
322 CAPPS
MARLIN
Phone
TX
MARLIN
ICF/IID: 0
PHONE:
TX
07 - AUSTIN
76661
FAX:
(254) 803-2674
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
SERVICE TYPE TYPE A
03/25/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
000718
HOFMANN MRAZ CARE HOME
TX
1405 N CEDAR ST
75418
Fax
BONHAM
(903) 583-5049
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
75418
FAX:
(903) 583-8380
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FANNIN
Sunday, October 09, 2016
Region
402 LIVE OAK ST
76661
Reg Svcs:
PRIVATE Beds: 15
PRIVATE Beds: 52
SERVICE TYPE TYPE A
12/02/2015
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(254) 803-2142
ROSE M REDDING
TITLE 18/19:
TOTAL Lic Capacity: 15
TOTAL Lic Capacity: 52
FAX:
BRENHAM
000858
(903) 583-8380
(903) 640-1200
07 - AUSTIN
76661
(254) 803-6748
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FANNIN
Phone
ICF/IID: 0
Fax
PRIVATE Beds: 16
THE WOODMOORE
1200 W RUSSELL AVE
BONHAM
Region
MARLIN
(254) 803-2142
Reg Svcs:
Facility ID:
(254) 803-2674
Facility Information:
SERVICE TYPE TYPE A
09/03/2017
BRENHAM
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(254) 485-5389
322 CAPPS
TITLE 18: 0
TOTAL Lic Capacity: 16
Phone
FAX:
(254) 485-5389
License Exp Dt:
76661
Fax
PERSONAL CARE OF CENTRAL TEXAS
402 LIVE OAK ST
TX
MARLIN
HOFMANN MRAZ CARE HOME
1405 N CEDAR ST
BONHAM
76401
Owner Information
FALLS
Facility Information:
03 - ARLINGTON
MILDRED WILSON
PRIVATE Beds: 16
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000877
(254) 803-6748
Facility Information:
STEPHENVILLE
(254) 485-5389
TITLE19: 0
TOTAL Lic Capacity: 16
County
Region
1208 BOWMAN RIDGE
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
01/05/2017
TEAM 3
76401
FALLS
Facility Information:
(312) 673-4487
Owner Information
TITLE 18: 0
PRIVATE Beds: 4
FAX:
TENDER HEARTS ASSISTED LIVING
Fax
Cert Alzh Capacity: 0
60601
(312) 673-4333
License Exp Dt:
105974
(254) 485-5389
TOTAL Lic Capacity: 4
PHONE:
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TENDER HEARTS ASSISTED LIVING
1208 BOWMAN RIDGE
TX
STEPHENVILLE
Phone
ICF/IID: 0
0
ERATH
Facility Information:
CHICAGO
TITLE19: 0
PRIVATE Beds: 60
County
WC-OAKWOOD OPS LLC
TITLE 18: 0
Cert Alzh Capacity: 16
03 - ARLINGTON
Owner Information
OAKWOOD ASSISTED LIVING & MEMORY CARE
2305 LINGLEVILLE RD
TX
STEPHENVILLE
76401-6012
Phone
Region
TEAM 2
050239
(903) 583-5040
SERVICE TYPE TYPE A
01/26/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
101547
ARMSTRONG, DRAUGHN & COOPER, LTD
TX
PO BOX 677
75418
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
COMMERCE
(903) 640-1202
0
ICF/IID: 0
PHONE:
TX
(903) 886-8050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75429
FAX:
(903) 886-8064
SERVICE TYPE TYPE B
07/30/2018
Page 121 of 311
County
Reg Svcs:
FAYETTE
Facility Information:
Facility ID:
JEFFERSON PLACE ASSISTED LIVING
911 S JEFFERSON
TX
LA GRANGE
Phone
COLLEGE PLACE INC
210 COLLEGE ST
SCHULENBURG
Phone
TX
ICF/IID: 0
ICF/IID: 0
County
(832) 392-1786
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
01 - LUBBOCK
79235
FAX:
(505) 821-1834
SERVICE TYPE TYPE B
03/01/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
QUALITY PERSONAL CARE HOMES, INC
543 DALEWOOD DR
77545
Fax
MISSOURI
(281) 208-1627
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 431-8418
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
OSA HERITAGE HOMES, INC
4218 BRANNON BRANCH COURT
TX
FULSHEAR
(505) 480-1445
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Phone
ICF/IID: 0
101400
(281) 431-8418
Facility Information:
SERVICE TYPE TYPE B
Region
FLOYDADA
FORT BEND
PRIVATE Beds: 11
(325) 735-3070
1230 S. RALLS HWY
TITLE19: 0
Cert Alzh Capacity: 0
FAX:
NVJ OPERATIONS, LLC
TITLE 18/19:
TOTAL Lic Capacity: 11
79546
Owner Information
TITLE 18: 0
QUALITY PERSONAL CARE HOME INC
703 EAST PALM
TX
FRESNO
02 - ABILENE
06/02/2018
HIGH PLAINS GERI 2
Fax
Facility ID:
(325) 735-2256
License Exp Dt:
102572
(806) 983-8177
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BEEHIVE HOMES AT SHEPHERD'S MEADOW
1230 S. RALLS HWY
TX
FLOYDADA
79235
PRIVATE Beds: 16
SERVICE TYPE TYPE A
Region
ROTAN
(325) 735-1502
Reg Svcs:
Cert Alzh Capacity: 0
(979) 743-3161
774 STATE HWY 70 N
TITLE19: 0
TOTAL Lic Capacity: 16
FAX:
06/09/2017
ABILENE GERIATRIC
79546
TITLE 18/19:
Facility ID:
78956
FISHER COUNTY HEALTH CARE DEVELOPMENT CORPORATION
FLOYD
Phone
07 - AUSTIN
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(979) 743-6180
License Exp Dt:
102269
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(325) 735-1501
Facility Information:
Region
SCHULENBURG
(979) 743-3161
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
County
SERVICE TYPE TYPE B
210 COLLEGE ST
TITLE 18: 0
HERITAGE HOUSE ON THE BRAZOS
776 STATE HWY 70 N
TX
ROTAN
Phone
(979) 743-2601
Owner Information
FISHER
Facility Information:
FAX:
10/11/2017
TEAM W
78956
Fax
PRIVATE Beds: 52
County
78956
COLLEGE PLACE INC
Cert Alzh Capacity: 0
Phone
(979) 743-2502
License Exp Dt:
000944
(979) 743-6180
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 52
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAYETTE
Facility Information:
SCHULENBURG
(979) 968-6962
TITLE 18: 0
PRIVATE Beds: 45
County
205 E AVE B
78945
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
JEFFERSON PLACE ASSISTED LIVING INC
(979) 968-9161
TOTAL Lic Capacity: 45
Region
TEAM X
030411
77459
FAX:
(281) 208-1627
SERVICE TYPE TYPE B
07/30/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
106245
OSA HERITAGE HOMES, INC
4219 BRANNON BRANCH DRIVE
77441
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FULSHEAR
(832) 437-7341
0
ICF/IID: 0
PHONE:
TX
(832) 392-1786
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77441
FAX:
(832) 437-7341
SERVICE TYPE TYPE B
04/05/2018
Page 122 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
DESTINED ASSISTED LIVING FACILITY
15418 BEECHNUT ST
TX
HOUSTON
Phone
County
ULTIMATE PERSONAL CARE
14822 CHARLMONT DR
HOUSTON
Phone
RICHMOND
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(281) 498-6977
License Exp Dt:
77083
FAX:
(281) 498-6977
SERVICE TYPE TYPE B
04/10/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
23330 ALLISTER CT
KATY
(281) 762-7716
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ALWAYS HOME AT SADDLEHORN TRAIL
2635 SADDLEHORN TRAIL
TX
KATY
(713) 562-5363
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Sunday, October 09, 2016
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 12
PRIVATE Beds: 16
ICF/IID: 0
77450
Fax
Cert Alzh Capacity: 12
Cert Alzh Capacity: 0
06 - HOUSTON
AGAPE HERITAGE HOME INC
TOTAL Lic Capacity: 12
TOTAL Lic Capacity: 16
Region
HOUSTON
(281) 498-6977
105228
(713) 562-5363
(281) 392-4212
SERVICE TYPE TYPE A
15318 WILDWOOD GLEN
Reg Svcs:
Facility ID:
FAX:
11/05/2016
UNIT 11
TITLE19: 0
TITLE 18/19:
77083
FAITHLIN M SLAUGHTER
FORT BEND
Phone
06 - HOUSTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
(281) 530-5795
License Exp Dt:
030257
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 498-6977
Facility Information:
Region
HOUSTON
(866) 249-2956
TITLE 18: 0
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
14822 CHARLMONT DR
77083
Fax
TOTAL Lic Capacity: 10
Phone
(281) 750-0901
06/11/2017
UNIT 11
WILDWOOD TERRACE ASSISTED LIVING FACILITY
15318 WILDWOOD GLEN
TX
HOUSTON
77083
AGAPE HERITAGE HOME INC
20334 MEMORIAL PASS DR
KATY
FAX:
Owner Information
FORT BEND
Facility Information:
77406
ULTIMATE PERSONAL CARE INC
PRIVATE Beds: 9
County
(713) 299-4059
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103478
(281) 530-5795
Facility Information:
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 9
County
06 - HOUSTON
4003 LAKE BRAZOS LN
77083
TITLE 18/19:
Facility ID:
Region
DEBO JOKODOLA
FORT BEND
Facility Information:
SERVICE TYPE TYPE B
03/17/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
77083
FAX:
UNIT 11
Fax
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
103716
(281) 762-3381
TOTAL Lic Capacity: 6
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
FAITH PERSONAL HOME CARE #2
16251 BARBAROSSA DR
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FORT BEND
Facility Information:
HOUSTON
(832) 243-4093
TITLE 18: 0
PRIVATE Beds: 5
County
15418 BEECHNUT ST
77083
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
DESTINED ASSISTED LIVING LLC
(832) 243-4463
TOTAL Lic Capacity: 5
Region
UNIT 11
105905
77494
FAX:
(281) 762-7716
SERVICE TYPE TYPE B
12/28/2016
Region
UNIT 15
06 - HOUSTON
Owner Information
104190
2635 SADDLEHORN TRAIL LLC
24624 ROESNER RD
77494
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
KATY
(832) 437-5892
0
ICF/IID: 0
PHONE:
TX
(832) 724-0528
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77494
FAX:
(832) 437-5892
SERVICE TYPE TYPE B
04/07/2018
Page 123 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
ARBOR TERRACE CINCO RANCH
24001 CINCO VILLAGE CENTER BLVD
TX
KATY
Phone
County
Phone
TX
TX
ICF/IID: 0
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
06 - HOUSTON
FAX:
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
KATY CARE GROUP LP
5101 NE 82ND AVE
VANCOUVER
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PHONE:
,STE 200
WA
(214) 800-2820
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
FORT BEND
Facility ID:
78734
05/26/2018
UNIT 15
102652
TITLE 18/19:
(972) 377-3309
License Exp Dt:
Fax
PRIVATE Beds: 66
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 66
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
LAKEWAY
(281) 392-2805
TITLE 18: 0
TOTAL Lic Capacity: 66
PRIVATE Beds: 10
(281) 762-7716
317 MARTINQUE PASS
77494
(281) 599-3334
Cert Alzh Capacity: 0
FAX:
09/01/2017
UNIT 15
CINCO RANCH ALZHEIMERS SPECIAL CARE CENTER
3206 SOUTH FRY RD
TX
KATY
77450
TOTAL Lic Capacity: 10
(713) 562-5363
77494
Owner Information
FORT BEND
(281) 398-6207
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105906
Fax
PRIVATE Beds: 51
Phone
06 - HOUSTON
CARDINAL BAY, INC
Cert Alzh Capacity: 20
COMFY HOME
21819 HOLLOW FIELD LN
KATY
SERVICE TYPE TYPE B
Region
KATY
(281) 762-7716
Reg Svcs:
Facility ID:
(281) 392-2800
Facility Information:
(214) 845-4501
03/12/2018
UNIT 11
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 51
County
FAX:
23330 ALLISTER CT
TITLE 18: 0
CARRIAGE INN-KATY II
1400-B KATY FLEWELLEN ROAD
KATY
Phone
77494
Owner Information
FORT BEND
Facility Information:
(214) 845-4500
License Exp Dt:
77494
Fax
PRIVATE Beds: 10
County
06 - HOUSTON
AGAPE HERITAGE HOME INC
Cert Alzh Capacity: 10
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106235
(713) 562-5363
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 10
County
Region
KATY
TITLE19: 0
BETHEL PLACE
23330 ALLISTER COURT
KATY
SERVICE TYPE TYPE B
24024 WESTHEIMER PARKWAY
77494
TITLE 18/19:
Facility ID:
(502) 357-9441
CINCO RANCH MEMORY CARE LLC
FORT BEND
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 50
40223
12/30/2017
UNIT 15
Fax
Cert Alzh Capacity: 50
(502) 357-9000
License Exp Dt:
105776
(281) 392-2050
TOTAL Lic Capacity: 50
PHONE:
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
AUTUMN LEAVES OF CINCO RANCH
24024 WESTHEIMER PARKWAY
TX
KATY
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FORT BEND
Facility Information:
LOUISVILLE
(281) 395-0745
TITLE 18: 0
PRIVATE Beds: 78
County
10350 ORMSBY PARK PL
77494
Fax
Cert Alzh Capacity: 39
06 - HOUSTON
Owner Information
ARHC SOKTYTX01 TRS, LLC
(281) 395-9600
TOTAL Lic Capacity: 78
Region
UNIT 15
104047
98662
FAX:
(214) 800-2857
SERVICE TYPE TYPE B
08/29/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
100977
COMFY HOME INC
TX
6607 HOLLOWAY SQUARE LANE
77450
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
RICHMOND
(281) 277-2676
0
ICF/IID: 0
PHONE:
TX
(281) 277-0675
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77407
FAX:
(281) 277-2676
SERVICE TYPE TYPE B
08/29/2018
Page 124 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
SUNDANCE AT WOODCREEK RESERVE
1820 WOOD CREEK BEND LN
TX
KATY
Phone
PLANO
TITLE 18: 0
TITLE 18/19:
THE VILLA AT SAVORY SPRINGS LLC
26102 SAVORY SPRINGS LN
TX
KATY
Phone
County
Phone
TX
ICF/IID: 0
PHONE:
,#145
TX
(281) 221-0662
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
77493
FAX:
(281) 395-3496
SERVICE TYPE TYPE B
09/15/2016
Region
UNIT 11
06 - HOUSTON
Owner Information
101283
TX
1738 EASTFIELD DR
77459
Fax
MISSOURI CITY
(281) 438-5629
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
AUTUMN LEAVES OF RIVERSTONE
20313 S. UNIVERSITY BLVD
TX
MISSOURI CITY
(281) 438-1677
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Sunday, October 09, 2016
06 - HOUSTON
SANDRA D BUCHANAN
PRIVATE Beds: 6
PRIVATE Beds: 50
KATY
(281) 395-3496
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 50
SERVICE TYPE TYPE B
Region
UNIT 15
TITLE19: 0
TOTAL Lic Capacity: 6
TOTAL Lic Capacity: 50
(281) 395-0773
10/09/2017
1331 W GRAND PARKWAY N
TITLE 18/19:
(281) 438-1677
(281) 778-2881
FAX:
(281) 395-0139
License Exp Dt:
TITLE 18: 0
ADA'S PERSONAL CARE HOME
2015 EASTFIELD CIR
MISSOURI CITY
Phone
77494
Owner Information
FORT BEND
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77494
Fax
PRIVATE Beds: 12
County
06 - HOUSTON
TUSCANY LIVING MANAGEMENT LLC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
104384
(832) 361-4064
Facility Information:
Region
KATY
(281) 395-6326
Reg Svcs:
TOTAL Lic Capacity: 12
County
SERVICE TYPE TYPE B
26110 WILLOW COLONY LN
TITLE19: 0
TUSCANY LIVING VILLA KATY
28019 NORFOLK TRAIL LANE
KATY
(281) 347-2963
09/23/2017
UNIT 15
77494
TITLE 18/19:
Facility ID:
FAX:
Owner Information
FORT BEND
Facility Information:
77494
(832) 437-0703
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 12
06 - HOUSTON
THE VILLA AT WILLOW COLONY LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102961
(281) 395-8728
TOTAL Lic Capacity: 12
County
ICF/IID: 0
Reg Svcs:
THE VILLA AT WILLOW COLONY LLC
26110 WILLOW COLONY LN
TX
KATY
Phone
KATY
(281) 347-2963
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
26102 SAVORY SPRINGS LN
77494
FORT BEND
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
(903) 939-9937
THE VILLA AT SAVORY SPRINGS LLC
Fax
Cert Alzh Capacity: 0
FAX:
06/10/2017
UNIT 15
103706
(832) 437-0703
TOTAL Lic Capacity: 10
75093
(214) 364-5564
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE E
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 48
County
5301 VILLAGE CREEK DR
77494
Fax
Cert Alzh Capacity: 48
06 - HOUSTON
Owner Information
HUNTINGTON CREEK CAPITAL IV LLC
(281) 347-4450
TOTAL Lic Capacity: 48
Region
UNIT 15
105512
77459
FAX:
(281) 438-5629
SERVICE TYPE TYPE A
04/10/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
104587
RIVERSTONE MEMORY CARE LLC
545 E JOHN CARPENTER FWY
77459
Fax
(281) 778-2888
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
IRVING
0
ICF/IID: 0
PHONE:
,STE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
05/04/2017
Page 125 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
BETHEL HOME CARE
7315 TOWERVIEW LN
MISSOURI CITY
Phone
TX
7315 TOWERVIEW LN
77489
Fax
(281) 437-2956
TITLE 18/19:
CIRCLES AT WRENWAY, LLC
1602 WRENWAY DR
MISSOURI CITY
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ICF/IID: 0
PHONE:
TX
(281) 438-8267
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
06 - HOUSTON
77489
FAX:
(281) 438-2144
SERVICE TYPE TYPE A
09/14/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
ELOISA ROYAL
TX
6407 MISTY CREEK DR.
77489
Fax
TOTAL Lic Capacity: 8
MISSOURI CITY
(281) 416-8663
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
OPTIMUM PERSONAL CARE INC
2019 FM 1092
MISSOURI CITY
(281) 261-4767
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
MISSOURI CITY
(281) 438-2144
030172
(281) 437-9800
PRIVATE Beds: 10
(281) 438-1206
6602 ROCKERGATE
FORT BEND
JOSEPHINES HOME CARE
7510 DAWNBRIAR CT
MISSOURI CITY
FAX:
GOLDEN SPLENDOR INC
TITLE 18/19:
Facility ID:
77489
06/30/2016
UNIT 14
TITLE19: 0
PRIVATE Beds: 7
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(281) 438-1206
License Exp Dt:
102033
Fax
TOTAL Lic Capacity: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 835-0662
TOTAL Lic Capacity: 10
SERVICE TYPE TYPE A
Region
MISSOURI CITY
GOLDEN SPLENDOR PERSONAL CARE HOME
8610 QUAIL VISTA DR
TX
MISSOURI CITY
77489
(281) 208-2320
(281) 741-9945
1502 AUTUMN DAWN CT
77489
FORT BEND
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Facility Information:
77489
11/18/2017
UNIT 14
Fax
Cert Alzh Capacity: 0
County
06 - HOUSTON
GEMELINE M ATLAN
TOTAL Lic Capacity: 6
Phone
(281) 741-9945
License Exp Dt:
050655
(281) 438-9789
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
GEMS QUALITY CARE HOME
1407 RIVER ROCK DR
MISSOURI CITY
County
Region
MISSOURI CITY
(281) 741-9945
FORT BEND
Phone
SERVICE TYPE TYPE A
1602 WRENWAY
TITLE 18: 0
PRIVATE Beds: 5
Facility Information:
(281) 416-2190
Owner Information
77489
Fax
Cert Alzh Capacity: 0
County
FAX:
CIRCLES OF WRENWAY LLC
TOTAL Lic Capacity: 5
Phone
77489
02/04/2018
UNIT 14
104123
(281) 741-9945
Facility Information:
(281) 438-4364
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
Phone
MISSOURI CITY
(281) 416-2190
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
LEWIS CHARLES
TOTAL Lic Capacity: 11
County
Region
UNIT 14
101677
77459
FAX:
SERVICE TYPE TYPE A
09/16/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
030391
OPTIMUM PERSONAL CARE INC
TX
2021 FM 1092
77459
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MISSOURI CITY
(281) 208-3042
0
ICF/IID: 0
PHONE:
TX
(281) 565-4144
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77459
FAX:
(281) 208-3042
SERVICE TYPE TYPE B
08/31/2018
Page 126 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
OPTIMUM PERSONAL CARE INC
2021-A FM 1092 (MURPHY RD)
MISSOURI CITY
Phone
TX
2021 FM 1092
77459
Fax
(281) 403-0789
TITLE 18/19:
OPTIMUM PERSONAL CARE INC
2021 B FM 1092
MISSOURI CITY
TX
TOTAL Lic Capacity: 10
TITLE 18/19:
TX
TX
(281) 208-3042
SERVICE TYPE TYPE B
Region
UNIT 11
06 - HOUSTON
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(281) 768-6700
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE 1690
HOUSTON
(281) 261-1310
77056
FAX:
(281) 768-6719
SERVICE TYPE TYPE B
08/15/2016
Region
UNIT 11
06 - HOUSTON
Owner Information
103822
HILDA L EAGLETON
TX
8202 CANDLEGREEN CT
77459
Fax
HOUSTON
(281) 499-7145
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 771-8735
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Sunday, October 09, 2016
FAX:
08/31/2017
3050 POST OAK BLVD
TITLE 18/19:
PRIVATE Beds: 12
PRIVATE Beds: 10
77459
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(281) 565-4144
License Exp Dt:
77459
Fax
TOTAL Lic Capacity: 12
TOTAL Lic Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
105034
(281) 499-7050
(281) 499-7174
ICF/IID: 0
0
FORT BEND
Phone
06 - HOUSTON
WB OM AL DEVELOPMENT I LLC
PRIVATE Beds: 87
QUALITY LIVING FM 1092
2029 B FM 1092
MISSOURI CITY
SERVICE TYPE TYPE B
Region
MISSOURI CITY
(281) 208-3042
Reg Svcs:
Facility ID:
(281) 261-1217
Facility Information:
(281) 208-3042
2021 FM 1092
TITLE19: 0
Cert Alzh Capacity: 87
County
FAX:
03/19/2017
UNIT 11
77459
TITLE 18/19:
TOTAL Lic Capacity: 87
Phone
77459
Owner Information
FORT BEND
QUALITY LIVING
2029 A FM 1092
MISSOURI CITY
(281) 565-4144
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 10
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030390
Fax
Cert Alzh Capacity: 0
County
06 - HOUSTON
OPTIMUM PERSONAL CARE INC
TOTAL Lic Capacity: 10
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
(281) 208-2318
OYSTER CREEK MANOR
3505 FM 1092
MISSOURI CITY
Region
MISSOURI CITY
(281) 208-3042
FORT BEND
Facility Information:
SERVICE TYPE TYPE B
2021 FM 1092
77459
TITLE19: 0
PRIVATE Beds: 10
County
(281) 208-3042
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
FAX:
OPTIMUM PERSONAL CARE INC
Fax
OPTIMUM PERSONAL CARE INC
2021 FM 1092
MISSOURI CITY
77459
02/22/2018
UNIT 11
101212
(281) 403-0779
Facility Information:
(281) 565-4144
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Phone
MISSOURI CITY
(281) 208-3042
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
OPTIMUM PERSONAL CARE INC
TOTAL Lic Capacity: 10
County
Region
UNIT 11
101213
77071
FAX:
(281) 499-7145
SERVICE TYPE TYPE B
08/19/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
103821
HILDA L EAGLETON
TX
8202 CANDLEGREEN CT
77459
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 499-7145
0
ICF/IID: 0
PHONE:
TX
(713) 771-8735
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77071
FAX:
(281) 499-7145
SERVICE TYPE TYPE B
07/28/2017
Page 127 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
QUALITY PERSONAL CARE HOMES INC
17015 ARTWOOD LN
TX
MISSOURI CITY
Phone
County
Phone
County
SUPREME MEMORY CARE
11750 PADON RD STE B
NEEDVILLE
Phone
TOTAL Lic Capacity: 13
Cert Alzh Capacity: 0
PRIVATE Beds: 13
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
NEEDVILLE
(866) 306-3650
ICF/IID: 0
PHONE:
TX
(832) 282-7363
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
06 - HOUSTON
77461
FAX:
(866) 306-3650
SERVICE TYPE TYPE B
09/19/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
106501
SUPREME MEMORY CARE, LLC
TX
11750 PADON RD
77461
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(832) 282-7383
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE B
NEEDVILLE
(866) 306-3650
FORT BEND
(832) 437-9134
(281) 437-2003
Owner Information
TITLE19: 0
PRIVATE Beds: 16
Phone
FAX:
PO BOX 1289
TITLE 18/19:
Cert Alzh Capacity: 16
LARRY'S LAKE HOUSE, INC,
3418 COLORADO BEND DR.
PARK ROW
77459
03/22/2018
UNIT 11
77461
(832) 282-7363
Facility Information:
(281) 772-6482
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 16
County
06 - HOUSTON
RELIABLE HEALTHCARE SERVICES INC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Facility Information:
ICF/IID: 0
102832
(979) 793-4389
PRIVATE Beds: 16
SERVICE TYPE TYPE A
Region
MISSOURI
(281) 437-2003
Reg Svcs:
Cert Alzh Capacity: 0
(281) 208-1627
2810 TROY DR
TITLE19: 0
TOTAL Lic Capacity: 16
FAX:
11/15/2018
UNIT 11
77459
TITLE 18/19:
RELIABLE OAKS ASSISTED LIVING
11750 PADON RD
TX
NEEDVILLE
Phone
License Exp Dt:
TITLE 18: 0
Facility ID:
(281) 431-8418
77459
Owner Information
FORT BEND
Facility Information:
06 - HOUSTON
SHEPHERD PERSONAL CARE HOME INC
Fax
PRIVATE Beds: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102335
(281) 437-2003
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 7
Region
MISSOURI
(281) 208-1627
TITLE19: 0
SHEPHERD PERSONAL CARE HOME
2810 TROY DR
TX
MISSOURI CITY
SERVICE TYPE TYPE A
543 DALEWOOD DR
TITLE 18/19:
Facility ID:
(281) 208-1627
01/31/2017
UNIT 14
77489
FORT BEND
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
77489
QUALITY PERSONAL CARE HOMES, INC
Fax
Cert Alzh Capacity: 0
(281) 437-1780
License Exp Dt:
000351
(281) 438-9231
TOTAL Lic Capacity: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
QUALITY PERSONAL CARE HOMES, INC
543 DALEWOOD DR
TX
MISSOURI CITY
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FORT BEND
Facility Information:
MISSOURI CITY
(281) 208-1627
TITLE 18: 0
PRIVATE Beds: 7
County
17015 ARTWOOD LN
77489
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
QUALITY PERSONAL CARE HOMES INC
(281) 437-1780
TOTAL Lic Capacity: 7
Region
UNIT 14
100261
77461
FAX:
(866) 306-3650
SERVICE TYPE TYPE B
04/25/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
106601
LARRY'S LAKE HOUSE, INC
TX
3418 COLORADO BEND DR
77494
KATY
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(832) 437-9134
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77494
FAX:
SERVICE TYPE TYPE B
07/14/2018
Page 128 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
AGAPE HERITAGE HOME
1911 GRAND WILLOW LANE
RICHMOND
Phone
TX
23330 ALLISTER CT
77469
Fax
(713) 562-5363
TITLE 18/19:
CLAYTON OAKS LIVING
21175 SOUTHWEST FREEWAY
RICHMOND
TX
TX
TX
(281) 277-0675
License Exp Dt:
77407
FAX:
(281) 277-2676
SERVICE TYPE TYPE B
04/02/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
4003 LAKE BRAZOS LN
77406
RICHMOND
(281) 750-0901
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 299-4059
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
77406
FAX:
(281) 750-0901
SERVICE TYPE TYPE A
12/14/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
106311
PGAL LLC
TX
3603 ALCORM BEND DR
77406
Fax
(281) 232-3214
TOTAL Lic Capacity: 12
SUGAR LAND
(281) 277-4663
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
TITLE 18/19:
SUPREME PERSONAL CARE HOME
7302 CHASE GROVE LANE
TX
RICHMOND
(713) 927-7946
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Sunday, October 09, 2016
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102769
Fax
PRIVATE Beds: 9
PRIVATE Beds: 6
06 - HOUSTON
DEBO JOKODOLA
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
TOTAL Lic Capacity: 6
Region
RICHMOND
(281) 277-2676
TITLE19: 0
(281) 762-3381
(281) 239-2404
SERVICE TYPE TYPE B
6607 HOLLOWAY SQUARE LANE
TITLE 18/19:
FAITH PERSONAL HOME CARE
3718 LAKE EDINBURG
RICHMOND
Phone
(713) 871-1916
08/04/2017
UNIT 11
77407
FORT BEND
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
County
License Exp Dt:
103111
Fax
Cert Alzh Capacity: 0
Phone
(713) 871-0063
77479
COMFY HOME INC
TOTAL Lic Capacity: 9
ROSE HILL ASSISTED LIVING
513 FM 359 RD
RICHMOND
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 238-8040
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
COMFY HOME, INC.
7214 WOODED LAKE LANE
RICHMOND
County
06 - HOUSTON
,SUITE ONE
HOUSTON
(281) 341-6205
FORT BEND
Phone
SERVICE TYPE TYPE B
Region
5325 KATY FREEWAY
TITLE 18: 0
PRIVATE Beds: 108
Facility Information:
(281) 762-7716
Owner Information
77469
Fax
Cert Alzh Capacity: 25
County
FAX:
CLAYTON OAKS LIVING, LTD.
TOTAL Lic Capacity: 108
Phone
77494
10/21/2017
UNIT 15
106184
(281) 341-6205
Facility Information:
(713) 562-5363
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
KATY
(281) 762-7716
TITLE 18: 0
Cert Alzh Capacity: 8
Facility Information:
06 - HOUSTON
Owner Information
AGAPE HERITAGE HOME INC
TOTAL Lic Capacity: 8
County
Region
UNIT 11
103987
77479
FAX:
(281) 277-4663
SERVICE TYPE TYPE B
04/01/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
103236
SUPREME RESIDENTIAL HOME INC.
7302 CHASE GROVE LANE
77469
RICHMOND
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(281) 650-0450
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77407
FAX:
SERVICE TYPE TYPE B
12/23/2016
Page 129 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
TOTAL Lic Capacity: 44
2700 AVENUE N
TITLE 18/19:
THE HAMPTON AT MEADOWS PLACE
11919 W AIRPORT BLVD
TX
STAFFORD
County
ATRIA SUGAR LAND
1401 SOLDIERS FIELD DR
SUGAR LAND
Phone
TX
TX
Region
VIENNA
ICF/IID: 0
TITLE19: 0
PHONE:
VA
06 - HOUSTON
22182
FAX:
(703) 938-6124
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(703) 938-1059
SERVICE TYPE TYPE B
07/22/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
000977
ESC-NGH, LP
TX
111 WESTWOOD PL
77478
Fax
BRENTWOOD
(281) 242-1833
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 400
TN
37027
FAX:
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
COLONIAL OAKS AT FIRST COLONY
13825 LEXINGTON BLVD
TX
SUGAR LAND
Sunday, October 09, 2016
SERVICE TYPE TYPE B
05/12/2017
UNIT 11
(281) 313-2505
FORT BEND
PRIVATE Beds: 93
(502) 779-4749
9605 CLARKS CROSSING ROAD
TITLE 18/19:
PRIVATE Beds: 126
Cert Alzh Capacity: 19
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 24
TOTAL Lic Capacity: 93
40223
(502) 779-4700
License Exp Dt:
77478
(281) 491-6257
(281) 277-0900
PHONE:
,SUITE 300
KY
PROGRAM TYPE: ASSISTED LIVING
030334
Fax
TOTAL Lic Capacity: 126
Phone
ICF/IID: 0
0
FORT BEND
Facility Information:
06 - HOUSTON
COALITION FOR HOUSING OPPORTUNITIES, INC.
PRIVATE Beds: 20
County
LOUISVILLE
(281) 494-9631
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 20
Phone
Region
UNIT 11
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 20
BROOKDALE SUGAR LAND
151 COMMERCE GREEN BLVD
SUGAR LAND
SERVICE TYPE TYPE B
07/30/2017
10350 ORMSBY PARK PLACE
TITLE 18: 0
(281) 313-2500
Facility Information:
(407) 540-2576
Owner Information
FORT BEND
County
FAX:
(407) 650-1000
License Exp Dt:
77479
Fax
PRIVATE Beds: 64
Phone
32801
WG SUGAR LAND SH, LLC
Cert Alzh Capacity: 0
BARTON HOUSE
2229 WILLIAMS TRACE BLVD
SUGAR LAND
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
010284
(281) 494-4200
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 64
County
ORLANDO
(281) 240-0140
TITLE19: 0
TITLE 18/19:
Facility ID:
06 - HOUSTON
450 SOUTH ORANGE AVENUE
77477
FORT BEND
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 246
SERVICE TYPE TYPE B
09/01/2018
CHP MEADOWS PLACE TX TENANT CORP.
Fax
Cert Alzh Capacity: 90
FAX:
UNIT 11
000474
(281) 240-1707
TOTAL Lic Capacity: 246
77471
(281) 344-8444
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 44
Facility Information:
ROSENBURG
(281) 344-1050
TITLE 18: 0
Cert Alzh Capacity: 0
County
ROSENBURG SENIOR LIVING INC
Fax
(281) 344-8444
06 - HOUSTON
Owner Information
CAMBRIDGE SQUARE RETIREMENT CENTER
2700 AVENUE N
TX
ROSENBERG
77471
Phone
Region
UNIT 11
000890
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2016
Region
UNIT 11
06 - HOUSTON
Owner Information
030191
FC COLONIAL OAKS ASSISTED LIVING LTD
510 BERING DR
77478
Fax
(281) 277-3674
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
0
ICF/IID: 0
PHONE:
,STE 210
TX
(713) 780-8100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77057
FAX:
(713) 780-8105
SERVICE TYPE TYPE B
08/05/2016
Page 130 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
TOTAL Lic Capacity: 15
13909 SKYVIEW DR
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
TITLE 18/19:
Fax
(281) 343-8400
TOTAL Lic Capacity: 70
County
TITLE 18/19:
3500 LENOX ROAD NE
ICF/IID: 0
Fax
TOTAL Lic Capacity: 8
County
TITLE 18/19:
MARITT SENIOR LIVING
13534 FERNHILL DR
SUGAR LAND
Phone
TX
ICF/IID: 0
Region
06 - HOUSTON
13711 SOUTHLINE RD
77498
SUGAR LAND
(281) 494-3328
ICF/IID: 0
PHONE:
TX
License Exp Dt:
Reg Svcs:
77498
FAX:
(832) 428-4852
PROGRAM TYPE: ASSISTED LIVING
0
(281) 494-3328
SERVICE TYPE TYPE B
12/05/2016
Region
UNIT 11
06 - HOUSTON
Owner Information
106280
OPTIMUM PERSONAL CARE - SUGAR LAND
1110 LAKEVIEW DR. - WING B
TX
SUGAR LAND
77478
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Owner Information
FORT BEND
PRIVATE Beds: 14
(832) 886-4868
MERCIFUL HANDS ASSISTED LIVING LLC
TITLE 18/19:
Facility ID:
FAX:
02/27/2018
UNIT 11
TITLE19: 0
PRIVATE Beds: 10
Cert Alzh Capacity: 0
06 - HOUSTON
77498
(832) 886-4868
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105254
Fax
TOTAL Lic Capacity: 10
TOTAL Lic Capacity: 14
Region
SUGAR LAND
(832) 886-4868
Reg Svcs:
Facility ID:
(832) 428-4852
(281) 565-4144
SERVICE TYPE TYPE A
07/13/2017
UNIT 11
TITLE19: 0
TITLE 18/19:
MERCIFUL HANDS ASSISTED LIVING LLC
13711 SOUTHLINE RD
TX
SUGAR LAND
Phone
(281) 346-1163
13534 FERNHILL DR
FORT BEND
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
County
77478
(281) 704-1164
License Exp Dt:
77498
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105767
(832) 886-4868
Facility Information:
06 - HOUSTON
MARITT INC
TOTAL Lic Capacity: 9
County
FULSHEAR
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
P.O. BOX 983
(281) 531-0571
FORT BEND
Facility Information:
SERVICE TYPE TYPE A
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC
TITLE19: 0
PRIVATE Beds: 8
(770) 754-3085
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
01/15/2017
UNIT 11
030350
(281) 704-1164
30326
(770) 754-9660
License Exp Dt:
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY
13218 NANTUCKET DR
TX
SUGAR LAND
77478
Phone
PHONE:
GA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
06 - HOUSTON
,STE 510
ATLANTA
(281) 343-8600
FORT BEND
Facility Information:
Region
LSREF GOLDEN OPS 26 (TX) LLC
TITLE19: 0
PRIVATE Beds: 70
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
08/15/2018
UNIT 11
050602
GREATWOOD RETIREMENT AND ASSISTED LIVING COMMUNITY
7001 RIVERBROOK DR
TX
SUGAR LAND
77479
Phone
77498
(281) 750-0797
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Facility Information:
SUGAR LAND
(281) 491-1940
TITLE 18: 0
Cert Alzh Capacity: 0
County
COMBINED GLORY (ALF) - LIMITED LIABILITY COMPANY
Fax
(281) 491-0076
06 - HOUSTON
Owner Information
COMBINED GLORY ASSISTED LIVING FACILITY
13909 SKYVIEW DR
TX
SUGAR LAND
77478
Phone
Region
UNIT 11
010400
OPTIMUM PERSONAL CARE SUGARLAND I LLC
2021 FM 1092 MURPHY RD
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MISSOURI CITY
(281) 208-3042
0
ICF/IID: 0
PHONE:
TX
(281) 565-4144
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77459
FAX:
(281) 208-3042
SERVICE TYPE TYPE B
11/25/2017
Page 131 of 311
County
Reg Svcs:
FORT BEND
Facility Information:
Facility ID:
TOTAL Lic Capacity: 14
2021 FM 1092 MURPHY RD
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
TITLE 18/19:
TOTAL Lic Capacity: 96
County
TITLE 18/19:
THE SYCAMORES AT SUGAR LAND
770 BROOKS ST
TX
SUGAR LAND
Phone
Phone
TX
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(903) 537-4857
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75457
FAX:
(903) 537-2833
SERVICE TYPE TYPE A
12/30/2016
Region
TEAM X
08 - SAN ANTONIO
Owner Information
000716
TX
PO BOX 186
78057
Fax
MOORE
(830) 663-5232
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(830) 665-6068
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GAINES
PRIVATE Beds: 16
04 - TYLER
RHONDA L KORCZYNSKI
PRIVATE Beds: 16
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
MOUNT VERNON
(903) 537-2833
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 16
(206) 694-2705
06/11/2017
TYLER NW TEAM
TITLE19: 0
(830) 665-6068
(432) 758-5802
FAX:
502 MEADOW PARK
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
License Exp Dt:
TITLE 18: 0
COUNTRY VIEW CARE CENTER
1060 NW FM 462
MOORE
MEMORIAL PLACE
300 NW 8TH ST
SEMINOLE
(206) 453-0290
98102
Owner Information
FRIO
Facility Information:
PHONE:
WA
PROGRAM TYPE: ASSISTED LIVING
0
75457
Fax
PRIVATE Beds: 68
County
06 - HOUSTON
K C V T NURSING CENTERS INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000914
(903) 537-4857
Facility Information:
SERVICE TYPE TYPE B
Region
SEATTLE
(281) 491-0449
Reg Svcs:
TOTAL Lic Capacity: 68
County
(419) 247-2826
1910 FAIRVIEW AVE EAST
TITLE19: 0
MOUNT VERNON HOUSE
502 MEADOW PARK
MOUNT VERNON
FAX:
04/01/2017
UNIT 11
77478
TITLE 18/19:
Facility ID:
43615
Owner Information
FRANKLIN
Facility Information:
(419) 247-2800
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 129
06 - HOUSTON
SUGARLAND CARE GROUP, LP
Fax
Cert Alzh Capacity: 43
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
106134
(281) 491-0448
TOTAL Lic Capacity: 129
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
TOLEDO
(281) 277-1020
FORT BEND
Facility Information:
SERVICE TYPE TYPE B
4500 DORR ST
TITLE19: 0
PRIVATE Beds: 96
(281) 208-3042
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 96
FAX:
SUBTENANT 1221 SEVENTH STREET LLC
Fax
(281) 277-1221
77459
11/25/2017
UNIT 11
000320
SILVERADO SENIOR LIVING - SUGAR LAND
1221 SEVENTH ST
TX
SUGAR LAND
77478
Phone
(281) 565-4144
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FORT BEND
Facility Information:
MISSOURI CITY
(281) 208-3042
TITLE 18: 0
Cert Alzh Capacity: 0
County
OPTIMUM PERSONAL CARE SUGARLAND I LLC
Fax
(281) 565-4144
06 - HOUSTON
Owner Information
OPTIMUM PERSONAL CARE-SUGAR LAND
1110 LAKEVIEW DR. WING A
TX
SUGAR LAND
77478
Phone
Region
UNIT 11
106279
78057
FAX:
(830) 663-5232
SERVICE TYPE TYPE A
06/11/2017
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
100794
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
TX
209 NW 8TH ST
79360
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SEMINOLE
(432) 955-0568
0
ICF/IID: 0
PHONE:
TX
(432) 758-5811
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79360
FAX:
(432) 758-4880
SERVICE TYPE TYPE B
02/19/2017
Page 132 of 311
County
Reg Svcs:
GALVESTON
Facility Information:
Facility ID:
LA VITA BELLA
3527 OAK DR
DICKINSON
Phone
TX
718 BEACHCOMBER LN
77539
Fax
(281) 534-9404
TITLE 18/19:
SERENITY GARDENS
1816 GILL RD
DICKINSON
TX
TX
(281) 648-5455
TX
37027
FAX:
(615) 221-8204
SERVICE TYPE TYPE B
08/31/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
118 W WILLOWICK AVE
77546
FRIENDSWOOD
(832) 569-4616
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 569-4616
SERVICE TYPE TYPE B
Region
06 - HOUSTON
CONCORD ASSISTED LIVING LLC
1516 HARBORVIEW CIRCLE
77550
TITLE 18/19:
GALVESTON
(409) 762-1010
ICF/IID: 0
PHONE:
TX
(409) 765-1353
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
GALVESTON
Facility ID:
FAX:
06/22/2018
UNIT 14
TITLE19: 0
PRIVATE Beds: 12
77546
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(832) 569-4517
License Exp Dt:
030105
Fax
TOTAL Lic Capacity: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(409) 765-1353
Sunday, October 09, 2016
(615) 221-2250
License Exp Dt:
106575
Fax
CONCORD ASSISTED LIVING LLC
1516 HARBORVIEW CIR
TX
GALVESTON
PRIVATE Beds: 14
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Cert Alzh Capacity: 0
06 - HOUSTON
SERENITY ALF, LLC
PRIVATE Beds: 16
TOTAL Lic Capacity: 14
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 16
(409) 789-7611
BRENTWOOD
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
(832) 738-1061
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
TITLE 18: 0
(832) 569-4517
CONCORD ON BROADWAY
1601 BROADWAY
GALVESTON
FAX:
Owner Information
GALVESTON
Facility Information:
77539
03/21/2018
UNIT 13
77546
Fax
PRIVATE Beds: 120
County
06 - HOUSTON
SUMMERVILLE AT FRIENDSWOOD ASSOCIATES LP
Cert Alzh Capacity: 45
Phone
(832) 738-1576
License Exp Dt:
030422
(281) 648-5454
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 120
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BROOKDALE FRIENDSWOOD
1310 FRIENDSWOOD DR SOUTH
FRIENDSWOOD
Phone
Region
DICKINSON
(832) 738-1061
GALVESTON
SERENITY GARDENS
118 W WILLOWICK AVE
FRIENDSWOOD
SERVICE TYPE TYPE B
1816 GILL RD
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
(281) 488-8508
Owner Information
77539
Fax
Cert Alzh Capacity: 16
County
FAX:
SERENITY PCH LLC
TOTAL Lic Capacity: 16
Phone
77062
07/23/2017
UNIT 14
105010
(832) 738-1576
Facility Information:
(281) 488-7907
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Phone
HOUSTON
(281) 534-9384
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
LAMPSON ASSISTED LIVING INC
TOTAL Lic Capacity: 16
County
Region
UNIT 14
000842
77550
FAX:
(409) 765-5084
SERVICE TYPE TYPE A
02/15/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
030214
REEJUD ENTERPRISES INC
TX
2200 MARKET ST
77550
GALVESTON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(409) 729-7611
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77550
FAX:
SERVICE TYPE TYPE B
12/20/2017
Page 133 of 311
County
Reg Svcs:
GALVESTON
Facility Information:
Facility ID:
Fax
(409) 762-6661
TOTAL Lic Capacity: 24
1528 POSTOFFICE ST
TITLE 18/19:
ICF/IID: 0
Fax
(409) 762-6661
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
SEASONS PERSONAL CARE HOME
6714 DELANEY RD
TX
HITCHCOCK
Phone
County
(409) 797-4176
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
PRIVATE Beds: 9
Sunday, October 09, 2016
(409) 762-6661
License Exp Dt:
06 - HOUSTON
77550
FAX:
(409) 762-9961
SERVICE TYPE TYPE B
09/10/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
6714 DELANEY RD
HITCHCOCK
(409) 316-9376
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(409) 986-8888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
77563
TITLE 18/19:
DOLL HOUSE ENTERPRISE LLC
1031 LAUREL
LA MARQUE
Phone
ICF/IID: 0
0
GALVESTON
Facility Information:
Region
GALVESTON
(409) 741-1523
TITLE 18: 0
PRIVATE Beds: 10
SERVICE TYPE TYPE B
RITA M KETTERL
Fax
Cert Alzh Capacity: 0
(409) 762-9961
1528 POSTOFFICE ST
104947
(409) 986-8888
TOTAL Lic Capacity: 10
FAX:
TRANSITIONAL LEARNING CENTER AT GALVESTON
Reg Svcs:
Facility ID:
77550
Owner Information
GALVESTON
Facility Information:
06 - HOUSTON
10/06/2017
UNIT 14
TITLE19: 0
PRIVATE Beds: 16
(409) 762-6661
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101922
(409) 741-3266
SERVICE TYPE TYPE B
Region
GALVESTON
TRANSITIONAL LEARNING CENTER AT GALVESTON TIDEWAY
6444 CENTRAL CITY BLVD
TX
GALVESTON
77551
Phone
(409) 762-9961
1528 POSTOFFICE ST
ICF/IID: 0
Reg Svcs:
Facility ID:
FAX:
TRANSITIONAL LEARNING CENTER AT GALVESTON
(409) 741-1523
GALVESTON
Facility Information:
77550
10/06/2018
UNIT 14
TITLE19: 0
PRIVATE Beds: 16
06 - HOUSTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(409) 762-6661
License Exp Dt:
102680
(409) 741-3266
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRANSITIONAL LEARNING CENTER AT GALVESTON - TIDEWAY SOUTH
6444 CENTRAL CITY BOULEVARD
TX
GALVESTON
77551
Phone
Region
GALVESTON
(409) 762-9961
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
1528 POSTOFFICE ST
GALVESTON
Facility Information:
(409) 762-9961
TRANSITIONAL LEARNING CENTER AT GALVESTON
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
77550
08/31/2018
UNIT 14
101548
TRANSITIONAL LEARNING CENTER AT GALVESTON
1527 MARKET ST
TX
GALVESTON
77550
Phone
(409) 762-6661
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Facility Information:
GALVESTON
(409) 762-9961
TITLE19: 0
PRIVATE Beds: 24
County
TRANSITIONAL LEARNING CENTER AT GALVESTON
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
TRANSITIONAL LEARNING CENTER AT GALVESTON
1528 POSTOFFICE ST
TX
GALVESTON
77550
Phone
Region
UNIT 14
000551
77563
FAX:
(409) 316-9376
SERVICE TYPE TYPE B
05/15/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
030287
DOLL HOUSE ENTERPRISE LLC
TX
1031 LAUREL STREET
77568
LAMARQUE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(409) 797-4176
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77568
FAX:
SERVICE TYPE TYPE B
08/13/2017
Page 134 of 311
County
Reg Svcs:
GALVESTON
Facility Information:
Facility ID:
LAUREL HOUSE
1109 HOLLY
LA MARQUE
Phone
TX
1109 HOLLY ST
77568
LA MARQUE
Fax
(409) 935-2625
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
THE MILDRED HOUSE INC
1515 4TH AVE
LA MARQUE
TX
TX
ICF/IID: 0
TX
FAX:
(832) 932-5020
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
1440 LAKE FRONT CIRCLE
THE WOODLANDS
(281) 664-3279
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 664-3279
SERVICE TYPE TYPE B
Region
06 - HOUSTON
WALKER SENIOR CARE LLC
1000 LEGION PL
77573
TITLE 18/19:
ORLANDO
(832) 769-3594
ICF/IID: 0
Reg Svcs:
32801
FAX:
(407) 999-7775
SERVICE TYPE TYPE B
04/02/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
REGAL ESTATES ASSISTED LIVING COMMUNITY
500 ENTERPRISE DR
TX
LEAGUE CITY
77573-2920
LSREF GOLDEN OPS 26 (TX) LLC
3500 LENOX ROAD NE
ATLANTA
(281) 538-9664
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
(407) 999-2400
License Exp Dt:
050601
Fax
PHONE:
,STE 1750
FL
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Facility ID:
FAX:
04/11/2018
UNIT 14
TITLE19: 0
PRIVATE Beds: 136
77380
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 75
(281) 363-2600
License Exp Dt:
105782
Fax
TOTAL Lic Capacity: 136
PHONE:
,STE 110
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 369-4404
Sunday, October 09, 2016
77573
10/31/2016
UNIT 14
77573
Fax
ORCHARD PARK AT VICTORY LAKES
2760 W. WALKER STREET
TX
LEAGUE CITY
PRIVATE Beds: 142
(832) 932-5020
License Exp Dt:
106261
GALVESTON
Cert Alzh Capacity: 0
06 - HOUSTON
HAPPY HARBOR METHODIST HOME INC
PRIVATE Beds: 68
TOTAL Lic Capacity: 142
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 24
(281) 538-5993
Region
LEAGUE CITY
(832) 932-5020
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 68
Phone
SERVICE TYPE TYPE B
2019 SUNSET COURT SOUTH
TITLE 18: 0
(281) 724-2345
Facility Information:
FAX:
Owner Information
GALVESTON
County
77568
01/02/2017
UNIT 14
77573
Fax
PRIVATE Beds: 8
Phone
(409) 933-1219
License Exp Dt:
105074
(832) 932-5020
Facility Information:
06 - HOUSTON
BRAWNER SUNSET HAVEN LLC
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
BRAWNER SUNSET HAVEN LLC
2019 SUNSET COURT SOUTH
LEAGUE CITY
MRC THE CROSSINGS
255 N. EGRET BAY BLVD
LEAGUE CITY
LAMARQUE
(409) 933-1812
GALVESTON
Facility Information:
Region
1515 4TH AVENUE
TITLE 18: 0
PRIVATE Beds: 10
County
SERVICE TYPE TYPE B
Owner Information
77568
Fax
Cert Alzh Capacity: 0
Phone
FAX:
01/07/2017
UNIT 14
030348
(409) 933-1219
Facility Information:
77568
VERSIE M BLACKMON
TOTAL Lic Capacity: 10
County
(832) 561-1402
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 13
Facility Information:
06 - HOUSTON
Owner Information
BALLIEW ASSISTED LIVING INC
TOTAL Lic Capacity: 13
County
Region
UNIT 14
030166
0
ICF/IID: 0
PHONE:
,STE 510
GA
(770) 754-9660
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
30326
FAX:
(770) 754-3085
SERVICE TYPE TYPE A
01/15/2017
Page 135 of 311
County
Reg Svcs:
GALVESTON
Facility Information:
Facility ID:
SENIOR VILLAGE
501 NEWPORT BLVD
LEAGUE CITY
Phone
TX
10203 WEST PALM LAKE DR
77573
Fax
(832) 632-1188
TITLE 18/19:
THE COTTAGES AT CLEAR LAKE
400 LANDING BLVD.
TX
LEAGUE CITY
(281) 554-8607
Phone
Phone
ICF/IID: 0
License Exp Dt:
PRIVATE Beds: 10
Sunday, October 09, 2016
75205
FAX:
(214) 526-7965
SERVICE TYPE TYPE B
10/08/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
TX
9510 ORMSBY STATION RD
77591
Fax
LOUISVILLE
(409) 933-0658
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(502) 753-6004
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 101
KY
PROGRAM TYPE: ASSISTED LIVING
0
40223
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/10/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
030097
GAMBLES PERSONAL TOUCH CARE HOME
501 N AMBURN RD
TX
TEXAS CITY
77591
Cert Alzh Capacity: 0
(214) 526-0021
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
TOTAL Lic Capacity: 10
PHONE:
TX
ESL MAINLAND OPERATIONS LLC
PRIVATE Beds: 108
(409) 935-5655
06 - HOUSTON
,STE 211
DALLAS
(281) 554-8607
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(214) 526-7965
SERVICE TYPE TYPE B
Region
4514 TRAVIS ST
000694
(409) 935-6620
Facility Information:
FAX:
Owner Information
TITLE19: 0
TOTAL Lic Capacity: 108
County
75205
10/08/2017
UNIT 14
77573
TITLE 18/19:
ELMCROFT OF THE MAINLAND
1901 N AMBURN RD
TEXAS CITY
Phone
License Exp Dt:
TITLE 18: 0
Facility ID:
(214) 526-0021
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Facility Information:
PHONE:
TX
CLEAR LAKE COTTAGES LTD
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
010241
(281) 316-4281
Cert Alzh Capacity: 16
06 - HOUSTON
,STE 211
DALLAS
(281) 554-8607
Reg Svcs:
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
Region
4514 TRAVIS ST
TITLE19: 0
THE COTTAGES AT CLEAR LAKE I I
450 LANDING BLVD
TX
LEAGUE CITY
(214) 526-7965
05/01/2017
UNIT 14
77573
TITLE 18/19:
Facility ID:
FAX:
Owner Information
GALVESTON
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
(214) 526-0021
75205
CLEAR LAKE COTTAGES LTD
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
010237
(281) 316-4281
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
THE COTTAGES AT CLEAR LAKE I
450 LANDING BLVD
TX
LEAGUE CITY
06 - HOUSTON
,STE 211
DALLAS
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
4514 TRAVIS ST
77573
GALVESTON
Facility Information:
(932) 632-1184
Owner Information
TITLE 18: 0
PRIVATE Beds: 72
FAX:
CLEAR LAKE COTTAGES LTD
Fax
Cert Alzh Capacity: 72
77034
04/02/2017
UNIT 14
105485
(281) 316-4281
TOTAL Lic Capacity: 72
(832) 794-0390
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
HOUSTON
(832) 632-2587
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
NRASHAH INC
TOTAL Lic Capacity: 8
County
Region
UNIT 14
106178
CARING HANDS ASSISTED LIVING, LLC
726 DUNWICK LN
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PASADENA
(409) 938-4349
0
ICF/IID: 0
PHONE:
TX
(888) 672-2221
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77502
FAX:
(832) 202-2688
SERVICE TYPE TYPE B
05/16/2017
Page 136 of 311
County
Reg Svcs:
GALVESTON
Facility Information:
H R A VILLAGE INC
905 HWY 3 N
TEXAS CITY
Phone
Facility ID:
TX
905 HWY 3 N
77591
Fax
(409) 935-4335
TITLE 18/19:
TX
TX
ICF/IID: 0
08 - SAN ANTONIO
02458
FAX:
(617) 219-1435
SERVICE TYPE TYPE B
02/07/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
000530
KNOPP ASSISTED LIVING CENTER INC
202 BILLIE DR
78624
Fax
FREDERICKSBURG
(830) 990-4731
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(830) 997-7924
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(617) 796-8387
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
GILLESPIE
Sunday, October 09, 2016
Region
NEWTON
(830) 997-4374
TITLE19: 0
PRIVATE Beds: 60
PRIVATE Beds: 60
SERVICE TYPE TYPE A
400 CENTRE ST
TITLE 18/19:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 60
TOTAL Lic Capacity: 60
78738
09/01/2018
TEAM X
78624
(830) 997-7924
(830) 997-4426
(512) 422-8787
License Exp Dt:
030089
Fax
KNOPP ASSISTED LIVING CENTER INC
202 BILLIE DR
TX
FREDERICKSBURG
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GILLESPIE
KNOPP RETIREMENT CENTER
103 E TRAILMOOR DR
FREDERICKSBURG
08 - SAN ANTONIO
FSQC-TX LLC
PRIVATE Beds: 70
Facility Information:
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
Region
AUSTIN
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 70
Phone
(409) 935-4153
18025 GLENVILLE COVE
78624
(830) 997-9406
Facility Information:
FAX:
LLV1, LP
TITLE 18: 0
Facility ID:
77591
Owner Information
GILLESPIE
County
06 - HOUSTON
04/05/2018
TEAM W
Fax
PRIVATE Beds: 16
(409) 935-4335
License Exp Dt:
101386
(512) 422-8787
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CELESTECARE OF FREDERICKSBURG
2230 N LLANO
TX
FREDERICKSBURG
HERITAGE PLACE
96 FREDERICK RD
FREDERICKSBURG
Region
TEXAS CITY
(409) 935-4153
GILLESPIE
Facility Information:
SERVICE TYPE TYPE B
905 HWY 3 N
TITLE 18: 0
PRIVATE Beds: 14
County
(409) 935-4153
Owner Information
77591
Fax
Cert Alzh Capacity: 0
Phone
FAX:
06/21/2017
UNIT 13
000443
(409) 935-4335
Facility Information:
77591
HRA VILLAGE INCORPORATED
TOTAL Lic Capacity: 14
County
(409) 935-4335
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GALVESTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
THE INDEPENDENCE VILLAGE
905 HWY 3 N
TEXAS CITY
TEXAS CITY
(409) 935-4153
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
HRA VILLAGE INCORPORATED
TOTAL Lic Capacity: 16
County
Region
UNIT 13
101040
78624
FAX:
(830) 990-4731
SERVICE TYPE TYPE B
06/01/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000552
KNOPP RETIREMENT CENTER INC
TX
103 E TRAILMOOR
78624
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FREDERICKSBURG
(830) 997-5245
0
ICF/IID: 0
PHONE:
TX
(830) 997-5349
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78624
FAX:
(830) 990-4731
SERVICE TYPE TYPE B
06/01/2017
Page 137 of 311
County
Reg Svcs:
GILLESPIE
Facility Information:
Facility ID:
Fax
(830) 990-9007
TOTAL Lic Capacity: 16
TITLE 18/19:
THE ROMBERG HOUSE
210 QUALLS ST
GONZALES
Phone
(830) 672-7446
TX
TX
FAX:
(210) 826-8548
SERVICE TYPE TYPE A
05/15/2017
Region
HIGH PLAINS GERI 1
330 N WABASH
CHICAGO
(806) 665-2599
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
01 - LUBBOCK
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
100516
CRAWFORD STREET PLACE INC
3110 NORTHPOINT
75020
Fax
SHERMAN
(903) 463-0431
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 892-1695
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
GRAYSON
Sunday, October 09, 2016
78629
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
PRIVATE Beds: 36
(830) 672-8249
License Exp Dt:
79065
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
08 - SAN ANTONIO
MEREDITH AID OPCO LLC
TOTAL Lic Capacity: 11
TOTAL Lic Capacity: 36
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000434
(903) 463-0400
(903) 463-1323
ICF/IID: 0
Reg Svcs:
Facility ID:
CRAWFORD STREET PLACE, INC
4318 CRAWFORD ST RD
TX
DENISON
Phone
SERVICE TYPE TYPE B
Region
GONZALES
(830) 672-2493
GRAYSON
GRAYSON PLACE
3001 CRAWFORD ST
DENISON
(717) 731-9665
12/01/2016
TEAM W
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 43
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
17011
210 QUALLS
Fax
TOTAL Lic Capacity: 43
Phone
License Exp Dt:
78629
(806) 665-5668
Facility Information:
(717) 731-9660
PROGRAM TYPE: ASSISTED LIVING
0
GRAY
County
PHONE:
PA
210 QUALLS LLC
PRIVATE Beds: 16
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
MEREDITH PLACE
812 W 25TH ST
PAMPA
08 - SAN ANTONIO
,STE 202
CAMP HILL
030010
(830) 672-8249
Facility Information:
SERVICE TYPE TYPE B
Region
3500 MARKET ST
TITLE19: 0
TOTAL Lic Capacity: 16
County
(830) 990-8000
04/01/2018
TEAM W
78629
TITLE 18/19:
Facility ID:
FAX:
Owner Information
GONZALES
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 8
(830) 900-9007
78624
POST ACUTE MEDICAL OUTPATIENT CLINICS, LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
000702
(830) 672-6596
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
THE BRAIN INJURY LIFECARE CENTER
239 PRIVATE ROAD 5091
TX
GONZALES
Phone
FREDRICKSBURG
0
GONZALES
Facility Information:
106 HERITAGE HILLS DR
TITLE19: 0
PRIVATE Beds: 16
County
MORNING STAR MEMORY CARE OF FREDRICKSBURG TEXAS LLC
(830) 990-8000
TITLE 18: 0
Cert Alzh Capacity: 16
08 - SAN ANTONIO
Owner Information
MORNING STAR MEMORY CARE OF FREDERICKSBURG TEXAS LLC
106 HERITAGE HILLS DR
TX
FREDERICKSBURG
78624
Phone
Region
TEAM W
104847
75090
FAX:
(903) 892-1695
SERVICE TYPE TYPE A
01/23/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
000999
KATY AID OPCO LLC
TX
330 N WABASH
75020
Fax
(903) 463-4780
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 138 of 311
County
Reg Svcs:
GRAYSON
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
1100 REBA MCENTIRE LANE
DENISON
TITLE 18: 0
Cert Alzh Capacity: 16
TITLE 18/19:
NANAWS PLACE
1100 W MUNSON ST
DENISON
Phone
TX
DENISON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(903) 465-5051
TOTAL Lic Capacity: 60
TITLE 18/19:
Phone
TX
03 - ARLINGTON
75020
FAX:
(903) 465-6498
SERVICE TYPE TYPE A
02/23/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
EMERITUS CORPORATION
6737 W. WASHINGTON STREET
75092
MILWAUKEE
(903) 891-3770
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,SUITE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HOME TO YOU
243 INDEPENDENCE SPRINGS RD
TX
SHERMAN
(903) 465-6463
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GRAYSON
Sunday, October 09, 2016
ICF/IID: 0
030070
Fax
PRIVATE Beds: 75
PRIVATE Beds: 14
Region
DENISON
(903) 465-6498
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 20
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
01/01/2018
TEAM 1
TITLE19: 0
TOTAL Lic Capacity: 75
TOTAL Lic Capacity: 14
(866) 684-0884
2800 LOY LAKE RD
TITLE 18/19:
(903) 891-3737
(903) 893-7093
License Exp Dt:
TITLE 18: 0
BROOKDALE WILLOWS SHERMAN
3410 POST OAK CROSSING
TX
SHERMAN
Phone
FAX:
Owner Information
GRAYSON
Facility Information:
75090
(214) 306-7674
PROGRAM TYPE: ASSISTED LIVING
0
75020
Fax
PRIVATE Beds: 72
County
PHONE:
TX
WESLEY VILLAGE RETIREMENT HOME INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000765
(903) 465-6463
Facility Information:
SHERMAN
(903) 465-4711
Reg Svcs:
TOTAL Lic Capacity: 72
County
03 - ARLINGTON
885 CAMPGROUND RD
GRAYSON
Facility ID:
Region
STONEBROOK ASSISTED LIVING LLC
TITLE19: 0
PRIVATE Beds: 60
SERVICE TYPE TYPE B
12/15/2016
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 30
FAX:
TEAM 1
000463
STONE BROOK ASSISTED LIVING AND MEMORY CARE
1616 LIFESEARCH WAY
TX
DENISON
75020
WESLEY VILLAGE
2800 LOY LAKE RD
DENISON
03 - ARLINGTON
75020
(903) 361-5044
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GRAYSON
Facility Information:
Region
1204 W BULLOCK
75020
TITLE 18: 0
PRIVATE Beds: 9
County
SERVICE TYPE TYPE B
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
(903) 463-0431
06/21/2018
TEAM 1
104136
(903) 375-7600
Facility Information:
FAX:
DONNA HIGGINBOTHAM
TOTAL Lic Capacity: 9
County
75020
(903) 337-1625
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GRAYSON
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
County
LEGACY ASSISTED LIVING AND MEMORY CARE INC
Fax
(903) 337-1625
03 - ARLINGTON
Owner Information
LEGACY ASSISTED LIVING AND MEMORY CARE INC
1100 REBA MCENTIRE LANE
TX
DENISON
75020
Phone
Region
TEAM 1
105115
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
07/31/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
000795
JESSLEEDRA CORPORATION
243 INDEPENDENCE SPRINGS RD
75090
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SHERMAN
(903) 893-7093
0
ICF/IID: 0
PHONE:
TX
(903) 893-7093
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75090
FAX:
(903) 893-2805
SERVICE TYPE TYPE A
09/01/2017
Page 139 of 311
County
Reg Svcs:
GRAYSON
Facility Information:
Facility ID:
Fax
(903) 892-9100
TOTAL Lic Capacity: 70
TITLE 18/19:
PRESTON PLACE
620 BLANTON DR
SHERMAN
Phone
TX
ICF/IID: 0
License Exp Dt:
TX
(903) 868-1877
ICF/IID: 0
Region
ALLEN
(903) 893-4262
ICF/IID: 0
PHONE:
TX
(817) 984-4404
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
03 - ARLINGTON
75013
FAX:
(903) 215-8581
SERVICE TYPE TYPE B
10/01/2017
Region
TEAM 1
03 - ARLINGTON
Owner Information
101205
REED FRANCIS COMPANY
TX
6313 OLD SHERMAN RD
76273
Fax
WHITESBORO
(903) 564-5405
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
TITLE 18/19:
(903) 564-7466
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GREGG
Sunday, October 09, 2016
SERVICE TYPE TYPE B
02/28/2018
TEAM 1
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 67
(503) 431-2320
117 W MAIN ST
TITLE 18/19:
TOTAL Lic Capacity: 15
Cert Alzh Capacity: 24
FAX:
Owner Information
TITLE 18: 0
(903) 564-7466
TOTAL Lic Capacity: 67
(503) 586-7309
97035
SHERMAN SENIOR LIVING LLC
Fax
Facility ID:
PHONE:
License Exp Dt:
104670
GRAYSON
(903) 984-8839
03 - ARLINGTON
,STE 500
OR
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 76
Phone
Region
LAKE OSWEGO
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 35
ARABELLA OF KILGORE
2103 CHANDLER ST
KILGORE
SERVICE TYPE TYPE B
07/11/2017
5585 MEADOWS RD
TITLE 18: 0
(903) 893-4282
Facility Information:
(312) 332-5300
Owner Information
75090
Fax
TOTAL Lic Capacity: 76
County
FAX:
TEAM 1
000690
TRADITIONS SENIOR LIVING AND MEMORY CARE
505 NORTH FM 1417
TX
SHERMAN
75092
Phone
60611
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
0
GRAYSON
JUST LIKE HOME
6313 OLD SHERMAN RD
WHITESBORO
PHONE:
IL
HARVEST RENAISSANCE - SHERMAN LLC
PRIVATE Beds: 40
Facility Information:
03 - ARLINGTON
,STE 3700
CHICAGO
(903) 870-0279
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
TEAM 1
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 40
Phone
SERVICE TYPE TYPE B
09/10/2016
330 N WABASH AVE
TITLE 18: 0
(903) 868-2200
Facility Information:
(512) 391-4776
Owner Information
GRAYSON
County
FAX:
(512) 305-4776
License Exp Dt:
75092
Fax
PRIVATE Beds: 48
Phone
75254
PRESTON AID OPCO LLC
Cert Alzh Capacity: 0
RENAISSANCE - SHERMAN
3701 LOY LAKE RD
SHERMAN
PHONE:
,SUITE 300
TX
PROGRAM TYPE: ASSISTED LIVING
000972
(903) 892-6937
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 48
County
DALLAS
0
GRAYSON
Facility Information:
14160 DALLAS PARKWAY
TITLE19: 0
PRIVATE Beds: 70
County
CSL S SHERMAN LLC
(903) 892-2200
TITLE 18: 0
Cert Alzh Capacity: 16
03 - ARLINGTON
Owner Information
PECAN POINT ASSISTED LIVING AND MEMORY CARE COMMUNITY
1011 E. PECAN GROVE RD
TX
SHERMAN
75090
Phone
Region
TEAM 1
102688
76273
FAX:
(903) 564-5405
SERVICE TYPE TYPE B
10/24/2017
Region
TYLER SE TEAM
04 - TYLER
Owner Information
100561
KAL 2016 LLC
TX
3973 W VICKERY BLVD
75662
FORT WORTH
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 101
TX
(817) 386-8888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76107
FAX:
(817) 386-8324
SERVICE TYPE TYPE B
04/01/2018
Page 140 of 311
County
Reg Svcs:
GREGG
Facility Information:
ALPINE HOUSE
2104 ALPINE RD
LONGVIEW
Phone
Facility ID:
TX
6933 CRUMPLER BLVD
75601
Fax
(903) 234-8600
OLIVE BRANCH
(903) 234-1149
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 36
TITLE 18/19:
Fax
(903) 663-8886
TOTAL Lic Capacity: 92
County
TITLE 18/19:
BOYDS HOME
315 E CLIFFWOOD
LONGVIEW
Phone
TX
TX
(903) 757-2491
ICF/IID: 0
04 - TYLER
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2018
Region
TYLER SE TEAM
04 - TYLER
Owner Information
BUCKNER RETIREMENT SERVICES INC
700 N PEARL ST
75605
DALLAS
(903) 234-0909
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 1200
TX
(214) 758-8000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
GREGG
DEBORAH NALLS FOSTER CARE
512 N 2ND ST
TX
LONGVIEW
(414) 918-5441
License Exp Dt:
100157
Fax
Facility ID:
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 61
Sunday, October 09, 2016
(903) 643-3203
SERVICE TYPE TYPE C
Region
BRENTWOOD
TITLE19: 0
Cert Alzh Capacity: 25
PRIVATE Beds: 4
FAX:
Owner Information
111 WESTWOOD PL
TITLE 18/19:
TOTAL Lic Capacity: 61
Cert Alzh Capacity: 0
75603
12/27/2016
TYLER SE TEAM
75605
(903) 234-0000
TOTAL Lic Capacity: 4
(903) 643-9990
License Exp Dt:
TITLE 18: 0
BUCKNER WESTMINSTER PLACE
2201 HORSESHOE LN
TX
LONGVIEW
(903) 236-0606
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GREGG
Phone
ICF/IID: 0
000382
Fax
PRIVATE Beds: 80
Facility Information:
04 - TYLER
ESC IV LP
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
LONGVIEW
(903) 643-3203
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 80
Phone
(903) 566-8506
10/01/2017
TYLER SE TEAM
TITLE19: 0
TITLE 18/19:
(903) 757-6020
Facility Information:
FAX:
315 E CLIFFWOOD
GREGG
County
75605
Owner Information
TITLE 18: 0
PRIVATE Beds: 4
Phone
(903) 239-2437
License Exp Dt:
75603
Fax
Cert Alzh Capacity: 0
BROOKDALE LONGVIEW
2920 N EASTMAN RD
LONGVIEW
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103314
(903) 643-9990
Facility Information:
04 - TYLER
WILLIE E BOYD
TOTAL Lic Capacity: 4
County
Region
LONGVIEW
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
1155 E. HAWKINS
(903) 566-8506
GREGG
Facility Information:
(662) 895-1804
ARABELLA OF LONGVIEW ASSISTED LIVING, LLC
TITLE19: 0
PRIVATE Beds: 92
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 32
38654
01/01/2017
TYLER SE TEAM
106015
ARABELLA OF LONGVIEW ASSISTED LIVING AND MEMORY CARE
1155 E. HAWKINS PWKY
TX
LONGVIEW
75605
Phone
(662) 895-1801
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE A
MS
PROGRAM TYPE: ASSISTED LIVING
0
GREGG
Facility Information:
04 - TYLER
Owner Information
VERITAS INCARE, LLC
TOTAL Lic Capacity: 36
County
Region
TYLER SE TEAM
000965
75201
FAX:
(214) 758-8153
SERVICE TYPE TYPE B
10/16/2017
Region
TYLER SE TEAM
04 - TYLER
Owner Information
001231
DEBORAH E NALLS
512 N 2ND ST
75601
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LONGVIEW
(903) 236-0606
0
ICF/IID: 0
TX
PHONE:
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75601
SERVICE TYPE TYPE C
07/10/2016
Page 141 of 311
County
Reg Svcs:
GREGG
Facility Information:
EMMANUEL HOMES
812 S GREEN
LONGVIEW
Phone
Facility ID:
TX
PO BOX 8664
75602
Fax
(903) 238-9723
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TOTAL Lic Capacity: 70
TITLE 18/19:
TX
TX
Sunday, October 09, 2016
PHONE:
,SUITE 200
TX
(214) 916-5750
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75206
FAX:
SERVICE TYPE TYPE B
07/01/2017
Region
TYLER SE TEAM
04 - TYLER
Owner Information
001178
611 E BUCHANAN AVE
75602
LONGVIEW
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 753-4517
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
NEW LIFE OUTREACH BOARDING HOME
2016 S HIGH ST
TX
LONGVIEW
PRIVATE Beds: 12
ICF/IID: 0
0
GREGG
Cert Alzh Capacity: 0
04 - TYLER
MARY HIGGS
PRIVATE Beds: 4
TOTAL Lic Capacity: 12
DALLAS
(903) 758-7984
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(903) 758-2866
SERVICE TYPE TYPE B
Region
TYLER SE TEAM
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 4
Phone
(972) 387-8216
09/10/2016
5910 N CENTRAL EXPRESSWAY
TITLE 18: 0
(903) 753-4517
Facility Information:
FAX:
Owner Information
GREGG
County
(972) 308-8366
License Exp Dt:
75604
Fax
PRIVATE Beds: 82
Phone
PHONE:
75254
HEART FOUNTAINVIEW PARTNERS, LP
Cert Alzh Capacity: 22
HIGGS FOSTER HOME 1
611 E BUCHANAN AVE
LONGVIEW
04 - TYLER
,SUITE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
105642
(903) 291-0020
Facility Information:
DALLAS
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 82
County
(903) 234-8138
SERVICE TYPE TYPE A
Region
14160 DALLAS PARKWAY
(903) 663-0529
GREGG
Facility ID:
FAX:
CSL S LONGVIEW LLC
TITLE19: 0
PRIVATE Beds: 70
75602
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
Phone
04 - TYLER
07/08/2017
TYLER SE TEAM
102944
(903) 663-1079
(903) 315-8302
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAWKINS CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY
311 E HAWKINS PKWY
TX
LONGVIEW
75605
HEARTIS LONGVIEW
1408 LAGO TRL
LONGVIEW
Region
LONGVIEW
(903) 297-4999
GREGG
Facility Information:
SERVICE TYPE TYPE A
1206 BERRY LN
TITLE 18: 0
PRIVATE Beds: 12
County
(903) 297-4999
Owner Information
75602
Fax
Cert Alzh Capacity: 0
Phone
FAX:
06/02/2017
TYLER SE TEAM
104611
(903) 553-0413
Facility Information:
75602
LATONYA WILLIE-POLK
TOTAL Lic Capacity: 12
County
(903) 315-8302
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GREGG
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
EMMANUEL HOMES #3
807 S MOBBERLY
LONGVIEW
LONGVIEW
(903) 234-8138
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
04 - TYLER
Owner Information
LATONYA WILLIE-POLK
TOTAL Lic Capacity: 5
County
Region
TYLER SE TEAM
103336
75602
FAX:
SERVICE TYPE TYPE C
09/30/2016
Region
TYLER SE TEAM
04 - TYLER
Owner Information
030195
SHIRLEY M ANDERSON
P O BOX 12478
75602
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LONGVIEW
(903) 758-9153
0
ICF/IID: 0
PHONE:
TX
(903) 758-2866
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75607
FAX:
(903) 758-9153
SERVICE TYPE TYPE A
11/20/2017
Page 142 of 311
County
Reg Svcs:
GREGG
Facility Information:
Facility ID:
NEW LIFE OUTREACH BOARDING HOME
1511 MOBBERLY AVE
TX
LONGVIEW
Phone
TX
TITLE 18/19:
TX
DALLAS
(903) 297-0904
ICF/IID: 0
07 - AUSTIN
ICF/IID: 0
PHONE:
TX
(936) 825-2237
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
77868
FAX:
(936) 825-1897
SERVICE TYPE TYPE B
07/14/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
103588
ELVIRA J CADENA
TX
PO BOX 390
78124
Fax
MARION
(930) 914-3371
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
TITLE 18/19:
FAX:
(830) 914-3371
SERVICE TYPE TYPE A
Region
08 - SAN ANTONIO
Owner Information
FIRST STREET ASSISTED LIVING AND ADULT DAY CARE
312 FIRST STREET
TX
SCHERTZ
78154
AMERICAN ASSISTED LIVING GROUP, LP
312 FIRST STREET
SCHERTZ
(210) 566-4191
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
78124
02/05/2017
TEAM W
104975
Fax
(830) 914-3371
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GUADALUPE
Sunday, October 09, 2016
Region
NAVASOTA
(936) 825-1897
Reg Svcs:
TOTAL Lic Capacity: 7
PRIVATE Beds: 16
SERVICE TYPE TYPE B
P O BOX 49
TITLE19: 0
(830) 914-3371
Cert Alzh Capacity: 0
(469) 621-6672
03/04/2018
BRENHAM
77868
GUADALUPE
TOTAL Lic Capacity: 16
FAX:
RTS READY TO SERVE, LLC
TITLE 18/19:
Facility ID:
(469) 621-6700
75604
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
PHONE:
License Exp Dt:
104330
Fax
Cert Alzh Capacity: 0
(210) 566-6303
04 - TYLER
,STE 5400
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
Phone
(469) 621-6672
SERVICE TYPE TYPE B
Region
TYLER SE TEAM
TITLE19: 0
TITLE 18/19:
(936) 825-2237
Facility Information:
FAX:
03/04/2018
2200 ROSS AVE
TITLE 18: 0
THE SEASONS ON WATER STREET
1103 WATER STREET
TX
NAVASOTA
County
75604
Owner Information
GRIMES
Phone
(469) 621-6700
License Exp Dt:
75604
Fax
PRIVATE Beds: 13
MARION HOUSE
326 W SEGUIN ST
MARION
PHONE:
,STE 5400
TX
PROGRAM TYPE: ASSISTED LIVING
0
100156
(903) 295-1711
Facility Information:
04 - TYLER
CHG SENIOR LIVING OF LONGVIEW LLC
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 13
Phone
DALLAS
(903) 297-0904
GREGG
Facility Information:
SERVICE TYPE TYPE A
Region
2200 ROSS AVE
TITLE19: 0
PRIVATE Beds: 13
County
(903) 758-9153
Owner Information
TITLE 18: 0
SONGBIRD ASSISTED LIVING B
3102 B GILMER RD
LONGVIEW
FAX:
09/06/2017
TYLER SE TEAM
75604
Fax
Cert Alzh Capacity: 0
Phone
License Exp Dt:
100155
(903) 295-1711
Facility Information:
(903) 758-2866
75607
CHG SENIOR LIVING OF LONGVIEW LLC
TOTAL Lic Capacity: 13
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
SONGBIRD ASSISTED LIVING A
3102 A GILMER RD
LONGVIEW
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
GREGG
Facility Information:
LONGVIEW
(903) 758-9153
TITLE 18: 0
PRIVATE Beds: 29
County
P O BOX 12478
75602
Fax
Cert Alzh Capacity: 0
04 - TYLER
Owner Information
SHIRLEY M ANDERSON
(903) 758-2866
TOTAL Lic Capacity: 29
Region
TYLER SE TEAM
050011
0
ICF/IID: 0
PHONE:
TX
(210) 566-6303
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78154
FAX:
(210) 566-4191
SERVICE TYPE TYPE A
03/15/2018
Page 143 of 311
County
Reg Svcs:
GUADALUPE
Facility Information:
LEGACY AT FOREST RIDGE
5001 SCHERTZ PARKWAY
SCHERTZ
Phone
Facility ID:
TX
675 BERING DR
78154
TITLE 18: 0
Cert Alzh Capacity: 30
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 108
TITLE 18/19:
Reg Svcs:
County
SCHERTZ
(210) 309-4947
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 16
County
ARGENT COURT
953 S HWY 123 BYPASS
SEGUIN
Phone
TITLE 18/19:
TX
(830) 372-4477
ICF/IID: 0
Sunday, October 09, 2016
Region
TEAM X
08 - SAN ANTONIO
9901 LINN STATION ROAD
LOUISVILLE
(830) 303-3870
ICF/IID: 0
TITLE19: 0
PHONE:
KY
License Exp Dt:
Reg Svcs:
40223-3808
FAX:
(502) 394-2100
PROGRAM TYPE: ASSISTED LIVING
0
GUADALUPE
PRIVATE Beds: 6
SERVICE TYPE TYPE B
01/01/2017
TANGRAM REHABILITATION NETWORK INC
TITLE 18/19:
RESCARE PREMIER LOMA LINDA
301 TANGRAM RANCH RD
TX
SEGUIN
FAX:
Owner Information
TITLE 18: 0
Facility ID:
78209
(210) 829-7121
License Exp Dt:
000554
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
08 - SAN ANTONIO
,STE 319
SAN ANTONIO
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 6
SERVICE TYPE TYPE B
Region
8301 BROADWAY
TITLE 18: 0
(830) 372-2701
(830) 372-4380
(210) 309-4947
03/20/2017
TEAM V
HACIENDA ASSISTED LIVING CYPRESS HILL
3015 OLD LEHMANN RD
TX
SEGUIN
78155
Phone
FAX:
Owner Information
GUADALUPE
Facility Information:
78154
(210) 319-4965
License Exp Dt:
78155
Fax
PRIVATE Beds: 56
County
08 - SAN ANTONIO
ARGENT SEGUIN OPERATIONS LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030122
(830) 372-1177
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 56
County
SCHERTZ
(210) 309-4947
GUADALUPE
Facility Information:
Region
2300 FM 3009
TITLE19: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE B
04/03/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
(210) 309-4947
NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC
Fax
(210) 319-4965
FAX:
TEAM V
105481
NEW HAVEN ASSISTED LIVING OF SCHERTZ, LLC
2332 FM 3009
TX
SCHERTZ
78154
Phone
08 - SAN ANTONIO
78154
(210) 319-4965
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GUADALUPE
Facility Information:
Region
2300 FM 3009
TITLE19: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE B
01/01/2018
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(713) 425-5402
NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC
Fax
TOTAL Lic Capacity: 16
FAX:
TEAM V
105480
(210) 319-4965
77057
(713) 425-5423
License Exp Dt:
NEW HAVEN ASSISTED LIVING OF SCHERTZ, LLC
2300 FM 3009
TX
SCHERTZ
78154
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GUADALUPE
Facility ID:
,SUITE 550
HOUSTON
Fax
(210) 305-5713
Facility Information:
08 - SAN ANTONIO
Owner Information
LARF TENANT LLC
TOTAL Lic Capacity: 108
County
Region
TEAM Z
106371
(502) 394-2285
SERVICE TYPE TYPE B
10/15/2016
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
030104
TANGRAM REHABILITATION NETWORK INC
9901 LINN STATION ROAD
78155
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
(830) 372-1822
0
ICF/IID: 0
PHONE:
KY
(502) 394-2100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40223-3808
FAX:
(502) 394-2285
SERVICE TYPE TYPE A
10/15/2018
Page 144 of 311
County
Reg Svcs:
GUADALUPE
Facility Information:
Facility ID:
Fax
(830) 372-4774
TOTAL Lic Capacity: 16
TITLE 18/19:
LOUISVILLE
ICF/IID: 0
Fax
(830) 379-5665
TOTAL Lic Capacity: 16
County
TITLE 18/19:
SEGUIN ASSISTED LIVING
226 PRESTON DR
SEGUIN
Phone
TX
TX
(806) 293-1345
ICF/IID: 0
01 - LUBBOCK
(312) 725-7000
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
WACO
07 - AUSTIN
Owner Information
HAMILTON HEALTH FACILITIES LP
5420 W PLANO PARKWAY
76531
PLANO
(254) 386-8261
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 931-3800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HAMILTON
HILL COUNTRY ESTATES OF HICO
100 S WALNUT
TX
HICO
PHONE:
License Exp Dt:
030210
Fax
Facility ID:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 26
Sunday, October 09, 2016
(830) 379-8998
SERVICE TYPE TYPE A
Region
CHICAGO
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 32
FAX:
Owner Information
330 N WABASH
TITLE 18/19:
TOTAL Lic Capacity: 26
Cert Alzh Capacity: 0
78155
08/01/2017
HIGH PLAINS GERI 2
79072
(254) 386-3171
TOTAL Lic Capacity: 32
(830) 379-8882
License Exp Dt:
TITLE 18: 0
DOVE HILL CARE CENTER AND VILLAS
1315 E STATE HWY 22
TX
HAMILTON
(254) 796-2582
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAMILTON
Phone
ICF/IID: 0
000774
Fax
PRIVATE Beds: 43
Facility Information:
08 - SAN ANTONIO
SANTA FE AID OPCO LLC
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
Region
SEGUIN
(830) 379-8998
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 43
Phone
(502) 394-2285
10/15/2017
TEAM Z
TITLE19: 0
TITLE 18/19:
(806) 291-0151
Facility Information:
FAX:
226 PRESTON DR
HALE
County
40223-3808
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
Phone
(502) 394-2100
License Exp Dt:
78155
Fax
Cert Alzh Capacity: 0
SANTA FE PLACE
3404 SW 5TH
PLAINVIEW
PHONE:
KY
PROGRAM TYPE: ASSISTED LIVING
0
050604
(830) 379-8882
Facility Information:
08 - SAN ANTONIO
SEGUIN ASSISTED LIVING LLC
TOTAL Lic Capacity: 60
County
LOUISVILLE
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
9901 LINN STATION ROAD
(830) 379-5885
GUADALUPE
Facility Information:
SERVICE TYPE TYPE B
10/15/2016
TANGRAM REHABILITATION NETWORK INC
TITLE19: 0
PRIVATE Beds: 18
(502) 394-2285
Owner Information
TITLE 18: -2
Cert Alzh Capacity: 0
FAX:
TEAM Z
000905
RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH CAMPUS
201 TANGRAM MESQUITE RD
TX
SEGUIN
78155
Phone
40223-3808
(502) 394-2100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
KY
PROGRAM TYPE: ASSISTED LIVING
0
GUADALUPE
Facility Information:
9901 LINN STATION ROAD
TITLE19: 0
PRIVATE Beds: 16
County
TANGRAM REHABILITATION NETWORK INC
(830) 372-0638
TITLE 18: 0
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM NORTH CAMPUS
500 TANGRAM RANCH RD
TX
SEGUIN
78155
Phone
Region
TEAM Z
000738
75093
FAX:
(972) 931-3801
SERVICE TYPE TYPE B
11/02/2016
Region
WACO
07 - AUSTIN
Owner Information
000998
TICKNOR ENTERPRISES HICO ALF LLC
2816 WHISPERWOOD TRAIL
76457
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ARLINGTON
(254) 796-2151
0
ICF/IID: 0
PHONE:
TX
(817) 269-3375
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76016
FAX:
(817) 303-3356
SERVICE TYPE TYPE A
10/01/2018
Page 145 of 311
County
Reg Svcs:
HAMILTON
Facility Information:
ROCKING CHAIR RANCH
510 CR 317
JONESBORO
Phone
Facility ID:
TX
2375 CR 310
76538
Fax
(254) 463-2258
TITLE 18/19:
WOOD LIVING CENTER OF QUANAH
1001 LOUISE ST
TX
QUANAH
WICHITA FALLS
(940) 663-5848
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ADL ASSISTED LIVING INC
3604 AUTUMN LANE
BAYTOWN
Phone
TX
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 60
Sunday, October 09, 2016
TX
PHONE:
77521
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
SERVICE TYPE TYPE B
09/01/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
2508 WARD RD
77520
BAYTOWN
(281) 420-0780
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 422-9030
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
TOTAL Lic Capacity: 60
ICF/IID: 0
000528
Fax
PRIVATE Beds: 10
(281) 422-9030
06 - HOUSTON
SWAN MGT LLC
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
BAYTOWN
(832) 926-7928
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
SWAN MANOR ALF
2508 WARD RD
BAYTOWN
(817) 348-0466
10/01/2016
UNIT 13
TITLE19: 0
TITLE 18/19:
(281) 422-9030
Facility Information:
FAX:
3604 AUTUMN LANE
HARRIS
County
76107-6547
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
Phone
(817) 348-8841
License Exp Dt:
77521
Fax
Cert Alzh Capacity: 0
SWAN MANOR ALF
2508 WARD RD
BAYTOWN
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
106295
(832) 926-7923
Facility Information:
ICF/IID: 0
TX
ADL ASSISTED LIVING INC
TOTAL Lic Capacity: 11
County
05 - BEAUMONT
,STE 304
FORT WORTH
(409) 373-6334
Reg Svcs:
Facility ID:
(940) 767-0466
SERVICE TYPE TYPE A
Region
1701 RIVER RUN
HARRIS
Facility Information:
FAX:
SILSBEE I ENTERPRISES, LLC
TITLE19: 0
PRIVATE Beds: 16
76310
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
02 - ABILENE
03/02/2018
BEAUMONT GERIATRIC
105600
(409) 373-6305
(940) 767-0463
License Exp Dt:
SPANISH TRAIL ASSISTED LIVING OF SILSBEE
775 HWY 96 S
TX
SILSBEE
77656-5512
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
3610 BARNETT RD
79252
HARDIN
Facility Information:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
WOOD CARE CENTERS INC
Fax
Cert Alzh Capacity: 0
76538
07/29/2016
WICHITA FALLS GERIATRIC
000556
(940) 663-6396
TOTAL Lic Capacity: 16
(254) 463-4022
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARDEMAN
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
JONESBORO
(254) 463-2258
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
SHELIA JOY SCHWALBE
TOTAL Lic Capacity: 8
County
Region
WACO
101705
77520
FAX:
(281) 420-0780
SERVICE TYPE TYPE B
05/01/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
000828
SWAN MGT LLC
TX
2508 WARD RD
77520
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BAYTOWN
(281) 420-0780
0
ICF/IID: 0
PHONE:
TX
(281) 422-9030
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77520
FAX:
(281) 420-0780
SERVICE TYPE TYPE A
05/01/2017
Page 146 of 311
County
Reg Svcs:
HARRIS
Facility Information:
SWAN MANOR ALF
2508 WARD RD
BAYTOWN
Phone
Facility ID:
TX
2508 WARD RD
77520
Fax
(281) 422-9030
TITLE 18/19:
THE WATERFORD AT BAYTOWN
901 W BAKER RD
TX
BAYTOWN
(281) 420-9465
Phone
COM FOR CARE INC
5217 SPRUCE ST
BELLAIRE
Phone
(281) 420-9465
TX
Sunday, October 09, 2016
ICF/IID: 0
(713) 664-4677
License Exp Dt:
06 - HOUSTON
77402
FAX:
(713) 592-6359
SERVICE TYPE TYPE B
01/22/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
100410
COM FOR CARE INC
PO BOX 106
77401
Fax
BELLAIRE
(713) 592-6359
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 664-4677
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
PRIVATE Beds: 115
SERVICE TYPE TYPE A
Region
BELLAIRE
(713) 592-6359
Reg Svcs:
Facility ID:
PRIVATE Beds: 10
Cert Alzh Capacity: 0
(972) 770-5666
03/27/2017
UNIT 08
TITLE19: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 115
FAX:
PO BOX 106
TITLE 18/19:
(713) 592-6324
(713) 665-3888
75254
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 10
Phone
License Exp Dt:
77401
Fax
COM FOR CARE INC BELLAIRE II
5215 SPRUCE
TX
BELLAIRE
THE GARDENS OF BELLAIRE
4620 BELLAIRE BLVD
BELLAIRE
(972) 770-5600
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
PHONE:
TX
COM FOR CARE INC
PRIVATE Beds: 14
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
,STE 300
DALLAS
030042
(713) 661-7510
Facility Information:
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
TITLE19: 0
TOTAL Lic Capacity: 14
County
(972) 770-5666
03/27/2017
UNIT 13
77521
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 95
(972) 770-5600
75254
CSL BAYTOWN, LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030032
(281) 427-4373
TOTAL Lic Capacity: 95
County
ICF/IID: 0
Reg Svcs:
THE WATERFORD AT BAYTOWN
901 W BAKER RD
TX
BAYTOWN
06 - HOUSTON
,STE 300
DALLAS
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
77521
HARRIS
Facility Information:
(281) 420-0780
Owner Information
TITLE 18: 0
PRIVATE Beds: 42
FAX:
CSL BAYTOWN, LLC
Fax
Cert Alzh Capacity: 42
77520
05/21/2018
UNIT 13
030041
(281) 427-4373
TOTAL Lic Capacity: 42
(281) 422-9030
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 22
Phone
BAYTOWN
(281) 420-0780
TITLE 18: 0
Cert Alzh Capacity: 22
Facility Information:
06 - HOUSTON
Owner Information
SWAN MGT LLC
TOTAL Lic Capacity: 22
County
Region
UNIT 13
105002
77402
FAX:
(713) 592-6359
SERVICE TYPE TYPE B
10/11/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
000579
SNH SE TENANT TRS INC
TX
TWO NEWTON PLACE
77401
Fax
(713) 666-0888
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NEWTON
0
ICF/IID: 0
PHONE:
,255 WASHINGTON ST STE 300
MA
(617) 796-8350
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
02458
FAX:
(617) 796-8349
SERVICE TYPE TYPE B
10/01/2016
Page 147 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
AVANTI SENIOR LIVING AT TOWNE LAKE
17808 LAKECREST VIEW DRIVE
TX
CYPRESS
Phone
CYPRESS ASSISTED LIVING 2
12310 DRAKE PRAIRIE LANE
CYPRESS
Phone
TX
TX
DALLAS
Sunday, October 09, 2016
06 - HOUSTON
(214) 916-5750
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
75206
FAX:
(469) 547-5422
SERVICE TYPE TYPE B
04/06/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
050696
PARSONS HOUSE CYPRESS, LLC
TX
15055 N ELDRIDGE PKWY
77429-3668
Fax
CYPRESS
(281) 374-8004
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(805) 564-3341
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
PRIVATE Beds: 10
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 66
Cert Alzh Capacity: 0
(281) 596-4482
SERVICE TYPE TYPE B
Region
5910 N CENTRAL EXPWY
TITLE 18/19:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 10
FAX:
10/06/2018
UNIT 15
77433
(281) 374-8002
(281) 326-9001
77429
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 66
Phone
(713) 385-0105
License Exp Dt:
106478
HARRIS
PSALM 23 HOMECARE
204 CONFEDERATE WAY
EL LAGO
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 101
Facility Information:
06 - HOUSTON
HEARTIS CYPRESS PARTNERS LP
Cert Alzh Capacity: 40
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 101
Phone
SERVICE TYPE TYPE B
Region
CYPRESS
(281) 596-4482
TITLE19: 0
(281) 392-2200
PARSONS HOUSE CYPRESS
15055 N ELDRIDGE PKWY
CYPRESS
(281) 596-4482
12310 DRAKE PRAIRIE LANE
TITLE 18/19:
HEARTIS CYPRESS
17935 LOONGENBAUGH ROAD
CYPRESS
FAX:
04/16/2017
UNIT 15
77429
TITLE 18: 0
Facility ID:
77429
Owner Information
HARRIS
Facility Information:
06 - HOUSTON
CYPRESS ASSISTED LIVING LLC
Fax
PRIVATE Beds: 11
(713) 385-0105
License Exp Dt:
104443
(281) 955-5557
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 11
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
CYPRESS ASSISTED LIVING, LLC
12714 PARK FOREST DRIVE
TX
CYPRESS
Phone
Region
CYPRESS
(281) 955-2225
HARRIS
Facility Information:
SERVICE TYPE TYPE B
12310 DRAKE PRAIRIE LANE
TITLE 18: 0
PRIVATE Beds: 16
County
(281) 306-2382
Owner Information
77429
Fax
Cert Alzh Capacity: 16
Phone
FAX:
10/28/2017
UNIT 15
106087
(713) 385-0105
Facility Information:
77380
CYPRESS ASSISTED LIVING LLC
TOTAL Lic Capacity: 16
County
(281) 907-9553
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,SUITE 1903
THE WOODLANDS
TITLE 18: 0
PRIVATE Beds: 98
County
2219 SAWDUST ROAD
77433
Fax
Cert Alzh Capacity: 40
06 - HOUSTON
Owner Information
IP AVANTI TOWNE LAKE OPCO, LLC
(832) 653-4260
TOTAL Lic Capacity: 98
Region
UNIT 15
106336
77429
FAX:
(805) 966-2009
SERVICE TYPE TYPE B
03/20/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
030020
MARGARET MCGRAW
TX
204 CONFEDERATE WAY
77586
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EL LAGO
(281) 326-6001
0
ICF/IID: 0
PHONE:
TX
(281) 326-9001
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77586
FAX:
(281) 326-6001
SERVICE TYPE TYPE A
12/27/2016
Page 148 of 311
County
Reg Svcs:
HARRIS
Facility Information:
HOPE VILLAGE HOME #5
15403 HOPE VILLAGE RD
FRIENDSWOOD
Phone
Facility ID:
TX
15403 HOPE VILLAGE RD
77546
Fax
(281) 482-7926
TITLE 18/19:
TX
TX
TX
FAX:
(281) 400-2012
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
15403 HOPE VILLAGE RD
FRIENDSWOOD
(281) 400-2012
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(281) 400-2012
SERVICE TYPE TYPE A
04/14/2018
Region
UNIT 15
06 - HOUSTON
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC
P.O. BOX 983
77441
FULSHEAR
(281) 346-1163
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 704-1164
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
HIGHLAND HOUSE ASSISTED LIVING
710 N MAIN ST
TX
HIGHLANDS
77546
Owner Information
TITLE 18: 0
Facility ID:
(281) 482-7926
License Exp Dt:
106126
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 16
Sunday, October 09, 2016
77546
04/14/2017
UNIT 13
77546
Fax
TOTAL Lic Capacity: 16
PRIVATE Beds: 16
(281) 482-7926
License Exp Dt:
000347
(281) 701-1164
Cert Alzh Capacity: 0
06 - HOUSTON
THE FOUNDATION FOR HOPE VILLAGE
HOME SWEET HOME
12142 7TH STREET BLDG BLDG A
TX
FULSHEAR
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(281) 843-2326
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 12
Phone
SERVICE TYPE TYPE B
Region
FRIENDSWOOD
(281) 400-2012
TITLE19: 0
(281) 482-7926
Facility Information:
(281) 400-2012
15403 HOPE VILLAGE RD
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
05/21/2017
UNIT 13
77546
TITLE 18: 0
TOTAL Lic Capacity: 12
Phone
77546
Owner Information
HARRIS
Facility Information:
(281) 482-7926
License Exp Dt:
000348
Fax
PRIVATE Beds: 15
County
06 - HOUSTON
THE FOUNDATION FOR HOPE VILLAGE
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 15
HOPE VILLAGE HOME 4
15403 HOPE VILLAGE RD
FRIENDSWOOD
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 482-7926
Facility Information:
Region
FRIENDSWOOD
(281) 400-2012
HARRIS
County
SERVICE TYPE TYPE B
15403 HOPE VILLAGE RD
TITLE 18: 0
PRIVATE Beds: 14
Phone
(281) 400-2012
Owner Information
77546
Fax
Cert Alzh Capacity: 0
HOPE VILLAGE HOME 3
15403 HOPE VILLAGE RD
FRIENDSWOOD
FAX:
02/21/2018
UNIT 13
000346
(281) 482-7926
Facility Information:
77546
THE FOUNDATION FOR HOPE VILLAGE
TOTAL Lic Capacity: 14
County
(281) 482-7926
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
HOPE VILLAGE HOME 2
15403 HOPE VILLAGE RD
FRIENDSWOOD
FRIENDSWOOD
(281) 400-2012
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
THE FOUNDATION FOR HOPE VILLAGE
TOTAL Lic Capacity: 16
County
Region
UNIT 13
100789
77478
FAX:
(281) 346-1163
SERVICE TYPE TYPE B
02/25/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
030048
JAY & VMK CORP
710 N MAIN ST
77562
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HIGHLANDS
(281) 843-3260
0
ICF/IID: 0
PHONE:
TX
(281) 843-2326
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77562
FAX:
(281) 843-3260
SERVICE TYPE TYPE B
02/02/2017
Page 149 of 311
County
Reg Svcs:
HARRIS
Facility Information:
HIGHLAND HOUSE II
710 N MAIN ST
HIGHLANDS
Phone
Facility ID:
TX
710 N MAIN ST
77562
Fax
(281) 843-2326
TITLE 18/19:
TX
HIGHLANDS
(281) 843-2206
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
A AND S PERSONAL CARE HOME
9710 GUEST ST
TX
HOUSTON
HOUSTON
(713) 635-1102
ICF/IID: 0
TITLE19: 0
Reg Svcs:
County
Phone
License Exp Dt:
(713) 433-3088
TOTAL Lic Capacity: 11
Cert Alzh Capacity: 0
PRIVATE Beds: 11
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
06 - HOUSTON
717 LEHMAN ST
HOUSTON
(713) 697-2447
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 864-0627
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
77018
FAX:
(713) 697-2447
SERVICE TYPE TYPE B
07/03/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
010309
ALL GODS PEOPLE ASSISTED LIVING HOME
3903 DARLINGHURST DR
TX
HOUSTON
77045
Phone
(888) 238-8366
12/20/2016
UNIT 13
77018
TITLE 18: 0
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
(832) 368-7165
77346
JIMMIE W ELIE
Fax
PRIVATE Beds: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000335
(713) 864-0627
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 10
06 - HOUSTON
,#321
HUMBLE
TITLE19: 0
TITLE 18/19:
ADVANCED QUALITY ASSISTED LIVING
717 LEHMAN ST
TX
HOUSTON
Region
6942 FM 1960 E
TITLE 18: 0
Facility ID:
SERVICE TYPE TYPE A
ADVANCED PERSONAL CARE LLC
HARRIS
Facility Information:
(713) 635-1575
Owner Information
Fax
PRIVATE Beds: 10
FAX:
12/13/2017
UNIT 08
ADVANCED PERSONAL CARE AT HAMLIN VALLEY
1507 HAMLIN VALLEY
TX
HOUSTON
77090
Cert Alzh Capacity: 0
06 - HOUSTON
77028
(713) 635-4068
License Exp Dt:
102381
(281) 919-1129
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
TOTAL Lic Capacity: 10
Region
8211 DOCKAL RD
77078
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 12
(281) 843-2206
A & S COMMUNITY DEVELOPMENT CORPORATION
Fax
Cert Alzh Capacity: 0
FAX:
09/23/2017
UNIT 13
030247
(713) 635-9453
TOTAL Lic Capacity: 12
Phone
06 - HOUSTON
77562
(281) 843-2013
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
Region
213 MAPLE ST
TITLE 18: 0
PRIVATE Beds: 24
County
SERVICE TYPE TYPE B
Owner Information
77562
Fax
Cert Alzh Capacity: 0
Phone
(281) 843-3260
12/18/2017
UNIT 13
030403
(281) 843-2013
Facility Information:
FAX:
MOUNTBATTEN HOUSE INC
TOTAL Lic Capacity: 24
County
77562
(281) 843-2326
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
MOUNTBATTEN HOUSE INC
213 MAPLE ST
HIGHLANDS
HIGHLANDS
(281) 843-3260
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
JAY & VMK CORP
TOTAL Lic Capacity: 15
County
Region
UNIT 13
101209
C LOIS BRADLEY
3907 DARLINGHURST DR
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 433-3088
0
ICF/IID: 0
PHONE:
TX
(713) 433-3088
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77045
FAX:
(713) 433-3088
SERVICE TYPE TYPE A
01/20/2018
Page 150 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 8
3907 DARLINGHURST DR
TITLE 18/19:
ANGEL OF LOVE ASSISTED LIVING
7638 CABOT
TX
HOUSTON
County
Phone
ICF/IID: 0
County
Phone
ICF/IID: 0
TX
PRIVATE Beds: 9
Sunday, October 09, 2016
FAX:
(281) 781-7011
SERVICE TYPE TYPE A
02/06/2018
Region
UNIT 16
06 - HOUSTON
13702 WIMBLEDON OAKS DR
HOUSTON
(281) 469-8810
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 804-3337
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77065
FAX:
SERVICE TYPE TYPE B
09/02/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
105502
ASSISTED LIVING CENTER OF BRAESWOOD,LLC
8119 BRAESWOOD BLVD
TX
HOUSTON
77071
Cert Alzh Capacity: 9
77205-2262
Owner Information
HARRIS
TOTAL Lic Capacity: 9
(713) 259-6470
License Exp Dt:
77065
Fax
PRIVATE Beds: 16
(713) 776-0800
06 - HOUSTON
APEX OAKS AT CYPRESS, LLC
Cert Alzh Capacity: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106607
(281) 469-8800
Facility Information:
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 781-7011
Reg Svcs:
TOTAL Lic Capacity: 16
County
(281) 781-7011
01/02/2018
UNIT 13
TITLE19: 0
TITLE 18/19:
APEX OAKS AT CYPRESS, LLC
13702 WIMBLEDON OAKS DR
HOUSTON
FAX:
PO BOX 62262
TITLE 18: 0
Facility ID:
77205-2262
Owner Information
HARRIS
Facility Information:
06 - HOUSTON
KATHLEEN E MOSBY
Fax
PRIVATE Beds: 7
(713) 259-6470
License Exp Dt:
100075
(713) 631-4409
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 781-7011
TITLE19: 0
TOTAL Lic Capacity: 7
(281) 781-7011
PO BOX 62262
ANGEL OF LOVE PERSONAL CARE HOME
6021 BRETSHIRE
TX
HOUSTON
77016
Phone
FAX:
07/18/2017
UNIT 13
77016
TITLE 18/19:
Facility ID:
77205-2262
Owner Information
HARRIS
Facility Information:
(713) 259-6470
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 7
06 - HOUSTON
KATHLEEN E MOSBY
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101871
(713) 259-6470
TOTAL Lic Capacity: 7
County
ICF/IID: 0
Reg Svcs:
ANGEL OF LOVE PERSONAL CARE / TAM
7634 CABOT
TX
HOUSTON
Region
HOUSTON
(832) 644-5398
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
PO BOX 62262
77016
HARRIS
Facility Information:
(713) 433-3088
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
KATHLEEN E MOSBY
Fax
Cert Alzh Capacity: 0
77045
05/07/2018
UNIT 13
101082
(713) 635-3700
TOTAL Lic Capacity: 8
(713) 433-3088
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
HOUSTON
(713) 433-6700
TITLE 18: 0
Cert Alzh Capacity: 0
County
C LOIS BRADLEY
Fax
(713) 433-6700
06 - HOUSTON
Owner Information
ALL GODS PEOPLE ASSISTED LIVING HOME 2
3907 DARLINGHURST DR
TX
HOUSTON
77045
Phone
Region
UNIT 14
103635
ASSISTED LIVING CENTER OF BRAESWOOD LLC
8119 S BRAESWOOD BLVD
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 776-0801
0
ICF/IID: 0
PHONE:
TX
(713) 776-0800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77071
FAX:
(713) 776-0801
SERVICE TYPE TYPE B
03/30/2018
Page 151 of 311
County
Reg Svcs:
HARRIS
Facility Information:
ATRIA WESTCHASE
11424 RICHMOND AVE
HOUSTON
Phone
Facility ID:
TX
10350 ORMSBY PARK PLACE
77082
Fax
(281) 759-7900
TITLE 18/19:
AUTUMN GROVE - COPPERFIELD
8524 COPPERBROOK DR
TX
HOUSTON
Phone
AUTUMN LEAVES OF CY-FAIR
17801 WEST ROAD
HOUSTON
Phone
(281) 938-2801
TX
ICF/IID: 0
06 - HOUSTON
75062
FAX:
SERVICE TYPE TYPE B
12/31/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
WEST HOUSTON MEMORY CARE LLC
545 E JOHN CARPENTER FREEWAY
77077
HOUSTON
(214) 845-4501
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AUTUMN LEAVES OF MEYERLAND
4710 W BELLFORT ST
TX
HOUSTON
(214) 845-4500
License Exp Dt:
105482
Fax
Facility ID:
PHONE:
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
IRVING
(281) 861-2591
Reg Svcs:
Facility ID:
PRIVATE Beds: 50
PRIVATE Beds: 50
(214) 845-4501
SERVICE TYPE TYPE B
Region
UNIT 15
TITLE19: 0
Cert Alzh Capacity: 50
Cert Alzh Capacity: 50
FAX:
06/05/2016
545 E JOHN CARPENTER FRWY
TITLE 18/19:
TOTAL Lic Capacity: 50
TOTAL Lic Capacity: 50
75062
Owner Information
TITLE 18: 0
(214) 845-4500
(713) 360-0000
(214) 845-4500
License Exp Dt:
77095
Fax
AUTUMN LEAVES OF MEMORIAL CITY
1725 ELDRIDGE PARKWAY
TX
HOUSTON
Phone
PHONE:
,SUITE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
06 - HOUSTON
CY-FAIR ARC TENANT, LLC
PRIVATE Beds: 46
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 46
Phone
IRVING
105214
(281) 861-2590
Facility Information:
(512) 761-3548
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER FRWY
TITLE19: 0
TOTAL Lic Capacity: 46
County
FAX:
02/26/2017
UNIT 13
77062
TITLE 18/19:
Facility ID:
78734
Owner Information
HARRIS
Facility Information:
(469) 371-0445
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 50
06 - HOUSTON
CLEAR LAKE MEMORY CARE LLC
Fax
Cert Alzh Capacity: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105048
(281) 938-2800
TOTAL Lic Capacity: 50
County
ICF/IID: 0
Reg Svcs:
AUTUMN LEAVES OF CLEAR LAKE
14225 CRESCENT LANDING DR
TX
HOUSTON
Region
LAKEWAY
(832) 593-0035
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
101 FIREBIRD COVE
77095
HARRIS
Facility Information:
(502) 779-4749
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
GLEN HOPE HARBOR INC
Fax
Cert Alzh Capacity: 16
40223
05/12/2017
UNIT 15
102347
(832) 593-0033
TOTAL Lic Capacity: 16
(502) 779-4700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 110
Phone
LOUISVILLE
(281) 759-5868
TITLE 18: 0
Cert Alzh Capacity: 21
Facility Information:
06 - HOUSTON
Owner Information
WG WESTCHASE SH, LLC
TOTAL Lic Capacity: 110
County
Region
UNIT 15
050579
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
08/21/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
105181
MEYERLAND MEMORY CARE LLC
545 E JOHN CARPENTER FRWY
77035
Fax
(713) 360-0001
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
IRVING
0
ICF/IID: 0
PHONE:
,STE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
09/24/2016
Page 152 of 311
County
Reg Svcs:
HARRIS
Facility Information:
AUTUMN YEARS II
10818 OVERBROOK LN
HOUSTON
Phone
Facility ID:
TX
2111 WILLOW LAKE DR
77042
Fax
(713) 789-5704
TITLE 18/19:
TX
TX
TX
Sunday, October 09, 2016
(281) 812-3756
SERVICE TYPE TYPE B
Region
06 - HOUSTON
19127 TIMBER WAY DR
HUMBLE
(936) 321-7516
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 457-2104
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77346
FAX:
(281) 812-3756
SERVICE TYPE TYPE B
10/01/2016
Region
UNIT 15
06 - HOUSTON
Owner Information
105863
AVISTA SENIOR CARE, LLC
TX
11703 ECHO SPRING LN
77065
Fax
HOUSTON
(281) 653-9695
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 687-2758
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
PRIVATE Beds: 5
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
Cert Alzh Capacity: 0
77346
10/01/2016
UNIT 16
77068
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 5
(832) 457-2104
License Exp Dt:
030131
(281) 653-9694
(281) 653-9001
06 - HOUSTON
ACCESS HARMONY GROUP LLC
TOTAL Lic Capacity: 11
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
AVISTA LIVING
9014 S. FERNDALE PLACE DR
HOUSTON
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 10
Facility Information:
SERVICE TYPE TYPE B
Region
HUMBLE
(281) 812-3756
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(281) 870-0757
19127 TIMBER WAY DR
TITLE 18: 0
TOTAL Lic Capacity: 10
Phone
FAX:
03/13/2017
UNIT 16
77066
(281) 866-8840
AVISTA HOME
11703 ECHO SPRING LANE
HOUSTON
77077
Owner Information
HARRIS
Facility Information:
(281) 920-3611
License Exp Dt:
000852
Fax
PRIVATE Beds: 6
County
06 - HOUSTON
ACCESS HARMONY GROUP LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
AVID CARE COTTAGES
3611 GLENPINE DR.
HOUSTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 866-8185
Facility Information:
Region
HOUSTON
(281) 870-0757
HARRIS
County
SERVICE TYPE TYPE B
2111 WILLOW LAKE DR
TITLE 18: 0
PRIVATE Beds: 9
Phone
(281) 870-0757
Owner Information
77077
Fax
Cert Alzh Capacity: 0
AVID CARE COTTAGES
5807 OLD LODGE
HOUSTON
FAX:
04/17/2017
UNIT 15
102384
(832) 455-4895
Facility Information:
77077
AUTUMN YEARS LLC
TOTAL Lic Capacity: 9
County
(281) 920-3611
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
AUTUMN YEARS LLC
2111 WILLOWLAKE DR
HOUSTON
HOUSTON
(281) 870-0757
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
AUTUMN YEARS LLC
TOTAL Lic Capacity: 11
County
Region
UNIT 15
104984
77065
FAX:
(281) 653-9695
SERVICE TYPE TYPE B
03/04/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
104762
AVISTA HEALTH SOLUTIONS, LLC
TX
11039 HERON VILLAGE DR
77064
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 653-9001
0
ICF/IID: 0
PHONE:
TX
(281) 807-0824
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77064
FAX:
(281) 807-0824
SERVICE TYPE TYPE B
08/31/2017
Page 153 of 311
County
Reg Svcs:
HARRIS
Facility Information:
BA HOME CARE INC
11802 SHARPVIEW DR
HOUSTON
Phone
Facility ID:
TX
13427 CIRCLE
77072
HOUSTON
Fax
(832) 338-5637
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
BED OF ROSES ASSISTED LIVING LLC
5121 SHREVEPORT
TX
HOUSTON
County
ICF/IID: 0
Fax
County
BELLAIRE LODGE ONE
9015 ROOS
HOUSTON
Phone
TX
ICF/IID: 0
PRIVATE Beds: 174
Sunday, October 09, 2016
77031-2112
FAX:
(832) 819-1421
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
PO BOX 420189
77036
HOUSTON
ICF/IID: 0
TITLE 18/19:
FAX:
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
BELMONT VILLAGE WEST UNIVERSITY TENANT, LLC
4500 DORR STREET
TOLEDO
(713) 592-0274
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
77242
05/30/2017
UNIT 13
030197
Fax
(832) 880-4809
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BELMONT VILLAGE WEST UNIVERSITY TENANT, LLC
2929 W HOLCOMBE BLVD
TX
HOUSTON
77025
Cert Alzh Capacity: 43
06 - HOUSTON
02/25/2017
UNIT 11
000494
HARRIS
TOTAL Lic Capacity: 174
(832) 819-1720
License Exp Dt:
TITLE19: 0
PRIVATE Beds: 10
(713) 592-9200
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
Region
HOUSTON
(832) 619-1421
Fax
(713) 272-7677
Facility Information:
SERVICE TYPE TYPE B
PERSONAL HEALTH CARE INC
TOTAL Lic Capacity: 10
County
(866) 286-8047
11718 A BEDFORD ST
Reg Svcs:
Facility ID:
FAX:
01/10/2018
UNIT 11
TITLE19: 0
TITLE 18/19:
77494
BRAL II, LLC
HARRIS
Facility Information:
06 - HOUSTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(847) 363-2144
License Exp Dt:
105963
(832) 619-1720
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
KATY
(281) 575-7874
TITLE19: 0
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
27510 GUTHRIE RIDGE LN
BEDFORD RESIDENCE ASSISTED LIVING II
11718 BEDFORD ST A
TX
HOUSTON
77031-2112
Phone
(713) 635-5463
09/14/2015
UNIT 11
77031
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 15
(713) 635-1475
77028
LMP DEVELOPMENT LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
010301
(281) 498-3301
TOTAL Lic Capacity: 15
County
ICF/IID: 0
Reg Svcs:
BEDFORD RESIDENCE ASSISTED LIVING
11718 BEDFORD ST
TX
HOUSTON
Phone
HOUSTON
(713) 635-5463
TITLE19: 0
TITLE 18/19:
Facility ID:
06 - HOUSTON
5121 SHREVEPORT BLVD
77028
HARRIS
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 29
SERVICE TYPE TYPE A
05/04/2018
BED OF ROSES ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
77083
FAX:
UNIT 13
102199
(713) 635-1475
TOTAL Lic Capacity: 29
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
Facility Information:
06 - HOUSTON
Owner Information
BA HOME CARE INC
TOTAL Lic Capacity: 4
County
Region
UNIT 11
105808
0
ICF/IID: 0
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
43615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
02/01/2018
Page 154 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 191
8554 KATY FRWY
TITLE 18/19:
BEST PERSONAL CARE FACILITY
7741 TANGLEWILDE
TX
HOUSTON
County
TX
TITLE 18/19:
ICF/IID: 0
TX
ICF/IID: 0
06 - HOUSTON
(281) 530-3590
SERVICE TYPE TYPE A
12/30/2017
Region
UNIT 13
06 - HOUSTON
BRAESWOOD PERSONAL CARE HOMES INC
3519 SOUTH BRAESWOOD BLVD
HOUSTON
(713) 728-0322
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 240-5454
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
BRIARDALE TREATMENT CENTER
#4 BRIARDALE CT
TX
HOUSTON
FAX:
Owner Information
TITLE 18: 0
Facility ID:
77099
(281) 988-8648
License Exp Dt:
000710
Fax
PRIVATE Beds: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
Region
HOUSTON
(281) 530-3590
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 12
PRIVATE Beds: 18
SERVICE TYPE TYPE A
11502 HORNBROOK DR
TITLE 18: 0
(713) 666-6545
Cert Alzh Capacity: 0
(281) 530-3590
10/23/2016
UNIT 11
BRAESWOOD PERSONAL CARE HOMES INC
3519 S BRAESWOOD BLVD
TX
HOUSTON
77025
TOTAL Lic Capacity: 18
FAX:
Owner Information
HARRIS
(713) 552-1124
77099
(281) 988-8648
License Exp Dt:
77099
Fax
PRIVATE Beds: 9
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101891
(281) 988-8648
Facility Information:
06 - HOUSTON
JUSTINA O UZOWULU
Cert Alzh Capacity: 0
County
Region
HOUSTON
(281) 530-3590
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
Phone
SERVICE TYPE TYPE A
11502 HORNBROOK DR
HARRIS
Facility Information:
(713) 270-0560
04/24/2018
UNIT 11
TITLE19: 0
PRIVATE Beds: 11
County
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
77036
(713) 774-2080
License Exp Dt:
77099
Fax
BETTER-LIFE ASSISTED LIVING
11502 HORNBROOK DR
HOUSTON
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103252
(281) 561-8669
Facility Information:
06 - HOUSTON
JUSTINA O UZOWULU
TOTAL Lic Capacity: 11
County
ICF/IID: 0
Reg Svcs:
BETTER LIFE ASSISTED LIVING
12055 LONGBROOK DR
HOUSTON
Phone
HOUSTON
(713) 771-0560
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
7741 TANGLEWILDE ST
77036
HARRIS
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 48
(713) 463-9601
BEST PERSONAL CARE FACILITY LLC
Fax
Cert Alzh Capacity: 0
FAX:
11/13/2016
UNIT 11
030371
(713) 774-2080
TOTAL Lic Capacity: 48
77024
(713) 463-1700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 191
Facility Information:
HOUSTON
(713) 781-1510
TITLE 18: 0
Cert Alzh Capacity: 43
County
BELMONT VILLAGE HUNTERS CREEK, LLC
Fax
(713) 781-1505
06 - HOUSTON
Owner Information
BELMONT VILLAGE HUNTERS CREEK, LLC
7667 WOODWAY DR
TX
HOUSTON
77057
Phone
Region
UNIT 15
106016
77025
FAX:
(346) 444-5678
SERVICE TYPE TYPE B
09/12/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
000835
TERRY SPILLER
8109 STERLINGSHIRE
77027
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 629-7038
0
ICF/IID: 0
PHONE:
TX
(713) 633-9206
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77078
FAX:
SERVICE TYPE TYPE A
03/01/2014
Page 155 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
Fax
(281) 445-9153
TOTAL Lic Capacity: 15
TITLE 18/19:
TX
TX
FAX:
(281) 397-7994
SERVICE TYPE TYPE A
10/25/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
(281) 440-3636
ICF/IID: 0
PHONE:
TN
37027
FAX:
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE 400
BRENTWOOD
TITLE19: 0
TITLE 18/19:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2016
Region
UNIT 16
06 - HOUSTON
Owner Information
050729
HBP LEASECO LLC
TX
6737 W WASHINGTON ST
77069
Fax
MILWAUKEE
(281) 866-9938
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 103
TITLE 18/19:
53214
FAX:
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 33
PRIVATE Beds: 135
77014
(281) 216-4073
111 WESTWOOD PL
Fax
TOTAL Lic Capacity: 103
Cert Alzh Capacity: 60
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
77090
(281) 638-5499
TOTAL Lic Capacity: 135
ICF/IID: 0
0
HARRIS
(281) 970-6688
06 - HOUSTON
ESC-NGH, LP
PRIVATE Beds: 90
Phone
Region
HOUSTON
(281) 397-7994
Reg Svcs:
Cert Alzh Capacity: 0
BROOKDALE CY-FAIR
11500 FALLBROOK DR
HOUSTON
SERVICE TYPE TYPE A
14315 TORREY FOREST DR
000678
(281) 440-0966
Facility Information:
(281) 397-7994
07/16/2017
UNIT 15
TITLE19: 0
TOTAL Lic Capacity: 90
County
FAX:
Owner Information
HARRIS
Phone
77014
(281) 216-4073
License Exp Dt:
77086
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 10
BROOKDALE CHAMPIONS
14050 CUTTEN RD
HOUSTON
06 - HOUSTON
JIDECO SERVICES INC
Fax
Cert Alzh Capacity: 0
Facility Information:
ICF/IID: 0
030036
(281) 260-9053
TOTAL Lic Capacity: 10
County
Region
HOUSTON
(281) 397-7994
Reg Svcs:
Facility ID:
BRIGHTWAY PERSONAL CARE I I
6519 VICKIE SPRINGS LN
TX
HOUSTON
Phone
SERVICE TYPE TYPE A
02/27/2013
UNIT 15
TITLE19: 0
TITLE 18/19:
BROOKDALE CHAMPION OAKS
17705 RED OAK DR
HOUSTON
(281) 397-7994
14315 TORREY FOREST DR
HARRIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
County
License Exp Dt:
77086
Fax
Cert Alzh Capacity: 0
Phone
77086
(281) 847-4241
PROGRAM TYPE: ASSISTED LIVING
0
000824
(281) 405-0117
Facility Information:
PHONE:
TX
JIDECO SERVICES INC
TOTAL Lic Capacity: 9
County
ICF/IID: 0
Reg Svcs:
Facility ID:
BRIGHTWAY PERSONAL CARE
6730 WINDING TRACE
HOUSTON
Phone
HOUSTON
(281) 397-7994
HARRIS
Facility Information:
6711 WINDING TRACE
TITLE19: 0
PRIVATE Beds: 15
County
BRIGHT STAR HEALTH NETWORK MANAGEMENT SERVICES INC
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
BRIGHT STAR HEALTH NETWORK MANAGEMENT SERVICES INC
6711 WINDING TRACE
TX
HOUSTON
77086
Phone
Region
UNIT 15
100220
(414) 918-5054
SERVICE TYPE TYPE B
09/01/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
030275
SUMMERVILLE AT CY-FAIR ASSOCIATES, LP
TX
6737 W. WASHINGTON ST.
77065
Fax
(281) 970-6455
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,SUITE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
08/14/2018
Page 156 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
BROOKDALE CYPRESS STATION
303 LANTERN BEND DR
TX
HOUSTON
Phone
TX
TITLE 18/19:
TX
TX
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
07/25/2018
Region
UNIT 15
111 WESTWOOD PL
BRENTWOOD
(713) 782-3398
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
06 - HOUSTON
PHONE:
,STE 400
TN
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2016
Region
UNIT 15
06 - HOUSTON
Owner Information
030372
ARC SHADOWLAKE LP
TX
6737 W WASHINGTON
77077
Fax
MILWAUKEE
(281) 759-6999
TITLE 18: 0
Cert Alzh Capacity: 20
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 20
TITLE 18/19:
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
37027
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 20
PRIVATE Beds: 195
(414) 918-5441
License Exp Dt:
77042
(281) 759-6700
Cert Alzh Capacity: 0
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
TOTAL Lic Capacity: 195
ICF/IID: 0
000794
Fax
PRIVATE Beds: 120
(281) 759-6700
06 - HOUSTON
ESC-NGH, LP
Cert Alzh Capacity: 21
Phone
BRENTWOOD
(713) 993-0169
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 120
BROOKDALE SHADOWLAKE
2835 SHADOWBRIAR
HOUSTON
(414) 918-5054
SERVICE TYPE TYPE B
Region
UNIT 11
TITLE19: 0
TITLE 18/19:
(713) 782-3355
Facility Information:
FAX:
07/31/2016
111 WESTWOOD PL
TITLE 18: 0
BROOKDALE MEMORIAL OAKS
1414 SANDY SPRINGS RD
HOUSTON
County
53214
Owner Information
HARRIS
Phone
(414) 918-5000
License Exp Dt:
77056
Fax
PRIVATE Beds: 46
BROOKDALE SHADOWLAKE
2835 SHADOWBRIAR
HOUSTON
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
000797
(713) 993-9999
Facility Information:
06 - HOUSTON
ARC POST OAK LP
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 46
Phone
MILWAUKEE
(281) 461-7700
HARRIS
Facility Information:
SERVICE TYPE TYPE B
Region
6737 W. WASHINGTON STREET
TITLE19: 0
PRIVATE Beds: 120
County
(414) 918-5054
Owner Information
TITLE 18: 0
BROOKDALE GALLERIA
2929 POST OAK BLVD
HOUSTON
FAX:
07/29/2017
UNIT 13
77062
Fax
Cert Alzh Capacity: 0
Phone
License Exp Dt:
030147
(281) 461-7600
Facility Information:
(414) 918-5000
53214
EMERITUS CORPORATION
TOTAL Lic Capacity: 120
County
PHONE:
,STE 3200
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKDALE ELLINGTON FIELD
14101 BAY POINTE CT
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
MILWAUKEE
(281) 880-7699
TITLE 18: 0
PRIVATE Beds: 109
County
6737 W WASHINGTON ST
77090
Fax
Cert Alzh Capacity: 19
06 - HOUSTON
Owner Information
BROOKDALE CYPRESS STATION LLC
(281) 880-7702
TOTAL Lic Capacity: 109
Region
UNIT 08
030280
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
07/25/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
010267
ARC SHADOWLAKE LP
TX
6737 W WASHINGTON
77077
Fax
(281) 759-6999
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE A
07/25/2016
Page 157 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
BROOKDALE SPRING SHADOWS
9889 KEMPWOOD DR
TX
HOUSTON
Phone
County
BROOKDALE TANGLEWOOD
505 BERING DR
HOUSTON
Phone
(713) 934-7444
TX
TX
(419) 247-2826
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON STREET
MILWAUKEE
(713) 861-9963
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
06 - HOUSTON
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
53214
FAX:
SERVICE TYPE TYPE A
07/25/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
030169
A R C PINEGATE L P
TX
6737 W WASHINGTON STREET
77008
Fax
MILWAUKEE
(713) 861-9963
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
BROOKDALE WILLOWBROOK PLACE
7450 WILLOWCHASE BLVD
TX
HOUSTON
Sunday, October 09, 2016
FAX:
Owner Information
HARRIS
PRIVATE Beds: 104
43615
11/30/2016
UNIT 13
77008
Fax
PRIVATE Beds: 20
Cert Alzh Capacity: 0
06 - HOUSTON
A R C PINEGATE L P
Cert Alzh Capacity: 20
TOTAL Lic Capacity: 104
(419) 247-2800
License Exp Dt:
030162
(713) 861-9952
(281) 807-4744
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 20
Phone
ICF/IID: 0
0
HARRIS
Facility Information:
Region
TOLEDO
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 188
County
SERVICE TYPE TYPE A
07/25/2017
UNIT 15
(713) 532-6118
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
FAX:
4500 DORR ST
Fax
TOTAL Lic Capacity: 188
BROOKDALE THE HEIGHTS
2121 PINEGATE DR
HOUSTON
License Exp Dt:
77057
(713) 861-9952
Facility Information:
(414) 918-5000
Owner Information
HARRIS
County
PHONE:
53214
TANGLEWOOD TENANT LLC
PRIVATE Beds: 140
Phone
06 - HOUSTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 44
BROOKDALE THE HEIGHTS
2121 PINEGATE DR
HOUSTON
ICF/IID: 0
030396
(713) 532-1718
Facility Information:
MILWAUKEE
TITLE19: 0
TOTAL Lic Capacity: 140
County
Region
6737 W WASHINGTON ST
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
07/25/2018
UNIT 15
77080
HARRIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 104
53214
ARC SPRING SHADOW LP
Fax
Cert Alzh Capacity: 0
(414) 918-5000
License Exp Dt:
030388
(713) 934-8844
TOTAL Lic Capacity: 104
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKDALE SPRING SHADOWS
9889 KEMPWOOD DR
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
MILWAUKEE
(713) 934-7444
TITLE 18: 0
PRIVATE Beds: 25
County
6737 W WASHINGTON ST
77080
Fax
Cert Alzh Capacity: 25
06 - HOUSTON
Owner Information
ARC SPRING SHADOW LP
(713) 934-8844
TOTAL Lic Capacity: 25
Region
UNIT 15
030389
53214
FAX:
SERVICE TYPE TYPE B
07/25/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
030376
ARC WILLOWBROOK LLC
111 WESTWOOD PLACE
77070
Fax
(281) 807-6626
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE A
06/11/2017
Page 158 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
BROOKDALE WILLOWBROOK PLACE
7450 WILLOWCHASE BLVD
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 15
County
HOUSTON
(979) 387-3164
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 14
County
CARE MATTERS INC
4702 HIRSCH RD
HOUSTON
Phone
TITLE 18/19:
TX
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 4
Sunday, October 09, 2016
FAX:
(713) 673-1524
SERVICE TYPE TYPE B
01/17/2017
Region
UNIT 13
06 - HOUSTON
8627 VALLEY WEST CT
HOUSTON
(281) 459-1274
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 536-1274
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
77026
EVANGELA WILLIAMS
HARRIS
TOTAL Lic Capacity: 4
06 - HOUSTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
(713) 673-7318
License Exp Dt:
000761
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 536-1274
(713) 631-9519
Region
HOUSTON
(713) 673-1524
TITLE 18: 0
TOTAL Lic Capacity: 8
Phone
SERVICE TYPE TYPE A
4702 HIRSCH RD
CARING ANGELS ASSISTED LIVING FACILITY
8627 VALLEY WEST CT
TX
HOUSTON
77078
CHAVEZ HOME
5208 BOICEWOOD
HOUSTON
(281) 661-8186
Owner Information
HARRIS
Facility Information:
FAX:
07/18/2018
UNIT 08
77026
Fax
PRIVATE Beds: 8
County
(281) 448-8893
77086
CARE MATTERS INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
050016
(713) 673-7318
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
County
HOUSTON
(281) 661-8186
HARRIS
Facility Information:
06 - HOUSTON
6603 CANYON WAY DR
TITLE19: 0
PRIVATE Beds: 14
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE A
CANYON RIDGE PERSONAL CARE HOME LLC
Fax
(281) 448-8993
FAX:
10/10/2017
UNIT 15
106103
CANYON RIDGE PERSONAL CARE HOME LLC
6603 CANYON WAY DR.
TX
HOUSTON
77068
Phone
06 - HOUSTON
77045
(832) 794-0495
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
Region
13438 TOWNWOOD DR
TITLE19: 0
PRIVATE Beds: 15
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(414) 918-5054
BROWNING ONE PERSONAL CARE FACILITY INC
Fax
(713) 433-9800
FAX:
06/11/2017
UNIT 14
000613
BROWNING ONE PERSONAL CARE FACILITY INC
13438 TOWNWOOD DR
TX
HOUSTON
77045
Phone
37027
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
BRENTWOOD
(281) 807-6626
TITLE 18: 0
PRIVATE Beds: 40
County
111 WESTWOOD PLACE
77070
Fax
Cert Alzh Capacity: 40
06 - HOUSTON
Owner Information
ARC WILLOWBROOK LLC
(281) 807-4744
TOTAL Lic Capacity: 40
Region
UNIT 16
100460
77078
FAX:
(832) 484-1738
SERVICE TYPE TYPE A
07/20/2018
Region
UNIT 13
06 - HOUSTON
Owner Information
001051
MARTHA CHAVEZ
TX
5208 BOICEWOOD
77016
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 633-5181
0
ICF/IID: 0
PHONE:
TX
(713) 631-9519
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77016
FAX:
(713) 633-5181
SERVICE TYPE TYPE C
07/10/2016
Page 159 of 311
County
Reg Svcs:
HARRIS
Facility Information:
CLAREWOOD HOUSE INC
7400 CLAREWOOD DR
HOUSTON
Phone
Facility ID:
TX
7400 CLAREWOOD DR
77036
Fax
(713) 774-5821
TITLE 18/19:
COLONIAL OAKS AT BRAESWOOD
7800 N STADIUM DR
TX
HOUSTON
(713) 799-2343
COM FOR CARE INC
7106 LEADER
HOUSTON
Phone
(281) 759-2999
TX
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(713) 664-4677
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
06 - HOUSTON
77402
FAX:
(713) 592-6359
SERVICE TYPE TYPE B
05/16/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
030091
COM FOR CARE INC
TX
PO BOX 106
77036
Fax
BELLAIRE
(713) 592-6359
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 664-4677
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
COMFORT CARE ASSISTED LIVING LLC
13106 BEXHILL DRIVE
TX
HOUSTON
PRIVATE Beds: 7
SERVICE TYPE TYPE B
Region
BELLAIRE
(713) 592-6359
HARRIS
Cert Alzh Capacity: 0
(713) 974-9341
02/27/2017
UNIT 08
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 12
TOTAL Lic Capacity: 7
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(281) 732-6625
77057
PO BOX 106
Fax
TOTAL Lic Capacity: 12
Phone
(713) 780-8100
License Exp Dt:
77074
(713) 778-1839
Facility Information:
PHONE:
,STE 210
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
06 - HOUSTON
COM FOR CARE INC
PRIVATE Beds: 10
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
COM FOR CARE INC
7931 MARY BATES
HOUSTON
HOUSTON
000940
(713) 271-4349
Facility Information:
Region
510 BERING DR
TITLE19: 0
TOTAL Lic Capacity: 10
County
SERVICE TYPE TYPE B
12/27/2017
UNIT 15
77082
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
(713) 780-8100
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 60
PHONE:
77057
WESTCHASE AZ LTD
Fax
Cert Alzh Capacity: 60
06 - HOUSTON
,STE 210
TX
PROGRAM TYPE: ASSISTED LIVING
0
010308
(281) 759-2900
TOTAL Lic Capacity: 60
County
ICF/IID: 0
Reg Svcs:
COLONIAL OAKS AT WESTCHASE
11395 RICHMOND AVE
TX
HOUSTON
Phone
HOUSTON
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
Region
510 BERING DR
77030
HARRIS
Facility Information:
(713) 778-8503
Owner Information
TITLE 18: 0
PRIVATE Beds: 64
FAX:
BRAESWOOD AZ, LTD
Fax
Cert Alzh Capacity: 64
77036
04/20/2018
UNIT 14
030311
(713) 799-8200
TOTAL Lic Capacity: 64
(713) 774-5821
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 90
Phone
HOUSTON
(713) 778-8503
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
CLAREWOOD HOUSE INC
TOTAL Lic Capacity: 90
County
Region
UNIT 11
000773
77402
FAX:
(713) 592-6359
SERVICE TYPE TYPE B
05/21/2016
Region
UNIT 15
06 - HOUSTON
Owner Information
105438
COMFORT CARE ASSISTED LIVING LLC
13106 BEXHILL DRIVE
77065
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 955-7404
0
ICF/IID: 0
PHONE:
TX
(281) 732-6625
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77065
FAX:
(281) 995-7404
SERVICE TYPE TYPE B
06/27/2017
Page 160 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
CONTINUING CARE AT EAGLE'S TRACE
14703 EAGLE VISTA DR BLDG 601
TX
HOUSTON
Phone
CULLEN RESIDENCE HALL
810 MARSTON DR
HOUSTON
Phone
TX
TX
77083
FAX:
SERVICE TYPE TYPE A
10/08/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
12802 NEWBROOK DR
HOUSTON
(713) 589-8710
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 589-8710
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
5742 SCHEVERS
77033
HOUSTON
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(713) 505-1627
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
DOCKAL ROAD PERSONAL CARE HOME
8211 DOCKAL RD
TX
HOUSTON
FAX:
DIVINE PURPOSE CARE HOME LLC
TITLE 18/19:
Facility ID:
77072
07/23/2018
UNIT 13
105985
TITLE 18: 0
PRIVATE Beds: 5
(713) 995-9900
License Exp Dt:
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 5
Sunday, October 09, 2016
(281) 568-5275
License Exp Dt:
77072
(713) 505-1627
PRIVATE Beds: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
102489
Fax
DIVINE PURPOSE CARE HOME, LLC
5742 SCHEVERS
TX
HOUSTON
Cert Alzh Capacity: 0
ICF/IID: 0
0
HARRIS
TOTAL Lic Capacity: 10
06 - HOUSTON
LG FINANCIAL CONSULTANTS, INC
PRIVATE Beds: 7
(713) 635-4068
SERVICE TYPE TYPE B
Region
HOUSTON
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(713) 525-8334
6703 ESCONDIDO DR
TITLE19: 0
(281) 933-3628
Facility Information:
FAX:
05/04/2017
UNIT 11
77083
TITLE 18/19:
TOTAL Lic Capacity: 7
County
77019
DAPHNE B LOCKE
HARRIS
Phone
06 - HOUSTON
Owner Information
TITLE 18: 0
Facility ID:
(713) 525-8400
License Exp Dt:
Fax
PRIVATE Beds: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103801
(281) 568-5275
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
HOUSTON
(713) 525-8334
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
Phone
SERVICE TYPE TYPE B
3550 WEST DALLAS
TITLE 18: 0
D DES IDEAL HOME CARE SERVICES
6703 ESCONDIDO DR
TX
HOUSTON
DIVINE LIVING CENTER
12802 NEWBROOK DR
HOUSTON
(281) 249-7358
Owner Information
HARRIS
Facility Information:
FAX:
06/04/2017
UNIT 15
77019
Fax
PRIVATE Beds: 34
County
77077
THE CENTER SERVING PERSONS WITH MENTAL RETARDATION
Cert Alzh Capacity: 0
Phone
(281) 249-7099
License Exp Dt:
103394
(713) 525-8400
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 34
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(281) 249-7358
TITLE 18: 0
PRIVATE Beds: 88
County
14703 EAGLE VISTA DRIVE
77077
Fax
Cert Alzh Capacity: 36
06 - HOUSTON
Owner Information
EAGLES TRACE INC
(281) 249-7099
TOTAL Lic Capacity: 88
Region
UNIT 15
105451
77033
FAX:
SERVICE TYPE TYPE B
03/05/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
000912
A & S COMMUNITY DEVELOPMENT CORPORATION
8211 DOCKAL RD
77028
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 635-1575
0
ICF/IID: 0
PHONE:
TX
(713) 635-4068
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77028
FAX:
(713) 635-1575
SERVICE TYPE TYPE A
01/01/2017
Page 161 of 311
County
Reg Svcs:
HARRIS
Facility Information:
DOVE COMMUNITY
10640 OAK BROOK DR
HOUSTON
Phone
Facility ID:
TX
11343 DOVEDALE
77013
Fax
(281) 974-2181
TITLE 18/19:
EFE ASSISTED LIVING CENTER INC
5922 KENILWOOD DR
TX
HOUSTON
Phone
ELMCROFT OF BRAESWOOD
2555 S BRAESWOOD
HOUSTON
Phone
TX
Fax
Sunday, October 09, 2016
06 - HOUSTON
ICF/IID: 0
PHONE:
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
,STE 200
KY
40222
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
030099
CY-FAIR OPERATIONS, LLC
TX
700 N HURSTBOURNE PKWY
77065-4229
Fax
LOUISVILLE
(281) 890-8973
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 200
KY
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
FAIRBANKS COURT ASSISTED LIVING
7810 TRENTWAY STREET
TX
HOUSTON
PRIVATE Beds: 16
LOUISVILLE
(713) 664-9495
HARRIS
Cert Alzh Capacity: 16
(281) 993-8183
SERVICE TYPE TYPE A
Region
700 N HURSTBOURNE PKWY
Reg Svcs:
Facility ID:
PRIVATE Beds: 120
TOTAL Lic Capacity: 16
FAX:
01/06/2018
UNIT 13
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
(713) 690-1344
77089
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 120
Phone
(281) 922-1690
License Exp Dt:
77025-2805
(281) 890-3174
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
06 - HOUSTON
ESL BRAESWOOD OPERATIONS LLC
PRIVATE Beds: 120
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
ELMCROFT OF CY-FAIR
11246 FALLBROOK
HOUSTON
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 993-8183
030414
(713) 839-8265
Facility Information:
(281) 993-8183
10411 SAGEWICK DRIVE
TITLE19: 0
TOTAL Lic Capacity: 120
County
FAX:
02/08/2017
UNIT 13
77089
TITLE 18/19:
Facility ID:
77089
Owner Information
HARRIS
Facility Information:
(281) 922-1690
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 9
06 - HOUSTON
EFE ASSISTED LIVING CENTER INC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103862
(281) 922-1690
TOTAL Lic Capacity: 9
County
ICF/IID: 0
Reg Svcs:
EFE ASSISTED LIVING CENTER INC
10411 SAGEWICK DR
TX
HOUSTON
Region
HOUSTON
(281) 993-8183
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
10411 SAGEWICK DRIVE
77033
HARRIS
Facility Information:
(281) 836-5999
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
FAX:
EFE ASSISTED LIVING CENTER INC
Fax
Cert Alzh Capacity: 0
77067
11/19/2017
UNIT 13
102622
(832) 202-4100
TOTAL Lic Capacity: 9
(281) 914-3040
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
Phone
HOUSTON
(281) 888-3388
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
ENER ARBED INC
TOTAL Lic Capacity: 9
County
Region
UNIT 08
105038
40223
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/10/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
106525
FAIRBANKS COURT, LLC
7810 TRENTWAY STREET
77040
HOUSTON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(713) 690-1344
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77040
FAX:
SERVICE TYPE TYPE B
05/04/2018
Page 162 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
FAITH PERSONAL HOME CARE, LLC
6302 VISTA CAMINO DR
TX
HOUSTON
Phone
County
HOUSTON
(713) 432-1877
ICF/IID: 0
TITLE19: 0
Reg Svcs:
County
TITLE 18/19:
FOUNTAIN OF LIFE HOUSING
2319 PANNELL STREET
HOUSTON
Phone
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 13
Sunday, October 09, 2016
PHONE:
TX
(713) 320-2772
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
06 - HOUSTON
77026
FAX:
(713) 672-8454
SERVICE TYPE TYPE A
11/14/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
105450
NOLAN FREEMAN
TX
2711 MC DANIEL ST.
77093
Fax
HOUSTON
(888) 817-8064
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(972) 310-8741
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
TOTAL Lic Capacity: 13
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 5
(713) 635-8881
SERVICE TYPE TYPE A
Region
HOUTON
TITLE19: 0
Cert Alzh Capacity: 0
Phone
(281) 696-7587
2319 PANNELL STREET
TITLE 18/19:
TOTAL Lic Capacity: 5
G WILLS ROOMING FACILITY
8113 WAY ST
HOUSTON
FAX:
03/18/2017
UNIT 08
77026
(972) 310-8741
Facility Information:
77489
Owner Information
HARRIS
County
(832) 668-0860
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 5
Phone
PHONE:
,STE 140
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
Cert Alzh Capacity: 0
FREEMANS ASSISTED LIVING
2711 MCDANIEL
HOUSTON
ICF/IID: 0
105094
(713) 320-2772
Facility Information:
06 - HOUSTON
CARL D BROWN
TOTAL Lic Capacity: 5
County
MISSOURI CITY
(713) 741-4007
Reg Svcs:
Facility ID:
(713) 432-1877
SERVICE TYPE TYPE B
Region
2440 TEXAS PARKWAY
HARRIS
Facility Information:
FAX:
06/26/2018
UNIT 14
TITLE19: 0
PRIVATE Beds: 8
77071
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
FISHER HAVEN, LLC
Fax
TOTAL Lic Capacity: 8
(713) 432-1877
License Exp Dt:
102554
(713) 742-4007
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
FISHER HAVEN ASSISTED LIVING CENTER
5126 ENYART STREET
TX
HOUSTON
77021
Phone
Region
10810 BRAES FOREST DR
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
06/04/2017
UNIT 15
77071
HARRIS
Facility Information:
(281) 750-0901
Owner Information
TITLE 18: 0
PRIVATE Beds: 7
FAX:
FIRST CLASS HOME CARE SERVICES INC
Fax
Cert Alzh Capacity: 0
77083
(281) 762-3381
License Exp Dt:
105900
(713) 432-1877
TOTAL Lic Capacity: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
FIRST CLASS HOME SERVICES, INC.
10810 BRAES FOREST DR
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(281) 750-0901
TITLE 18: 0
PRIVATE Beds: 10
County
6302 VISTA CAMINO DR
77083
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
FAITH PERSONAL HOME CARE, LLC
(281) 762-3381
TOTAL Lic Capacity: 10
Region
UNIT 15
105155
77093
FAX:
(888) 817-8064
SERVICE TYPE TYPE A
12/13/2015
Region
UNIT 13
06 - HOUSTON
Owner Information
030218
GENE I WILLIAMS
TX
8423 BIGWOOD
77028
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 635-8881
0
ICF/IID: 0
PHONE:
TX
(713) 631-1142
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77078
FAX:
SERVICE TYPE TYPE A
11/04/2018
Page 163 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
GALWAY MEADOWS CARE HOME
3607 GALWAY LANE
TX
HOUSTON
Phone
HOUSTON
TITLE 18: 0
TITLE 18/19:
TOTAL Lic Capacity: 9
County
TITLE 18/19:
Phone
Phone
County
GRAYSTONE LIFE CARE LLC
1310 RIVERVIEW CIRCLE
HOUSTON
Phone
(281) 556-5993
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
ICF/IID: 0
06 - HOUSTON
(713) 953-0848
License Exp Dt:
77057
FAX:
(713) 953-0652
SERVICE TYPE TYPE B
03/01/2018
Region
UNIT 08
06 - HOUSTON
Owner Information
ANNE R SAWYER
639 FEAMSTER DR
77088
Fax
HOUSTON
(713) 691-5131
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 670-7346
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
SERVICE TYPE TYPE B
Region
HOUSTON
(713) 953-0652
030093
(281) 820-3682
PRIVATE Beds: 11
(713) 953-0652
5719 DOLORES ST
Reg Svcs:
Cert Alzh Capacity: 0
FAX:
Owner Information
TITLE19: 0
TOTAL Lic Capacity: 11
77057
10/03/2017
UNIT 15
77057-5711
TITLE 18/19:
GOODNESS AND MERCY HEALTH CARE
8502 WHITECASTLE LN
TX
HOUSTON
(713) 953-0848
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
06 - HOUSTON
GOOD LIVING COMMUNITY CARE INC
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
000983
(713) 953-0848
Cert Alzh Capacity: 0
Region
HOUSTON
(713) 953-0652
Reg Svcs:
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE A
5719 DOLORES ST
TITLE19: 0
GOOD LIVING COMMUNITY CARE INC III
5715 DOLORES ST
TX
HOUSTON
(713) 674-1168
07/16/2018
UNIT 15
77057
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
(713) 674-1168
77029
GOOD LIVING COMMUNITY CARE INC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100115
(713) 953-0848
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
GOOD LIVING COMMUNITY CARE INC #4
5719 DOLORES ST
TX
HOUSTON
Phone
HOUSTON
(866) 527-5340
HARRIS
Facility Information:
06 - HOUSTON
1706 GELLHORN
TITLE19: 0
PRIVATE Beds: 9
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
GLORIOUS DAYS PERSONAL CARE HOME INC
Fax
(713) 674-1168
FAX:
07/01/2018
UNIT 13
030293
GLORIOUS DAYS PERSONAL CARE HOME
1706 GELLHORN
TX
HOUSTON
77029
Phone
77080
(832) 775-4833
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
County
3607 GALWAY LANE
77080
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
ALHAIDZ HOMES, LLC
(707) 703-9746
TOTAL Lic Capacity: 5
Region
UNIT 15
104488
77022
FAX:
(713) 691-5131
SERVICE TYPE TYPE A
10/17/2015
Region
UNIT 15
06 - HOUSTON
Owner Information
106303
GRAYSTONE LIFE CARE LLC
TX
502 AUGUSTA
77077
Fax
(281) 556-6440
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
,STE 300
HOUSTON
ICF/IID: 0
PHONE:
TX
(713) 973-8811
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77057
FAX:
(713) 586-7110
SERVICE TYPE TYPE A
08/05/2017
Page 164 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 12
8430 1/2 TIDWELL RD
TITLE 18/19:
Phone
TX
TX
ICF/IID: 0
(713) 799-9031
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
06 - HOUSTON
77054-3906
FAX:
(713) 799-2702
SERVICE TYPE TYPE B
06/17/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
000741
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC
TX
P.O. BOX 983
77072
Fax
FULSHEAR
(281) 531-0571
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(281) 346-1163
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC
P.O. BOX 983
FULSHEAR
(281) 531-0571
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
77478
09/01/2017
UNIT 15
100848
Fax
(281) 704-1164
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY #2
2814 STONEWAY DR
TX
HOUSTON
77082
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
HOUSTON
(713) 799-2702
HARRIS
PRIVATE Beds: 8
(281) 345-8127
2000 HOLLY HALL ST
TITLE19: 0
PRIVATE Beds: 12
Cert Alzh Capacity: 0
FAX:
08/29/2017
UNIT 14
77054-3096
TITLE 18/19:
Cert Alzh Capacity: 12
TOTAL Lic Capacity: 8
77095
Owner Information
TITLE 18: 0
(281) 704-1164
(281) 704-1164
(281) 855-0558
License Exp Dt:
030124
Fax
TOTAL Lic Capacity: 12
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
06 - HOUSTON
HOLLY HALL
PRIVATE Beds: 60
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 345-8127
TITLE19: 0
TOTAL Lic Capacity: 60
HOME SWEET HOME R C F E
12142 7TH ST BLDG. #A
HOUSTON
(713) 726-8901
17346 CHESTNUT BLUFF DR
TITLE 18/19:
(713) 799-9031
Facility Information:
FAX:
01/25/2018
UNIT 15
77095
TITLE 18: 0
Facility ID:
77035
Owner Information
HARRIS
County
06 - HOUSTON
HANDS TO LEND ASSISTED LIVING LLC
Fax
PRIVATE Beds: 6
(713) 283-8799
License Exp Dt:
105536
(281) 855-0558
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HANDS TO LEND ASSISTED LIVING LLC
17346 CHESTNUT BLUFF DR
TX
HOUSTON
HOLLY HALL
2000 HOLLY HALL ST
HOUSTON
HOUSTON
(713) 726-8901
HARRIS
Facility Information:
Region
12402 RENWICK
TITLE 18: 0
PRIVATE Beds: 11
County
SERVICE TYPE TYPE A
Owner Information
77035
Fax
Cert Alzh Capacity: 0
Phone
FAX:
07/12/2017
UNIT 14
010305
(713) 283-8799
Facility Information:
77028
BARBARA HALL
TOTAL Lic Capacity: 11
County
(713) 633-1803
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
HALLS PERSONAL CARE
12402 RENWICK
HOUSTON
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
Facility Information:
HOUSTON
(713) 633-1803
TITLE 18: 0
Cert Alzh Capacity: 0
County
GREATER MORNING STAR BAPTIST CHURCH
Fax
(713) 633-1803
06 - HOUSTON
Owner Information
GREATER MORNING STAR PERSONAL CARE
8430 1/2 TIDWELL RD
TX
HOUSTON
77028
Phone
Region
UNIT 13
000746
0
ICF/IID: 0
PHONE:
TX
(281) 704-1164
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77478
FAX:
(281) 346-1163
SERVICE TYPE TYPE A
02/21/2017
Page 165 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 14
9616 BECKLEY ST
HOUSTON
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
HUDSON HOUSE ASSISTED LIVING
914 DELLBROOK DR
TX
HOUSTON
Phone
County
PEARLAND
HUMAN SERVICES CENTER
8114 FURLONG LN
HOUSTON
Phone
TX
10101 FONDREN RD
(713) 778-1726
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
PRIVATE Beds: 9
Sunday, October 09, 2016
Region
06 - HOUSTON
6431 GAMMAGE
HOUSTON
(713) 649-1325
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
License Exp Dt:
Reg Svcs:
77087
FAX:
(713) 644-7391
PROGRAM TYPE: ASSISTED LIVING
0
(713) 644-7391
SERVICE TYPE TYPE A
12/29/2016
Region
UNIT 13
06 - HOUSTON
Owner Information
102852
J H ADULT ASSISTED LIVING SERVICES LLC
10222 ALLWOOD ST
TX
HOUSTON
77016
(713) 491-8589
SERVICE TYPE TYPE B
08/09/2018
UNIT 13
77087
HARRIS
Phone
(713) 660-5048
Owner Information
TITLE 18: 0
Facility ID:
FAX:
RAYMOND LEWIS
Fax
PRIVATE Beds: 7
06 - HOUSTON
77025
(713) 666-2651
License Exp Dt:
Reg Svcs:
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101772
(713) 644-7391
Facility Information:
HOUSTON
(713) 660-5048
HARRIS
TOTAL Lic Capacity: 7
Region
UNIT 13
TITLE19: 0
J & P HOME CARE ASSISTED LIVING
6431 GAMMAGE
TX
HOUSTON
SERVICE TYPE TYPE A
11/12/2016
4141 S BRAESWOOD BLVD
TITLE 18/19:
Facility ID:
(713) 778-1726
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
BRAZOS PRESBYTERIAN HOMES INC
Fax
Cert Alzh Capacity: 0
77096
(713) 778-1616
License Exp Dt:
030184
(713) 666-2651
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
County
06 - HOUSTON
,STE 532
HOUSTON
ISLA CARROLL TURNER HEALTH CARE P C U
4141 S BRAESWOOD BLVD
TX
HOUSTON
77025
Phone
Region
Owner Information
HARRIS
Facility Information:
SERVICE TYPE TYPE B
05/22/2016
UNIT 15
77071
Fax
PRIVATE Beds: 10
County
FAX:
PAULINE I. IGWE
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
77584
(713) 582-6030
License Exp Dt:
030014
(713) 778-1616
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
2020 BUSINESS CENTER DR.
77038
HARRIS
Facility Information:
SERVICE TYPE TYPE B
KENDRA HUDSON
TITLE 18: 0
PRIVATE Beds: 8
(281) 405-9764
Owner Information
Fax
Cert Alzh Capacity: 0
FAX:
01/09/2018
UNIT 08
030107
(281) 847-4569
TOTAL Lic Capacity: 8
77088
(281) 405-9764
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
County
HOUSTON EXTRAORDINARY HOME CARE II INC
Fax
(281) 405-9764
06 - HOUSTON
Owner Information
HOUSTON EXTRAORDINARY HOME CARE II INC
9616 BECKLEY ST
TX
HOUSTON
77088
Phone
Region
UNIT 08
102695
J H ADULT ASSISTED LIVING SERVICES LLC
10222 ALLWOOD ST
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 631-5483
0
ICF/IID: 0
PHONE:
TX
(713) 491-8589
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77016
FAX:
(713) 631-5483
SERVICE TYPE TYPE A
11/12/2016
Page 166 of 311
County
Reg Svcs:
HARRIS
Facility Information:
J M J PERSONAL CARE
11435 BLACKHAWK
HOUSTON
Phone
Facility ID:
TX
11435 BLACKHAWK
77089
Fax
(281) 481-1710
TITLE 18/19:
TX
TX
TX
Sunday, October 09, 2016
(713) 447-0082
SERVICE TYPE TYPE A
Region
06 - HOUSTON
9427 VICKIJOHN DR
HOUSTON
(713) 771-1095
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 368-7194
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77031
FAX:
(713) 771-1095
SERVICE TYPE TYPE B
09/19/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
102048
EDITH N UGWU
TX
9427 VICKIJOHN DR
77031
Fax
HOUSTON
(713) 771-1095
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 368-7194
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
PRIVATE Beds: 6
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 15
Cert Alzh Capacity: 0
77489
06/01/2018
UNIT 11
77031
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 6
(713) 649-3007
License Exp Dt:
103025
(713) 776-1137
(281) 568-5091
06 - HOUSTON
EDITH N UGWU
TOTAL Lic Capacity: 15
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
JUMER HOUSE
11431 SANDSTONE
HOUSTON
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 13
Facility Information:
Region
MISSOURI CITY
(281) 481-1646
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
8306 BEE MEADOW LN
TITLE 18: 0
TOTAL Lic Capacity: 13
Phone
(713) 842-2896
09/05/2016
UNIT 13
77033
(832) 582-7800
JOYFUL HOMES III
9427 VICKIJOHN DR
HOUSTON
FAX:
Owner Information
HARRIS
Facility Information:
77021
(713) 748-5800
License Exp Dt:
103844
Fax
PRIVATE Beds: 10
County
06 - HOUSTON
SABRINA L FREISON, EDITH M HARGROVE
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
JOYFUL HOMES IV
9239 MCAFEE DR
HOUSTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 649-3007
Facility Information:
HOUSTON
(713) 842-2896
HARRIS
County
Region
6743 PARIS
TITLE 18: 0
PRIVATE Beds: 16
Phone
SERVICE TYPE TYPE A
Owner Information
77021
Fax
Cert Alzh Capacity: 0
JONES HOUSE OF PEACE
6639 CRESTMONT ST
HOUSTON
(281) 922-1112
05/17/2017
UNIT 14
100290
(713) 842-2899
Facility Information:
FAX:
MATILDA S JOLIVETTE
TOTAL Lic Capacity: 16
County
77089-6068
(281) 481-1710
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 15
JOLIVETTES CARE CENTER
6627 CALHOUN
HOUSTON
HOUSTON
(281) 922-1112
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
AUDREY M GRADNEY
TOTAL Lic Capacity: 15
County
Region
UNIT 13
050698
77031
FAX:
(713) 771-1095
SERVICE TYPE TYPE A
06/15/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
102328
JESSIE M OKON-EMECHETA
TX
11431 SANDSTONE ST
77072
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 568-7123
0
ICF/IID: 0
PHONE:
TX
(713) 550-4718
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77072
FAX:
(281) 568-7123
SERVICE TYPE TYPE A
07/26/2015
Page 167 of 311
County
Reg Svcs:
HARRIS
Facility Information:
LAKEWOOD 24 HOUR P C 2
8833 OAK KNOLL LN
HOUSTON
Phone
Facility ID:
TX
8416 MESA DR
77078
Fax
(713) 633-3609
TITLE 18/19:
LAKEWOOD 24 HR PERSONAL CARE
8416 MESA DR
TX
HOUSTON
LEADER HOUSE
7103 LEADER
HOUSTON
Phone
TX
ICF/IID: 0
HOUSTON
(281) 530-3735
ICF/IID: 0
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 8
PRIVATE Beds: 8
Sunday, October 09, 2016
(281) 530-3735
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
LIBERTY ISLAND PERSONAL CARE HOMES INC
9009 BOONE RD
HOUSTON
(281) 530-3735
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 530-0000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
(281) 282-0770
FAX:
08/20/2016
UNIT 11
000987
Fax
Facility ID:
06 - HOUSTON
77099
(281) 530-0000
License Exp Dt:
LIBERTY ISLAND PERSONAL CARE HOMES INC
9009 BOONE RD
TX
HOUSTON
77099
PRIVATE Beds: 135
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
UNIT 11
TITLE19: 0
TOTAL Lic Capacity: 135
SERVICE TYPE TYPE B
07/13/2017
9009 BOONE RD
TITLE 18/19:
(281) 530-0000
(713) 592-6359
LIBERTY ISLAND PERSONAL CARE HOMES INC
TITLE 18: 0
Facility ID:
FAX:
Owner Information
HARRIS
Phone
06 - HOUSTON
77402
(713) 664-4677
License Exp Dt:
000809
Fax
PRIVATE Beds: 74
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
LIGHT HEART MEMORY CARE
910 KINGSGATE LN
HOUSTON
Region
BELLAIRE
(713) 592-6359
TITLE19: 0
TITLE 18/19:
(281) 530-0000
Facility Information:
SERVICE TYPE TYPE A
PO BOX 106
TITLE 18: 0
TOTAL Lic Capacity: 74
County
(713) 631-8476
08/30/2017
UNIT 08
LIBERTY ISLAND PERSONAL CARE HOMES INC
9009 BOONE RD
TX
HOUSTON
77099
Phone
FAX:
Owner Information
HARRIS
Facility Information:
77028
(713) 633-3609
License Exp Dt:
77074
Fax
PRIVATE Beds: 9
County
06 - HOUSTON
COM FOR CARE INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030134
(713) 774-7930
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 9
County
HOUSTON
(713) 631-8476
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
8416 MESA DR
77028
HARRIS
Facility Information:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
(713) 631-8476
CHERYL WALLER
Fax
Cert Alzh Capacity: 0
FAX:
09/27/2017
UNIT 13
000884
(713) 633-3609
TOTAL Lic Capacity: 14
77028
(713) 633-3609
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 11
Phone
HOUSTON
(713) 631-8476
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
CHERYL WALLER
TOTAL Lic Capacity: 11
County
Region
UNIT 13
050507
77099
FAX:
(281) 530-3735
SERVICE TYPE TYPE B
05/29/2016
Region
UNIT 13
06 - HOUSTON
Owner Information
101164
PAT L MACK
TX
910 KINGSGATE LN
77058-3236
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 280-8048
0
ICF/IID: 0
PHONE:
TX
(281) 282-0770
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77058
FAX:
(281) 280-8048
SERVICE TYPE TYPE B
05/07/2017
Page 168 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 8
910 KINGSGATE LN
TITLE 18/19:
Phone
TX
TX
HOUSTON
ICF/IID: 0
TITLE19: 0
TX
HOUSTON
(713) 942-7831
ICF/IID: 0
TITLE19: 0
FAX:
(713) 942-7831
SERVICE TYPE TYPE B
05/09/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
102737
JOHNNETTA NICHOLS
8209 N MAIN
77022
HOUSTON
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
License Exp Dt:
Reg Svcs:
77022
FAX:
(713) 692-1414
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility ID:
77266
(713) 526-2233
License Exp Dt:
Fax
PRIVATE Beds: 9
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(281) 409-4862
SERVICE TYPE TYPE A
03/26/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
104781
LOVING CARE COTTAGES INCORPORATED
17914 ROLLING CREEK
TX
HOUSTON
77090
Sunday, October 09, 2016
06 - HOUSTON
PO BOX 66153
TITLE 18/19:
TOTAL Lic Capacity: 9
PRIVATE Beds: 16
Region
Owner Information
TITLE 18: 0
(713) 692-1414
Cert Alzh Capacity: 16
SERVICE TYPE TYPE A
03/25/2018
UNIT 08
77006
Fax
LOVING CARE ASSISTED LIVING HOME
8209 N. MAIN
TX
HOUSTON
TOTAL Lic Capacity: 16
FAX:
(713) 842-4236
License Exp Dt:
030046
HARRIS
(281) 537-7636
PHONE:
77093
TOTAL HEALTH SERVICES LIMITED LIABILITY COMPANY
PRIVATE Beds: 16
Phone
06 - HOUSTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(713) 526-2233
Facility Information:
Region
7416 CURRY RD
77093
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 16
Phone
(832) 617-7991
04/01/2017
UNIT 08
103369
HARRIS
Facility Information:
FAX:
(281) 983-0045
License Exp Dt:
Fax
PRIVATE Beds: 3
County
PHONE:
77215
TANNER PERRY INC
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 3
LOVETT PLACE
808 LOVETT BLVD
HOUSTON
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 694-4800
Facility Information:
HOUSTON
(832) 617-7991
HARRIS
County
Region
PO BOX 773033
TITLE 18: 0
PRIVATE Beds: 14
Phone
SERVICE TYPE TYPE B
Owner Information
77072
Fax
Cert Alzh Capacity: 0
LOVE AND PEACE
7416 CURRY RD
HOUSTON
(281) 280-8048
10/08/2017
UNIT 11
000332
(281) 983-0045
Facility Information:
FAX:
LIMBE HOUSE INC
TOTAL Lic Capacity: 14
County
77058
(281) 282-0770
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
LIMBE HOUSE
12115 CORONA LN
HOUSTON
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
HOUSTON
(281) 280-8048
TITLE 18: 0
Cert Alzh Capacity: 8
County
PAT L MACK
Fax
(281) 282-9599
06 - HOUSTON
Owner Information
LIGHT HEART MEMORY CARE - HOLLYDALE
15015 HOLLY DALE
TX
HOUSTON
77062
Phone
Region
UNIT 13
103340
LOVING CARE COTTAGES INCORPORATED
17914 ROLLING CREEK
HOUSTON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(281) 910-4497
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77090
FAX:
SERVICE TYPE TYPE B
08/08/2016
Page 169 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
LOVING CARE PERSONAL CARE HOME
2119 ISABELLA
TX
HOUSTON
Phone
LOVING IN CARING ARMS
4542 HOLLYBROOK LN
HOUSTON
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE 18/19:
TOLEDO
(281) 955-1597
ICF/IID: 0
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
SERVICE TYPE TYPE B
03/18/2017
Region
UNIT 08
06 - HOUSTON
1802 MALLARD
HOUSTON
(713) 721-0226
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 721-0226
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
(713) 433-8819
(877) 385-9446
Owner Information
TITLE 18: 0
Facility ID:
FAX:
MARIGOLD COTTAGE PCH @ WALLER LLC
Fax
PRIVATE Beds: 10
06 - HOUSTON
43604
(419) 252-5500
License Exp Dt:
MARIGOLD COTTAGE PCH@ WALLER LLC
1802 MALLARD
TX
HOUSTON
77043
Cert Alzh Capacity: 0
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 10
Region
333 N SUMMIT ST
030185
(713) 721-0226
SERVICE TYPE TYPE A
HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
HARRIS
Facility ID:
(713) 733-3695
06/25/2017
UNIT 16
TITLE19: 0
PRIVATE Beds: 66
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
77051
(713) 733-6900
License Exp Dt:
000725
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 66
MARLENA'S HOUSE
418 FELLOWS RD
HOUSTON
Region
HOUSTON
(713) 733-3695
TITLE19: 0
TITLE 18/19:
(281) 955-9572
Facility Information:
SERVICE TYPE TYPE A
4305 MALLOW
MANORCARE HEALTH SERVICES - WILLOWBROOK
13631 ARDFIELD DR
TX
HOUSTON
77070
County
(281) 442-0123
12/10/2017
UNIT 13
77033
HARRIS
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 26
Facility Information:
77039
(281) 449-1353
License Exp Dt:
100066
Fax
Cert Alzh Capacity: 0
County
06 - HOUSTON
LOVE & JOY PERSONAL CARE HOME
TOTAL Lic Capacity: 26
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(713) 733-6900
Facility Information:
HOUSTON
(281) 442-0123
HARRIS
County
Region
4542 HOLLYBROOK LN
TITLE 18: 0
PRIVATE Beds: 9
Phone
SERVICE TYPE TYPE A
Owner Information
77039
Fax
Cert Alzh Capacity: 0
MALLOW PLACE
4305 MALLOW
HOUSTON
(713) 699-1572
04/28/2017
UNIT 08
030029
(281) 449-1353
Facility Information:
FAX:
ELERIA M BARBER
TOTAL Lic Capacity: 9
County
77022
(713) 691-7437
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,STE L
HOUSTON
(713) 699-1572
TITLE 18: 0
PRIVATE Beds: 8
County
3910 N FWY
77004
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
LOVING CARE PERSONAL CARE HOME
(713) 521-1082
TOTAL Lic Capacity: 8
Region
UNIT 08
030080
77043
FAX:
(713) 468-3293
SERVICE TYPE TYPE B
07/28/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
101892
MARLENE HARROW
TX
2222 S FOUNTAIN VALLEY DR
77047
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MISSOURI CITY
(713) 433-8819
0
ICF/IID: 0
PHONE:
TX
(281) 450-7463
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77459
FAX:
(281) 438-1401
SERVICE TYPE TYPE A
05/30/2017
Page 170 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
MARSH PERSONAL CARE HOME
10142 VALLEY BREEZE
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 9
County
TITLE 18/19:
MARTIN PRIVATE CARE
9315 BERINGWOOD
HOUSTON
Phone
TX
TX
SERVICE TYPE TYPE B
Region
HOUSTON
ICF/IID: 0
PHONE:
TX
(832) 314-1922
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
06 - HOUSTON
77083
FAX:
SERVICE TYPE TYPE B
06/25/2018
Region
UNIT 14
06 - HOUSTON
Owner Information
103275
MENTIS NEURO HOUSTON LLC
TX
9551 FANNIN STREET
77045
Fax
HOUSTON
(713) 331-0257
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 24
TITLE 18/19:
MILESTONE PERSONAL CARE INC.
10602 CHAPEL HILL DRIVE
TX
HOUSTON
(713) 331-0259
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
(281) 561-7924
06/25/2018
UNIT 15
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 9
FAX:
6922 VIALINDA DRIVE
TITLE 18: 0
TOTAL Lic Capacity: 24
Cert Alzh Capacity: 0
License Exp Dt:
77083
(713) 331-0259
TOTAL Lic Capacity: 9
(281) 561-7924
77083
Owner Information
HARRIS
(281) 564-4601
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 7
Phone
ICF/IID: 0
106488
(832) 314-1922
Facility Information:
06 - HOUSTON
MENOX CARE LLC
Cert Alzh Capacity: 7
County
SERVICE TYPE TYPE B
Region
HOUSTON
(281) 561-5002
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 7
Phone
(281) 458-1860
10/11/2016
UNIT 11
TITLE19: 0
TITLE 18/19:
MENOX CARE ASSISTED LIVING
6922 VIALINDA DRIVE
HOUSTON
MENTIS NEURO HEALTH
9551 FANNIN ST
HOUSTON
FAX:
9315 BERINGWOOD
HARRIS
Facility Information:
77078
Owner Information
TITLE 18: 0
PRIVATE Beds: 4
County
(281) 458-9321
License Exp Dt:
77083
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030335
(281) 561-7924
Facility Information:
06 - HOUSTON
DORIS MARTIN
TOTAL Lic Capacity: 4
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
HOUSTON
(281) 458-1860
HARRIS
Facility Information:
SERVICE TYPE TYPE A
10142 VALLEY BREEZE
TITLE19: 0
PRIVATE Beds: 9
(281) 458-1860
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 9
FAX:
VAL VERDES CARE CENTER INC
Fax
(713) 631-3100
77078
07/29/2017
UNIT 13
104921
MARSH PERSONAL CARE HOME LAKEWOOD
7223 LAKEWOOD DR
TX
HOUSTON
77016
Phone
(281) 458-9321
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
HOUSTON
(281) 458-1860
TITLE 18: 0
PRIVATE Beds: 16
County
10142 VALLEY BREEZE
77078
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
VAL VERDES CARE CENTER INC
(281) 458-9321
TOTAL Lic Capacity: 16
Region
UNIT 13
000766
77045
FAX:
(713) 331-0257
SERVICE TYPE TYPE A
01/15/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
105854
MILESTONE PERSONAL CARE INC.
10602 CHAPEL HILL DRIVE
77099
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(281) 498-6767
0
ICF/IID: 0
PHONE:
TX
(832) 704-4100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77099
FAX:
(281) 498-6767
SERVICE TYPE TYPE A
12/16/2016
Page 171 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
MINGO'S PERSONAL CARE HOME INC
10538 BAINBRIDGE
TX
HOUSTON
Phone
County
NISSI HOME OF TEXAS
11107 STROUD DR.
HOUSTON
Phone
TX
PRIVATE Beds: 8
Sunday, October 09, 2016
PHONE:
TX
(713) 633-4700
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
06 - HOUSTON
77016
FAX:
(713) 633-6964
SERVICE TYPE TYPE B
01/01/2017
Region
UNIT 13
06 - HOUSTON
Owner Information
OAK SHADOWS ALLENDALE 1 LIMITED
805 AVENUE L
77017
BROOKLYN
(713) 941-0173
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
NY
(718) 535-3793
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE 18: 0
Facility ID:
SERVICE TYPE TYPE B
Region
HOUSTON
(713) 633-6964
000994
Fax
PRIVATE Beds: 100
(281) 561-9341
6800 BLEKER ST
Reg Svcs:
Cert Alzh Capacity: 0
FAX:
Owner Information
TITLE19: 0
TOTAL Lic Capacity: 100
77036
04/26/2018
UNIT 13
77016
(713) 941-7700
TOTAL Lic Capacity: 8
06 - HOUSTON
DAN GROUP, LLC
TITLE 18/19:
OAK SHADOWS ALLENDALE 1 LTD
4801 ALLENDALE
TX
HOUSTON
(832) 661-8306
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(832) 380-4423
ICF/IID: 0
101896
Fax
PRIVATE Beds: 10
Phone
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 561-9341
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
OUR FATHER'S HOUSE
3214 KNOTTY OAKS
HOUSTON
(281) 261-1232
03/22/2018
UNIT 11
TITLE19: 0
TITLE 18/19:
(713) 633-4700
Facility Information:
FAX:
7503 BARBERTON DRIVE
TITLE 18: 0
TOTAL Lic Capacity: 10
County
License Exp Dt:
77072
Fax
NIXON ASSISTED LIVING OF HOUSTON
6800 BLEKER STREET
TX
HOUSTON
Phone
(281) 499-0976
77498
Owner Information
HARRIS
Facility Information:
06 - HOUSTON
TEXMAX COVENANT BUSINESS INC
PRIVATE Beds: 12
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000419
(281) 776-9413
Facility Information:
Region
SUGARLAND
(281) 261-1232
TITLE19: 0
TOTAL Lic Capacity: 12
County
SERVICE TYPE TYPE A
13909 SKYVIEW DR
TITLE 18/19:
Facility ID:
(713) 631-2906
12/18/2016
UNIT 11
77031
HARRIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
77016
CELESTINE M WOODSON
Fax
Cert Alzh Capacity: 0
(713) 631-4049
License Exp Dt:
030179
(713) 988-2029
TOTAL Lic Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
NEW BEGINNINGS SENIOR ESTATES
9018 COVENT GARDEN
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(713) 631-2906
TITLE 18: 0
PRIVATE Beds: 9
County
10538 BAINBRIDGE
77016
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
MINGO'S PERSONAL CARE HOME INC
(713) 631-4049
TOTAL Lic Capacity: 9
Region
UNIT 13
103505
11230
FAX:
(718) 338-1019
SERVICE TYPE TYPE A
05/18/2015
Region
UNIT 14
06 - HOUSTON
Owner Information
104966
FERGUSON BUSINESS ASSOCIATES
TX
3214 KNOTTY OAKS TRAIL
77045
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 429-5078
0
ICF/IID: 0
PHONE:
TX
(832) 380-4423
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77045
FAX:
(713) 429-5078
SERVICE TYPE TYPE A
03/22/2018
Page 172 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 9
PO BOX 450677
TITLE 18/19:
PARADISE LTC LIVING I
8223 BELLAIRE
HOUSTON
TX
HOUSTON
(832) 201-7126
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(281) 248-3708
License Exp Dt:
77083
FAX:
(281) 568-7927
SERVICE TYPE TYPE B
04/09/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
700 N PEARL ST
77077
Fax
DALLAS
(281) 556-9275
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 92
TITLE 18/19:
PINNACLE LIVING CENTER INC
3127 COLLINGSWORTH
HOUSTON
(214) 758-8000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 1200
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
06 - HOUSTON
BUCKNER RETIREMENT SERVICES INC
Cert Alzh Capacity: 24
PRIVATE Beds: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 92
Cert Alzh Capacity: 0
ICF/IID: 0
000407
(281) 556-9200
TOTAL Lic Capacity: 12
Region
HOUSTON
(281) 568-7927
HARRIS
PARKWAY PLACE
1321 PARK BAYOU DR
HOUSTON
SERVICE TYPE TYPE B
12/31/2016
15526 EMPANADA DR
TITLE 18/19:
Facility ID:
(832) 201-7126
PARAGON SENIOR CARE AND SERVICES LLC
TITLE19: 0
PRIVATE Beds: 10
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
77036
(713) 272-6688
UNIT 11
000386
Fax
TOTAL Lic Capacity: 10
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
(281) 568-7927
(281) 788-6954
06 - HOUSTON
,STE A-2
TX
PROGRAM TYPE: ASSISTED LIVING
0
PARAGON SENIOR CARE AND SERVICES
15526 EMPANADA
TX
HOUSTON
77083
Phone
Region
HOUSTON
(832) 201-7126
HARRIS
Facility Information:
SERVICE TYPE TYPE A
04/16/2017
9630 CLAREWOOD DR
TITLE 18: 0
PRIVATE Beds: 13
County
(832) 201-7126
Owner Information
77072
Fax
Cert Alzh Capacity: 0
Phone
FAX:
(713) 272-6688
UNIT 11
000483
(281) 879-0614
Facility Information:
77036
SINO-AMERICAN INVESTMENT & DEVELOPMENT HOLDINGS INC
TOTAL Lic Capacity: 13
County
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
PARADISE LTC LIVING II
11403 HIGH STAR
HOUSTON
Phone
06 - HOUSTON
,STE A-2
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
Region
9630 CLAREWOOD DR
TITLE 18: 0
PRIVATE Beds: 14
County
SERVICE TYPE TYPE A
Owner Information
77036
Fax
Cert Alzh Capacity: 0
Phone
(713) 988-5323
05/30/2017
UNIT 11
000941
(713) 981-1527
Facility Information:
FAX:
SINO-AMERICAN INVESTMENT & DEVELOPMENT HOLDINGS INC
TOTAL Lic Capacity: 14
County
77245
(713) 731-0645
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
Facility Information:
HOUSTON
(713) 988-5323
TITLE 18: 0
Cert Alzh Capacity: 0
County
FAIR V CLARKE
Fax
(713) 731-0645
06 - HOUSTON
Owner Information
OUTREACH ASSISTED LIVING FACILITY II
5010 RIDGEWAY
TX
HOUSTON
77033
Phone
Region
UNIT 13
100958
75201
FAX:
(214) 758-8153
SERVICE TYPE TYPE B
03/20/2018
Region
UNIT 08
06 - HOUSTON
Owner Information
101881
PINNACLE LIVING CENTER INC
TX
3127 COLLINGSWORTH
77026
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 222-7953
0
ICF/IID: 0
PHONE:
TX
(281) 788-6954
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77026
FAX:
(713) 222-7953
SERVICE TYPE TYPE A
07/29/2016
Page 173 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
PREMIER ASSISTED LIVING HOMES
10607 RAYDELL DR
TX
HOUSTON
Phone
County
Phone
QUALITY LIVING
8302 BEECHNUT
HOUSTON
Phone
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
HOUSTON
(281) 499-7145
ICF/IID: 0
06 - HOUSTON
77071
FAX:
(281) 499-7145
SERVICE TYPE TYPE B
12/18/2016
Region
UNIT 11
06 - HOUSTON
Owner Information
000832
HILDA L EAGLETON
8202 CANDLEGREEN CT
77036
Fax
HOUSTON
(281) 499-7145
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 771-8735
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(713) 771-8735
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
PRIVATE Beds: 12
(713) 988-1660
Owner Information
TITLE19: 0
PRIVATE Beds: 6
Cert Alzh Capacity: 0
FAX:
8202 CANDLEGREEN CT
TITLE 18/19:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 12
77272
03/26/2017
UNIT 11
77036
(713) 995-7237
(832) 617-7990
(281) 827-1477
License Exp Dt:
TITLE 18: 0
TOTAL Lic Capacity: 6
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
100738
Fax
QUALITY LIVING PERSONAL CARE
8304 BEECHNUT
TX
HOUSTON
RACHEL HOUSE MINISTRY
12119 CORONA LN
HOUSTON
ICF/IID: 0
0
HARRIS
Facility Information:
06 - HOUSTON
HILDA L EAGLETON
PRIVATE Beds: 4
County
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 988-1660
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(713) 988-1660
PO BOX 721051
TITLE19: 0
(713) 995-7237
Facility Information:
FAX:
08/28/2017
UNIT 11
77031
TITLE 18/19:
TOTAL Lic Capacity: 4
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(281) 827-1477
77272
Owner Information
HARRIS
Facility Information:
06 - HOUSTON
SAMUEL ONWUHARONYE
Fax
PRIVATE Beds: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102617
(713) 271-1196
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 8
Region
HOUSTON
(281) 530-6266
TITLE19: 0
PREMIER ASSISTED LIVING HOMES #3
9135 RENTUR DR
TX
HOUSTON
SERVICE TYPE TYPE A
PO BOX 721051
TITLE 18/19:
Facility ID:
(713) 988-1660
10/23/2016
UNIT 11
77099
HARRIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
77272
SAMUEL ONWUHARONYE
Fax
Cert Alzh Capacity: 0
(281) 827-1477
License Exp Dt:
101444
(281) 564-4747
TOTAL Lic Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PREMIER ASSISTED LIVING HOMES #1
11230 EVESBOROUGH
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(281) 530-6266
TITLE 18: 0
PRIVATE Beds: 12
County
PO BOX 721051
77031
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
SAMUEL ONWUHARONYE
(713) 484-5244
TOTAL Lic Capacity: 12
Region
UNIT 11
050711
77071
FAX:
(281) 499-7145
SERVICE TYPE TYPE A
03/29/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
105059
LIMBE HOUSE INC
TX
PO BOX 773033
77072
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(832) 617-7991
0
ICF/IID: 0
PHONE:
TX
(281) 983-0045
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77215
FAX:
(832) 617-7991
SERVICE TYPE TYPE A
12/19/2016
Page 174 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
RAINBOW GARDENS CARE HOME
3110 LEBADIE
TX
HOUSTON
Phone
ROOMES PERSONAL CARE
6106 GRANDVALE
HOUSTON
Phone
TX
TX
ICF/IID: 0
PHONE:
TX
(713) 468-7673
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
06 - HOUSTON
77043
FAX:
(713) 468-7374
SERVICE TYPE TYPE B
07/01/2018
Region
UNIT 13
06 - HOUSTON
Owner Information
030402
ROSES HEALTHCARE HOME INC
7225 PARKER RD
77016
Fax
HOUSTON
(713) 491-3860
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 491-2357
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 468-7374
Reg Svcs:
Facility ID:
(713) 272-8168
10931 MAYFIELD RD
TITLE19: 0
PRIVATE Beds: 11
FAX:
08/23/2018
UNIT 15
77043
TITLE 18/19:
Cert Alzh Capacity: 0
77469
ROSEMONT PERSONAL CARE HOME INC
(713) 491-2357
PRIVATE Beds: 9
06 - HOUSTON
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 11
(713) 291-9529
License Exp Dt:
000535
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
ROSES GUARDIAN ADULT CARE HOME
7216 PARKER RD
TX
HOUSTON
Cert Alzh Capacity: 0
ICF/IID: 0
0
HARRIS
TOTAL Lic Capacity: 9
SERVICE TYPE TYPE B
Region
RICHMOND
(281) 545-2575
TITLE19: 0
PRIVATE Beds: 8
(281) 564-3059
(713) 272-8168
8927 ROYAL CREST LN
TITLE 18/19:
Cert Alzh Capacity: 0
Phone
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 8
ROYAL PERSONAL CARE
12922 BECKLIN LN
HOUSTON
77469
02/08/2018
UNIT 08
77074
(713) 468-7673
Facility Information:
(713) 291-9529
License Exp Dt:
102239
Fax
ROSEMONT PERSONAL CARE HOME I
10927 MAYFIELD RD
TX
HOUSTON
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
06 - HOUSTON
EVANGELINE ROOMES
PRIVATE Beds: 5
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
RICHMOND
(713) 272-8168
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 5
Phone
SERVICE TYPE TYPE A
8927 ROYAL CREST LN
TITLE 18: 0
(713) 484-7980
Facility Information:
(713) 678-7138
Owner Information
HARRIS
County
FAX:
09/05/2018
UNIT 11
77072
Fax
PRIVATE Beds: 10
Phone
77026
EVANGELINE ROOMES
Cert Alzh Capacity: 0
ROOMES PERSONAL CARE #2
7247 ROOS
HOUSTON
(713) 678-8016
License Exp Dt:
000667
(281) 568-3239
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(713) 678-7138
TITLE 18: 0
PRIVATE Beds: 9
County
3110 LEBADIE
77026
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
JESSIE H LEWIS
(713) 678-8016
TOTAL Lic Capacity: 9
Region
UNIT 08
000968
77016
FAX:
(713) 491-3860
SERVICE TYPE TYPE A
01/02/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
100314
IFEOMA F DIKE
TX
PO BOX 14286
77099
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 778-1792
0
ICF/IID: 0
PHONE:
TX
(713) 907-5717
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77221
FAX:
(713) 778-1792
SERVICE TYPE TYPE A
07/04/2017
Page 175 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 10
6330 DAWNRIDGE DR
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
TOTAL Lic Capacity: 15
County
HOUSTON
(281) 983-9262
TITLE 18/19:
ICF/IID: 0
Fax
(713) 778-5790
TOTAL Lic Capacity: 90
County
TITLE 18/19:
HOUSTON
(713) 778-0823
ICF/IID: 0
County
SPARROW ASSISTED LIVING
7414 JENSEN DR
HOUSTON
Phone
TITLE 18/19:
TX
PRIVATE Beds: 15
Sunday, October 09, 2016
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
04/11/2017
Region
UNIT 08
06 - HOUSTON
P.O. BOX 21129
HOUSTON
(713) 697-0030
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 697-4600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SPILLER PERSONAL CARE HOME
10323 MAYBERRY ST
TX
HOUSTON
Cert Alzh Capacity: 0
43615
Owner Information
HARRIS
TOTAL Lic Capacity: 15
(419) 247-2800
License Exp Dt:
77093
Fax
PRIVATE Beds: 65
(713) 635-1231
06 - HOUSTON
SPARROW ADULT LIVING, LLC
Cert Alzh Capacity: 0
Phone
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
000823
(713) 697-4600
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 65
County
TOLEDO
(281) 955-1270
HARRIS
Facility Information:
Region
4500 DORR ST
TITLE19: 0
PRIVATE Beds: 96
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 96
(713) 778-0823
SUBTENANT 10225 CYPRESSWOOD DRIVE, LLC
Fax
TOTAL Lic Capacity: 96
FAX:
03/28/2018
UNIT 16
000989
(281) 955-0880
06 - HOUSTON
77074
(713) 778-5700
License Exp Dt:
SILVERADO SENIOR LIVING - CYPRESSWOOD
10225 CYPRESSWOOD DR
TX
HOUSTON
77070
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
6200 N BRAESWOOD
HARRIS
Facility Information:
SERVICE TYPE TYPE A
SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC
TITLE19: 0
PRIVATE Beds: 90
(281) 983-9262
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
01/11/2018
UNIT 11
102491
SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC
6262 NORTH BRAESWOOD BLVD.
TX
HOUSTON
77074
Phone
06 - HOUSTON
77035
(713) 240-3945
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
Region
6330 DAWNRIDGE DR
TITLE19: 0
PRIVATE Beds: 15
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(281) 983-9262
DAVID O OPARA
Fax
(713) 729-3970
FAX:
07/30/2018
UNIT 11
101945
SAINT FRANCIS HEALTH CARE SERVICES
12127 HUNTINGTON PARK DR
TX
HOUSTON
77099
Phone
77035
(713) 240-3945
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
HOUSTON
(281) 983-9262
TITLE 18: 0
Cert Alzh Capacity: 0
County
DAVID O OPARA
Fax
(713) 729-3970
06 - HOUSTON
Owner Information
SAINT FRANCIS HEALTH CARE SERVICES
6330 DAWNRIDGE DR
TX
HOUSTON
77035
Phone
Region
UNIT 14
100969
77226
FAX:
(713) 697-0030
SERVICE TYPE TYPE A
05/25/2018
Region
UNIT 13
06 - HOUSTON
Owner Information
000425
SPILLER PERSONAL CARE HOME
10323 MAYBERRY ST
77078
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 635-1231
0
ICF/IID: 0
PHONE:
TX
(713) 635-1231
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77078
FAX:
SERVICE TYPE TYPE A
12/01/2017
Page 176 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
SPRING BRANCH CARE HOME
9619 TRUSCON
HOUSTON
Phone
TX
1304 BLUE HERON
77080
Fax
(713) 467-4444
TITLE 18/19:
SPRING BRANCH CARE HOME II
3815 APRIL LN
HOUSTON
TX
TX
TX
FAX:
(713) 742-8719
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
7111 SHERMANRIDGE LN
77035
HOUSTON
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 620-8721
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
77083
FAX:
(713) 729-6617
SERVICE TYPE TYPE B
12/06/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
103856
RKM SOLID KIMISTRY INC
TX
10911 CORNWALL LANE
77015
Fax
MISSOURI
(712) 450-3376
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
TITLE 18/19:
SYBILS IDEAL HOME CARE SERVICES
7214 LAS BRISAS
TX
HOUSTON
(832) 489-4552
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
77091
12/20/2017
UNIT 14
Fax
Cert Alzh Capacity: 0
PRIVATE Beds: 8
06 - HOUSTON
ELIZABETH M PICKNEY
TOTAL Lic Capacity: 12
Cert Alzh Capacity: 0
(713) 742-9688
License Exp Dt:
101946
(713) 450-3222
TOTAL Lic Capacity: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(281) 879-7551
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 5
Phone
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 742-8719
TITLE19: 0
(713) 729-6617
Facility Information:
(409) 995-0799
6626 DEPRIEST ST
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
05/01/2017
UNIT 08
77091
TITLE 18: 0
TOTAL Lic Capacity: 5
Phone
77563
Owner Information
HARRIS
SWEET HOME
13820 EAGLE PASS ST
HOUSTON
(713) 467-4444
License Exp Dt:
102527
Fax
PRIVATE Beds: 9
Facility Information:
06 - HOUSTON
SUBJECTIVE HOME CARE
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 742-9688
SUN ROSE ADULT HOME
10908 WILLOWISP
HOUSTON
Region
HITCHCOCK
(409) 938-7154
HARRIS
Facility Information:
SERVICE TYPE TYPE A
1304 BLUE HERON
TITLE 18: 0
PRIVATE Beds: 10
County
(409) 995-0799
Owner Information
77092
Fax
Cert Alzh Capacity: 0
Phone
FAX:
SPRING BRANCH CARE HOMES INC
TOTAL Lic Capacity: 10
SUBJECTIVE HOME CARE
6626 DEPRIEST ST
HOUSTON
77563
05/01/2017
UNIT 15
010372
(713) 467-4444
Facility Information:
(713) 467-4444
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
HITCHCOCK
(409) 938-7154
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
SPRING BRANCH CARE HOMES INC
TOTAL Lic Capacity: 8
County
Region
UNIT 15
030294
77459
FAX:
(281) 778-7701
SERVICE TYPE TYPE B
11/17/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
101534
SYBIL M CONNORS
19514 PLANTATION ORCHARD
77083
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
RICHMOND
(281) 232-6790
0
ICF/IID: 0
PHONE:
TX
(281) 232-1878
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77407
FAX:
(281) 232-6790
SERVICE TYPE TYPE A
01/29/2017
Page 177 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TENDER CARE ASSISTED LIVING
7503 BARBERTON DR
TX
HOUSTON
Phone
County
ICF/IID: 0
TITLE19: 0
County
ICF/IID: 0
County
ICF/IID: 0
County
(713) 729-4257
TOTAL Lic Capacity: 13
Cert Alzh Capacity: 0
PRIVATE Beds: 13
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 779-5589
ICF/IID: 0
Reg Svcs:
06 - HOUSTON
77036
FAX:
(713) 779-5589
SERVICE TYPE TYPE A
05/21/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
TEXAS COMMUNITY CARE INC
7241 S GESSNER
HOUSTON
(713) 729-6630
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
(713) 541-0996
License Exp Dt:
030283
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TEXAS COMMUNITY CARE PERSONAL CARE HOME
12119 FAIRMEADOW DR
TX
HOUSTON
77071
Phone
(713) 779-5589
7241 S GESSNER
TITLE 18/19:
Facility ID:
FAX:
TEXAS COMMUNITY CARE INC
HARRIS
Facility Information:
77036
10/22/2016
UNIT 11
TITLE19: 0
PRIVATE Beds: 12
06 - HOUSTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(713) 541-0996
License Exp Dt:
100984
Fax
TOTAL Lic Capacity: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
(281) 568-5331
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 779-5589
TEXAS COMMUNITY CARE LIVING CENTRE
7314 BRENDAM LN
TX
HOUSTON
77072
Phone
(713) 779-5589
07/14/2017
UNIT 11
TITLE19: 0
TITLE 18/19:
Facility ID:
FAX:
7241 S GESSNER
HARRIS
Facility Information:
77036
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
06 - HOUSTON
TEXAS COMMUNITY CARE INC
Fax
Cert Alzh Capacity: 0
(713) 541-0996
License Exp Dt:
Reg Svcs:
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106006
(713) 541-0996
SERVICE TYPE TYPE A
Region
HOUSTON
(713) 779-5589
TEXAS COMMUNITY CARE COMPARTMENTS #3
7241 S. GESSNER RD.
TX
HOUSTON
77036
Phone
(713) 779-5589
12/21/2016
UNIT 11
TITLE19: 0
TITLE 18/19:
Facility ID:
FAX:
7241 S GESSNER
HARRIS
Facility Information:
77036
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
06 - HOUSTON
TEXAS COMMUNITY CARE INC
Fax
Cert Alzh Capacity: 0
(713) 541-0996
License Exp Dt:
104616
(713) 771-7235
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 16
Region
HOUSTON
TEXAS COMMUNITY CARE COMPARTMENTS # 1
7103 S GESSNER
TX
HOUSTON
77036
Phone
SERVICE TYPE TYPE B
7241 S GESSNER
77096
TITLE 18/19:
Facility ID:
(281) 561-9341
TEXAS COMMUNITY CARE INC
HARRIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
77036
07/01/2018
UNIT 14
Fax
Cert Alzh Capacity: 0
(832) 661-8306
License Exp Dt:
102046
(713) 885-0781
TOTAL Lic Capacity: 14
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TEXAS COMMUNITY CARE CENTER
10719 HILLCROFT
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(832) 742-5287
TITLE 18: 0
PRIVATE Beds: 10
County
7503 BARBERTON DRIVE
77036
Fax
Cert Alzh Capacity: 10
06 - HOUSTON
Owner Information
TEXMAX COVENANT BUSINESS INC
(832) 742-5287
TOTAL Lic Capacity: 10
Region
UNIT 11
100607
0
ICF/IID: 0
PHONE:
TX
(713) 541-0996
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77036
FAX:
(713) 779-5589
SERVICE TYPE TYPE A
03/30/2018
Page 178 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
7241 S GESSNER
TITLE 18/19:
THE ABBEY AT WESTMINSTER PLAZA
2865 WESTMINSTER PLAZA DR
TX
HOUSTON
County
TYLER
(281) 556-0136
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TOTAL Lic Capacity: 7
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
THE BRINKLEY HOUSE
4604 BRINKLEY
HOUSTON
Phone
TX
TOTAL Lic Capacity: 59
Cert Alzh Capacity: 16
PRIVATE Beds: 59
Sunday, October 09, 2016
(713) 741-9811
SERVICE TYPE TYPE B
01/08/2018
Region
UNIT 14
06 - HOUSTON
3623 FLORINDA
HOUSTON
(713) 734-6507
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
77021
FAX:
(713) 747-2136
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(713) 979-3100
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
Phone
77021
(713) 741-8700
License Exp Dt:
77051
Fax
Cert Alzh Capacity: 0
THE BUCKINGHAM
8530 WOODWAY
HOUSTON
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
030206
(713) 734-6507
Facility Information:
ICF/IID: 0
TX
ROSE PHILLIPS
TOTAL Lic Capacity: 10
County
HOUSTON
(713) 741-9811
Reg Svcs:
Facility ID:
06 - HOUSTON
2401 E HOLCOMBE BLVD
HARRIS
Facility Information:
Region
UNIT 14
TITLE19: 0
PRIVATE Beds: 48
SERVICE TYPE TYPE A
12/10/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
ST DOMINIC VILLAGE
Fax
TOTAL Lic Capacity: 48
06 - HOUSTON
77045
(713) 320-2754
License Exp Dt:
100669
(713) 741-8700
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
THE ASSISTED LIVING AT ST. DOMINIC VILLAGE
2401 A HOLCOMBE BLVD
TX
HOUSTON
77021
Phone
Region
HOUSTON
(832) 553-7414
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
02/20/2017
14151 UPPER RIDGE DR
HARRIS
Facility Information:
(903) 534-0047
2 SISTERS SUCCESS, LLC
TITLE19: 0
PRIVATE Beds: 7
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
75703
(903) 534-1242
UNIT 14
102584
(713) 485-5034
PHONE:
License Exp Dt:
THE ART OF LIVING ASSISTED LIVING FACILITY (A.L.F.)
14151 FLEETWELL
TX
HOUSTON
77045
Phone
06 - HOUSTON
,#550
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
6101 S. BROADWAY AVE
77082
HARRIS
Facility Information:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 164
(713) 779-5589
FOUNDER'S COMMERCIAL LTD
Fax
Cert Alzh Capacity: 36
FAX:
09/06/2016
UNIT 15
100256
(281) 556-6020
TOTAL Lic Capacity: 164
77036
(713) 541-0996
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Facility Information:
HOUSTON
(713) 779-5589
TITLE 18: 0
Cert Alzh Capacity: 0
County
TEXAS COMMUNITY CARE INC
Fax
(713) 271-0872
06 - HOUSTON
Owner Information
TEXAS COMMUNITY COMPARTMENTS #2
7025 S GESSNER DR
TX
HOUSTON
77036
Phone
Region
UNIT 11
105189
(713) 747-8627
SERVICE TYPE TYPE A
10/25/2018
Region
UNIT 15
06 - HOUSTON
Owner Information
102410
BUCKINGHAM SENIOR LIVING COMMUNITY INC
TX
8530 WOODWAY
77063
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 979-3099
0
ICF/IID: 0
PHONE:
TX
(713) 979-3100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77063
FAX:
(719) 979-3099
SERVICE TYPE TYPE B
06/28/2017
Page 179 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
THE COTTAGE HEALTH CARE SERVICES
7639 BEECHNUT
TX
HOUSTON
Phone
County
Phone
(713) 461-1501
License Exp Dt:
ICF/IID: 0
Fax
County
THE HUMMINGBIRD CARE CENTER
8014 BEECHNUT ST
TX
HOUSTON
Phone
(281) 568-3091
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
FAX:
(713) 660-5048
SERVICE TYPE TYPE B
01/17/2018
Region
UNIT 11
06 - HOUSTON
Owner Information
P O BOX 36174
HOUSTON
(713) 771-8832
ICF/IID: 0
TITLE19: 0
PHONE:
TX
License Exp Dt:
Reg Svcs:
77236
FAX:
(713) 988-1357
PROGRAM TYPE: ASSISTED LIVING
0
SERVICE TYPE TYPE A
01/28/2017
Region
UNIT 11
06 - HOUSTON
Owner Information
030187
THE LIGHTHOUSE OF HOUSTON GROUP HOME I
10643 HAZEN RD
TX
HOUSTON
77072
Phone
77025
(713) 666-2651
License Exp Dt:
77036
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 14
06 - HOUSTON
THE HUMMINGBIRD CENTER INC
Fax
Cert Alzh Capacity: 0
County
HOUSTON
(713) 599-1324
000780
(713) 988-1357
TOTAL Lic Capacity: 14
Region
4141 S BRAESWOOD BLVD
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
BRAZOS PRESBYTERIAN HOMES INC
HARRIS
Facility Information:
(713) 956-5015
02/01/2018
UNIT 11
TITLE19: 0
TITLE 18/19:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 22
06 - HOUSTON
77024
(713) 956-6407
License Exp Dt:
000677
(713) 622-6633
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 10
Region
HOUSTON
(713) 956-0732
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 22
SERVICE TYPE TYPE B
801 N POST OAK RD
THE HALLMARK ASSISTED LIVING - ALZHEIMER'S CENTER
4718 HALLMARK DR
TX
HOUSTON
77056
Phone
(713) 654-7117
05/09/2017
UNIT 15
77024
TITLE 18: 0
Facility ID:
FAX:
(713) 528-3030
Owner Information
HARRIS
Facility Information:
77063
FIVE STAR MEMORIAL WOODS LLC
Fax
PRIVATE Beds: 148
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000757
(713) 956-0870
Cert Alzh Capacity: 28
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 148
06 - HOUSTON
,STE 100
HOUSTON
TITLE19: 0
THE FORUM AT MEMORIAL WOODS
801 N POST OAK RD
TX
HOUSTON
Region
9900 WESTPART
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
10/10/2016
UNIT 15
77080
HARRIS
Facility Information:
(713) 773-1739
Owner Information
TITLE 18: 0
PRIVATE Beds: 32
FAX:
WINTER SERVICES LP
Fax
Cert Alzh Capacity: 32
77074
(713) 777-3114
License Exp Dt:
102872
(713) 461-1500
TOTAL Lic Capacity: 32
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
THE COTTAGE OF SPRING BRANCH
1842 HOLLISTER RD
TX
HOUSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
HOUSTON
(713) 773-1739
TITLE 18: 0
PRIVATE Beds: 45
County
5901 CYPRESS ST
77074
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
PARADISE LIVING INC
(713) 773-1297
TOTAL Lic Capacity: 45
Region
UNIT 08
101324
LIGHTHOUSE FOR THE BLIND OF HOUSTON
PO BOX 130435
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 284-8451
0
ICF/IID: 0
PHONE:
TX
(713) 284-8490
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77219-0435
FAX:
(713) 284-8451
SERVICE TYPE TYPE A
11/10/2017
Page 180 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 6
PO BOX 130435
TITLE 18/19:
THE ROC PERSONAL CARE
12621 TICONDEROGA
HOUSTON
TX
(281) 320-9100
ICF/IID: 0
TX
Fax
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Sunday, October 09, 2016
(713) 623-6772
SERVICE TYPE TYPE B
Region
06 - HOUSTON
DR. ALEXANDER O. EZE
9713 SPRINGBROOK DR
HOUSTON
(713) 939-0674
ICF/IID: 0
PHONE:
TX
(713) 444-6365
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
Facility ID:
FAX:
10/07/2017
UNIT 15
TITLE19: 0
TITLE 18/19:
77057
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
(713) 623-6767
License Exp Dt:
103470
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
PRIVATE Beds: 7
06 - HOUSTON
,STE 410
HOUSTON
(281) 996-1141
TITLE 18: 0
TOTAL Lic Capacity: 10
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
6363 WOODWAY
77008
(713) 939-0666
TOTAL Lic Capacity: 7
(414) 208-2119
03/19/2017
UNIT 13
THE WORD HEALS SPRINGBROOK PERSONAL CARE FACILITY
9713 SPRINGBROOK DR
TX
HOUSTON
77041
(713) 733-5607
FAX:
Owner Information
HARRIS
Phone
37027
BRIDGEWOOD HOUSTON HEIGHTS LLC
PRIVATE Beds: 136
TIFFS TENDER CARE
3803 CARLSON LN
HOUSTON
(615) 221-2250
License Exp Dt:
106191
(281) 996-0101
Facility Information:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 21
County
06 - HOUSTON
,STE 400
BRENTWOOD
TITLE19: 0
TOTAL Lic Capacity: 136
Phone
(281) 458-7277
SERVICE TYPE TYPE A
Region
111 WESTWOOD PL
TITLE 18/19:
THE VILLAGE OF THE HEIGHTS
1407 STUDEWOOD
HOUSTON
FAX:
03/26/2018
UNIT 16
77070
TITLE 18: 0
Facility ID:
77044
Owner Information
HARRIS
Facility Information:
06 - HOUSTON
S-H OPCO VINTAGE PARK AL LLC
Fax
PRIVATE Beds: 101
(281) 458-7277
License Exp Dt:
105383
(281) 320-9000
Cert Alzh Capacity: 35
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 101
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE SOLANA VINTAGE PARK
19929 CHASEWOOD PARK DRIVE
TX
HOUSTON
Phone
Region
HOUSTON
(281) 458-7277
HARRIS
Facility Information:
SERVICE TYPE TYPE A
12621 TICONDEROGA
TITLE 18: 0
PRIVATE Beds: 6
County
(713) 284-8451
Owner Information
77044
Fax
Cert Alzh Capacity: 0
Phone
FAX:
11/10/2016
UNIT 08
000609
(281) 458-7277
Facility Information:
77219-0435
RONALDA M STELLY-FRAIZER
TOTAL Lic Capacity: 6
County
(713) 284-8490
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
HOUSTON
(713) 284-8451
TITLE 18: 0
Cert Alzh Capacity: 0
County
LIGHTHOUSE FOR THE BLIND OF HOUSTON
Fax
(281) 495-6499
06 - HOUSTON
Owner Information
THE LIGHTHOUSE OF HOUSTON GROUP HOME I I
10647 HAZEN RD
TX
HOUSTON
77072
Phone
Region
UNIT 11
030188
77041
FAX:
(713) 939-0674
SERVICE TYPE TYPE B
09/22/2014
Region
UNIT 13
06 - HOUSTON
Owner Information
000954
TIFFS TENDER CARE INC
TX
PO BOX 300896
77047
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
(713) 733-5607
0
ICF/IID: 0
PHONE:
TX
(713) 733-5607
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77030
FAX:
(281) 835-1346
SERVICE TYPE TYPE B
08/07/2017
Page 181 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 10
12520 A-1 WESTHEIMER
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
TOTAL Lic Capacity: 13
County
HOUSTON
(713) 467-0143
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 54
County
TITLE 18/19:
UNIVERSAL ASSISTED LIVING HOMES
6511 MARISOL DR
TX
HOUSTON
Phone
Phone
US MEMORY CARE - VINTAGE
10120 LOUETTA RD
HOUSTON
Phone
(832) 301-8188
TOTAL Lic Capacity: 90
Cert Alzh Capacity: 90
PRIVATE Beds: 90
Sunday, October 09, 2016
(713) 291-1011
License Exp Dt:
77083
FAX:
(281) 561-7592
SERVICE TYPE TYPE A
11/24/2016
Region
UNIT 15
06 - HOUSTON
Owner Information
6511 MARISOL DR
77083
HOUSTON
(281) 561-7592
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 291-1011
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
06 - HOUSTON
BONIFACE O OJIAKU
Fax
PRIVATE Beds: 10
County
ICF/IID: 0
105447
(281) 498-6670
Cert Alzh Capacity: 0
Region
HOUSTON
(281) 561-7592
Reg Svcs:
TOTAL Lic Capacity: 10
SERVICE TYPE TYPE B
6511 MARISOL DR
TITLE19: 0
UNIVERSAL ASSISTED LIVING HOMES
15722 AMAPOLA DRIVE
TX
HOUSTON
(505) 828-2111
08/29/2016
UNIT 11
77083
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
(505) 797-8735
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 11
PHONE:
87109
BONIFACE O OJIAKU
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
,NE
NM
PROGRAM TYPE: ASSISTED LIVING
0
101894
(281) 933-7804
TOTAL Lic Capacity: 11
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
ALBUQUERQUE
(713) 783-0634
HARRIS
Facility Information:
SERVICE TYPE TYPE B
07/30/2016
5353 WYOMING BLVD
TITLE19: 0
PRIVATE Beds: 54
(713) 467-0143
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
QUILTED CARE-HOUSTON LLC
Fax
(713) 783-4100
77077
(713) 783-2404
UNIT 15
000409
TREEMONT HEALTH CARE CENTER P C UNIT
2501 WESTERLAND DR
TX
HOUSTON
77063
Phone
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
06 - HOUSTON
,STE 265
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
Region
12520 A-1 WESTHEIMER
TITLE19: 0
PRIVATE Beds: 13
SERVICE TYPE TYPE A
07/30/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(713) 467-0143
TRANQUILITY PERSONAL CARE HOME INC
Fax
(713) 783-2404
FAX:
UNIT 15
030153
TRANQUILITY PERSONAL CARE HOME INC
9006 POCO A
TX
HOUSTON
77080
Phone
77077
(713) 783-2404
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 265
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
HOUSTON
(713) 467-0143
TITLE 18: 0
Cert Alzh Capacity: 0
County
TRANQUILITY PERSONAL CARE HOME INC
Fax
(713) 783-2404
06 - HOUSTON
Owner Information
TRANQUILITY PERSONAL CARE HOME INC
9006 POCO
TX
HOUSTON
77080
Phone
Region
UNIT 15
000444
77083
FAX:
(281) 561-7592
SERVICE TYPE TYPE A
01/31/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
105872
USMC VINTAGE LLC
TX
14881 QUORUM DR
77070
Fax
(832) 698-4760
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PLANO
0
ICF/IID: 0
PHONE:
,STE 250
TX
(214) 782-9994
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(214) 782-9569
SERVICE TYPE TYPE B
06/10/2018
Page 182 of 311
County
Reg Svcs:
HARRIS
Facility Information:
VILLAGE OF MEYERLAND
4141 N BRAESWOOD BLVD
HOUSTON
Phone
Facility ID:
TX
1502 AUGUSTA DRIVE
77005
HOUSTON
Fax
(713) 665-4141
TITLE 18: 0
Cert Alzh Capacity: 34
TITLE 18/19:
VILLAGE ON THE PARK-STEEPLECHASE
12102 STEEPLEWAY
TX
HOUSTON
County
VONN'S PERSONAL CARE
7970 ETHEL
HOUSTON
Phone
TX
TX
Region
LAKEWAY
(713) 861-5760
ICF/IID: 0
06 - HOUSTON
78734
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
100057
ATASCOCITA SENIORS CARE HOME INC
18007 LANDING BROOK DR
77346
Fax
HUMBLE
(281) 812-4891
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 812-4891
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(469) 371-0445
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
SERVICE TYPE TYPE A
03/03/2017
UNIT 13
TITLE19: 0
PRIVATE Beds: 7
PRIVATE Beds: 16
FAX:
101 FIREBIRD COVE
TITLE 18/19:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 16
77338
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 7
TOTAL Lic Capacity: 16
(281) 446-2705
License Exp Dt:
77008
(281) 812-4891
(281) 446-3421
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
104449
Fax
ATASCOCITA SENIORS CARE HOME INC
18007 LANDING BROOK DR
TX
HUMBLE
Phone
ICF/IID: 0
0
HARRIS
AUTUMN GROVE - HUMBLE
5500 ATASCOCITA RD
HUMBLE
06 - HOUSTON
GLEN HOPE HARBOR INC
PRIVATE Beds: 16
Facility Information:
Region
HUMBLE
(713) 670-0061
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 16
County
SERVICE TYPE TYPE B
05/26/2018
UNIT 13
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
FAX:
20702 TAWNY WOOD CT
TITLE 18: 0
(713) 861-5757
Facility Information:
78734
Owner Information
HARRIS
County
(972) 377-3309
License Exp Dt:
77028
Fax
PRIVATE Beds: 8
Phone
06 - HOUSTON
MRS BRENDA GORDON
Cert Alzh Capacity: 0
AUTUMN GROVE - HEIGHTS
1405 WEST 24TH STREET
HOUSTON HEIGHTS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101200
(713) 670-0061
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 8
County
Region
LAKEWAY
(281) 970-0323
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
317 MARTINIQUE PASS
77065
HARRIS
Facility Information:
(713) 623-6772
Owner Information
TITLE 18: 0
PRIVATE Beds: 52
FAX:
CARDINAL BAY, INC
Fax
Cert Alzh Capacity: 20
77057
03/07/2017
UNIT 15
105886
(281) 970-7979
TOTAL Lic Capacity: 52
(713) 623-6767
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 188
Facility Information:
06 - HOUSTON
Owner Information
HSRE - BRIDGEWOOD TRS II, LLC
TOTAL Lic Capacity: 188
County
Region
UNIT 08
105335
77346
FAX:
(281) 812-4891
SERVICE TYPE TYPE B
06/18/2018
Region
UNIT 08
06 - HOUSTON
Owner Information
104020
GLEN HOPE HARBOR INC
TX
101 FIREBIRD COVE
77346
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LAKEWAY
(281) 812-9395
0
ICF/IID: 0
PHONE:
TX
(469) 371-0445
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78734
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Page 183 of 311
County
Reg Svcs:
HARRIS
Facility Information:
ESTIA CARE LLC
18111 STONE ANGEL
HUMBLE
Phone
Facility ID:
TX
18111 STONE ANGEL DR
77346
Fax
(281) 638-4363
TITLE 18/19:
FOREST COVE ASSISTED LIVING, INC
8426 OPALWOOD LN
TX
HUMBLE
Phone
Phone
AUTUMN GROVE - KATY
21803 OAK PARK TRAILS DR
KATY
Phone
TX
PRIVATE Beds: 16
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(713) 691-7437
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
77022
FAX:
(713) 699-1572
SERVICE TYPE TYPE A
07/08/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
102463
101 FIREBIRD COVE
77450
Fax
LAKEWAY
(281) 398-4550
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(469) 371-0445
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
EVERGREEN COTTAGES
21715 BRIDGEWATER VILLAGE DR
TX
KATY
Cert Alzh Capacity: 16
,STE L
HOUSTON
(713) 699-1572
HARRIS
TOTAL Lic Capacity: 16
06 - HOUSTON
GLEN HOPE HARBOR INC
PRIVATE Beds: 16
(832) 321-5957
(281) 254-1237
SERVICE TYPE TYPE B
Region
3910 N FWY
Reg Svcs:
Cert Alzh Capacity: 16
Phone
FAX:
Owner Information
TITLE19: 0
(281) 398-6662
Facility Information:
77339
01/08/2017
UNIT 08
77338
TITLE 18/19:
TOTAL Lic Capacity: 16
County
(281) 360-4724
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Facility Information:
06 - HOUSTON
LOVING CARE PERSONAL CARE HOME
Fax
PRIVATE Beds: 8
County
ICF/IID: 0
102090
(281) 446-6683
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
KINGWOOD
(281) 354-1237
Reg Svcs:
TOTAL Lic Capacity: 8
(281) 540-2279
4321 KINGWOOD DRIVE
TITLE19: 0
LOVING CARE PERSONAL CARE HOME
20011 FOXWOOD FOREST BLVD
TX
HUMBLE
FAX:
01/03/2017
UNIT 08
77346
TITLE 18/19:
Facility ID:
77338
Owner Information
HARRIS
Facility Information:
(281) 935-9005
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 10
06 - HOUSTON
HERITAGE RETREAT MANAGEMENT GROUP INC
Fax
Cert Alzh Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
106019
(832) 445-2470
TOTAL Lic Capacity: 10
County
ICF/IID: 0
Reg Svcs:
HERITAGE RETREAT ATASCA WOODS
7105 HOT CREEK TRACE
TX
HUMBLE
Region
HUMBLE
(281) 540-2279
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
8426 OPALWOOD LANE
77338
HARRIS
Facility Information:
(832) 644-1255
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
FAX:
FOREST COVE ASSISTED LIVING, INC.
Fax
Cert Alzh Capacity: 10
77346
04/08/2018
UNIT 08
030393
(281) 935-9005
TOTAL Lic Capacity: 10
(281) 638-4363
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
Phone
HUMBLE
(832) 644-1255
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
ESTIA CARE LLC
TOTAL Lic Capacity: 9
County
Region
UNIT 08
105300
78734
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
105445
EVERGREEN COTTAGES, LP
1022 WIRT RD.
77449
Fax
(832) 321-3099
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HOUSTON
0
ICF/IID: 0
PHONE:
,SUITE 302
TX
(713) 688-2123
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77055
FAX:
(713) 688-6806
SERVICE TYPE TYPE B
05/14/2017
Page 184 of 311
County
Reg Svcs:
HARRIS
Facility Information:
KATY ASSISTED LIVING LP
21601 PROVINCIAL BLVD
KATY
Phone
Facility ID:
TX
510 BERING DR
77450
Fax
(281) 578-2222
TITLE 18/19:
Phone
TX
TX
TX
FAX:
SERVICE TYPE TYPE A
Region
06 - HOUSTON
Owner Information
10350 ORMSBY PARK PLACE
LOUISVILLE
(281) 240-0551
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(502) 357-9441
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
THE ORCHARD ASSISTED LIVING LP
5949 SHERRY LANE
77494
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,SUITE 600
TX
(214) 463-2604
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRIS
VERANDA HOUSE SENIOR LIVING
5129 E FIFTH ST
TX
KATY
40223
05/09/2018
UNIT 15
106066
TITLE 18: 0
Facility ID:
(502) 357-9000
License Exp Dt:
Fax
PRIVATE Beds: 135
PHONE:
,SUITE 300
KS
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 40
Sunday, October 09, 2016
77450
03/06/2018
UNIT 15
77450
Fax
TOTAL Lic Capacity: 135
PRIVATE Beds: 106
(281) 646-8415
License Exp Dt:
102834
(281) 371-3000
Cert Alzh Capacity: 0
06 - HOUSTON
MS CINCO RANCH SH, LLC
THE ORCHARD ASSISTED LIVING, LP
24802 KINGSLAND BLVD.
TX
KATY
TOTAL Lic Capacity: 106
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(281) 391-1900
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 105
Phone
SERVICE TYPE TYPE B
Region
KATY
(281) 646-8415
TITLE19: 0
(281) 240-0500
Facility Information:
(713) 425-5402
21643 PARK VILLA DR
TITLE 18/19:
Cert Alzh Capacity: 38
County
FAX:
01/01/2018
UNIT 15
77450
TITLE 18: 0
TOTAL Lic Capacity: 105
Phone
77057
Owner Information
HARRIS
Facility Information:
(713) 425-5423
License Exp Dt:
103661
Fax
PRIVATE Beds: 6
County
06 - HOUSTON
ROSE'S RETREAT LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
SUNRISE OF CINCO RANCH
21939 CINCO RANCH BLVD
KATY
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 646-8415
Facility Information:
Region
HOUSTON
(281) 769-1164
HARRIS
County
SERVICE TYPE TYPE B
675 BERING DR
TITLE 18: 0
PRIVATE Beds: 82
Phone
(713) 780-8105
Owner Information
77494
Fax
Cert Alzh Capacity: 22
ROSE'S RETREAT
21643 PARK VILLA
KATY
FAX:
08/23/2017
UNIT 15
106069
(281) 394-0628
Facility Information:
77057
LAFP TENANT LLC
TOTAL Lic Capacity: 82
County
(713) 780-8100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
LEGACY AT FALCON POINT
1520 KATY GAP ROAD
KATY
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 106
,STE 210
HOUSTON
(281) 578-2420
TITLE 18: 0
Cert Alzh Capacity: 19
Facility Information:
06 - HOUSTON
Owner Information
KATY ASSISTED LIVING LP
TOTAL Lic Capacity: 106
County
Region
UNIT 15
103010
75225
FAX:
SERVICE TYPE TYPE B
02/12/2017
Region
UNIT 15
06 - HOUSTON
Owner Information
105724
LIVING CENTERS INC
5129 E. 5TH STREET
77493
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
KATY
(281) 310-8689
0
ICF/IID: 0
PHONE:
TX
(281) 391-1900
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77492
FAX:
(281) 391-6659
SERVICE TYPE TYPE A
05/07/2018
Page 185 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
ATRIA KINGWOOD
2401 GREEN OAK DR
KINGWOOD
Phone
TX
10350 ORMSBY PARK PLACE
77339
Fax
(281) 359-8959
TITLE 18/19:
HOUSTON EXTENDED CARE LLC
1210 MASTERS WAY
TX
KINGWOOD
ICF/IID: 0
Fax
County
TITLE 18/19:
Fax
TOTAL Lic Capacity: 16
County
TITLE 18/19:
County
Phone
(281) 478-0000
TOTAL Lic Capacity: 65
Cert Alzh Capacity: 0
PRIVATE Beds: 65
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
SPRING
(936) 321-2795
ICF/IID: 0
PHONE:
TX
(713) 858-6821
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
PARSONS HOUSE LA PORTE LP
8727 FAIRMONT PARKWAY
LA PORTE
(281) 358-0845
06 - HOUSTON
31 WINDFERN PL
TITLE 18/19:
Facility ID:
FAX:
Owner Information
HARRIS
Facility Information:
77339
03/22/2017
UNIT 08
TITLE19: 0
PRIVATE Beds: 10
(281) 358-6172
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
GEL PARTNERSHIP INC
Fax
TOTAL Lic Capacity: 10
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104574
(281) 713-8556
Region
KINGWOOD
UNLIMITED CARE ASSISTED LIVING COTTAGES
1714 CHESTNUT RIDGE RD
TX
KINGWOOD
77339
Phone
SERVICE TYPE TYPE B
3819 PLUM VALLEY DR
ICF/IID: 0
Reg Svcs:
Facility ID:
(281) 367-9109
THE VILLAGE LEARNING CENTER, INC.
(281) 358-0845
HARRIS
Facility Information:
FAX:
02/24/2017
UNIT 08
TITLE19: 0
PRIVATE Beds: 16
(281) 363-8705
77386
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
101470
(281) 358-4589
06 - HOUSTON
,SUITE G-100
TX
PROGRAM TYPE: ASSISTED LIVING
0
THE VILLAGE LEARNING CENTER INC DBA VILLAGE AT STONEY GLEN
2225 STONEY GLEN DR
TX
KINGWOOD
77339
Phone
SERVICE TYPE TYPE B
Region
SPRING
ICF/IID: 0
Reg Svcs:
Facility ID:
(281) 713-2251
11/16/2017
25003 PITKIN RD
(281) 821-4097
HARRIS
Facility Information:
FAX:
ROSEMONT ASSISTED LIVING COMMUNITY OF KINGWOOD LTD
TITLE19: 0
PRIVATE Beds: 120
77365
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 35
(832) 244-0685
UNIT 08
030268
(281) 812-4099
PHONE:
License Exp Dt:
Reg Svcs:
TOTAL Lic Capacity: 120
06 - HOUSTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
THE ROSEMONT ASSISTED LIVING COMMUNITY OF KINGWOOD
6450 KINGS PKWY
TX
KINGWOOD
77346
Phone
Region
PORTER
(281) 713-2251
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
21555 LEXOR CT
77339
HARRIS
Facility Information:
(502) 357-9441
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
FAX:
DANIELA VANCIA
Fax
Cert Alzh Capacity: 0
40202
05/12/2017
UNIT 08
104945
(281) 713-8786
TOTAL Lic Capacity: 14
(502) 779-4700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 70
Phone
LOUISVILLE
(281) 359-1237
TITLE 18: 0
Cert Alzh Capacity: 16
Facility Information:
06 - HOUSTON
Owner Information
WG KINGWOOD SH LLC
TOTAL Lic Capacity: 70
County
Region
UNIT 08
030329
77382
FAX:
(936) 321-2795
SERVICE TYPE TYPE B
02/09/2017
Region
UNIT 14
06 - HOUSTON
Owner Information
100097
PARSONS HOUSE LA PORTE LP
TX
1 NORTH CALLE CESAR CHAVEZ
77571
Fax
(281) 478-6548
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SANTA BARBARA
0
ICF/IID: 0
PHONE:
(805) 564-3341
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
,STE 200
CA
93103
FAX:
SERVICE TYPE TYPE A
08/31/2017
Page 186 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 5
726 DUNWICK LN
TITLE 18/19:
COLONIAL OAKS AT VISTA
4004 VISTA RD
PASADENA
TX
TX
06 - HOUSTON
ICF/IID: 0
PHONE:
NY
(718) 535-4733
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
11230
FAX:
(718) 535-4733
SERVICE TYPE TYPE B
11/29/2016
Region
UNIT 13
06 - HOUSTON
Owner Information
000563
PINE TREE ASSISTED LIVING LP
TX
805 AVENUE L
77503-3765
Fax
BROOKLYN
(281) 487-5818
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 146
TITLE 18/19:
(718) 535-4733
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
NY
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
BROOKLYN
(281) 487-5818
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 146
PRIVATE Beds: 78
(281) 998-8370
09/17/2017
UNIT 13
TITLE19: 0
TITLE 18/19:
(281) 487-3113
Cert Alzh Capacity: 15
FAX:
805 AVENUE L
TITLE 18: 0
PINE TREE ASSISTED LIVING LP
5128 PINE AVE
PASADENA
TOTAL Lic Capacity: 78
77504
Owner Information
HARRIS
(281) 370-5444
(281) 998-8786
License Exp Dt:
77503
Fax
PRIVATE Beds: 32
Phone
06 - HOUSTON
PINE TREE A & D LP
Cert Alzh Capacity: 32
ATRIA CYPRESSWOOD
6611 CYPRESSWOOD DR
SPRING
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030094
(281) 487-3113
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 32
County
Region
PASADENA
(281) 998-8370
HARRIS
Phone
SERVICE TYPE TYPE B
3123 LAFFERTY RD.
TITLE19: 0
PINE TREE A AND D LP
2514 PANSY
PASADENA
(713) 780-8105
07/27/2016
UNIT 14
77504
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
(713) 780-8100
77057
HERITAGE HOUSE ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
106240
(281) 998-8786
Facility Information:
06 - HOUSTON
,STE 210
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LAFFERTY ROAD ASSISTED LIVING
3123 LAFFERTY ROAD
TX
PASADENA
Phone
HOUSTON
(713) 941-4664
HARRIS
Facility Information:
SERVICE TYPE TYPE B
Region
510 BERING DR
TITLE 18: 0
PRIVATE Beds: 120
County
(832) 202-2688
Owner Information
77504
Fax
Cert Alzh Capacity: 26
Phone
FAX:
08/14/2017
UNIT 13
000951
(713) 941-4663
Facility Information:
77502
VISTA ACCOMODATED LIVING LTD
TOTAL Lic Capacity: 120
County
(888) 672-2221
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 5
Facility Information:
PASADENA
(832) 202-2688
TITLE 18: 0
Cert Alzh Capacity: 0
County
CARING HANDS ASSISTED LIVING, LLC
Fax
(888) 672-2221
06 - HOUSTON
Owner Information
CARING HANDS RESIDENTIAL CARE HOME
726 DUNWICK LN
TX
PASADENA
77502
Phone
Region
UNIT 14
105495
11230
FAX:
(718) 338-1019
SERVICE TYPE TYPE A
11/29/2015
Region
UNIT 16
06 - HOUSTON
Owner Information
000487
WG CYPRESSWOOD SH LLC
TX
10350 ORMSBY PARK PLACE
77379
Fax
(281) 370-6956
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
0
ICF/IID: 0
PHONE:
,STE 300
KY
(502) 779-4700
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40223
FAX:
(502) 779-4701
SERVICE TYPE TYPE B
05/12/2017
Page 187 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
AUTUMN GROVE - CHAMPIONS
8733 EASTLOCH DR
SPRING
Phone
TX
101 FIREBIRD COVE
77379
Fax
(281) 370-2555
TITLE 18/19:
AUTUMN LEAVES OF CYPRESSWOOD
6327 CYPRESSWOOD DR
TX
SPRING
JUST DIVINE HANDS LLC
510 ENCHANTED HOLLOW DR
SPRING
Phone
(281) 374-1751
TX
ICF/IID: 0
ICF/IID: 0
License Exp Dt:
PRIVATE Beds: 16
Sunday, October 09, 2016
(713) 699-1572
SERVICE TYPE TYPE A
07/08/2016
Region
UNIT 08
06 - HOUSTON
19002 MIRROR LAKE DR
77388
SPRING
(281) 919-1706
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(832) 364-2273
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
77388
FAX:
(281) 919-1706
SERVICE TYPE TYPE B
12/13/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
105499
PRECIOUS LIVING SPRING TEXAS CORPORATION
1324 LEMM #2 ROAD
TX
SPRING
77373
Cert Alzh Capacity: 0
FAX:
Owner Information
HARRIS
TOTAL Lic Capacity: 16
(713) 691-7437
77022
MERCY ELDERLY ASSISTED LIVING INC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105168
(832) 364-2273
PRIVATE Beds: 7
06 - HOUSTON
,STE L
HOUSTON
(713) 699-1572
Reg Svcs:
Cert Alzh Capacity: 0
(281) 350-1863
SERVICE TYPE TYPE B
Region
3910 N FWY
TITLE19: 0
TOTAL Lic Capacity: 7
FAX:
01/14/2018
UNIT 08
77373
TITLE 18/19:
MERCY ELDERLY ASSISTED LIVING INC
19002 MIRROR LAKE DR
TX
SPRING
77388
LOVING CARE PERSONAL CARE HOME
HARRIS
(832) 332-7235
06 - HOUSTON
Owner Information
TITLE 18: 0
Facility ID:
(281) 528-9508
License Exp Dt:
102089
Fax
PRIVATE Beds: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
SPRING
TITLE19: 0
(281) 355-0789
Facility Information:
SERVICE TYPE TYPE B
510 ENCHANTED HOLLOW DR
TITLE 18/19:
TOTAL Lic Capacity: 8
County
(214) 845-4501
06/14/2017
UNIT 08
77388
TITLE 18: 0
LOVING CARE PERSONAL CARE HOME
23027 BERRY PINES BLVD
TX
SPRING
Phone
FAX:
Owner Information
HARRIS
Facility Information:
(214) 845-4500
License Exp Dt:
Fax
PRIVATE Beds: 10
County
PHONE:
75062
JUST DIVINE HANDS LLC
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
,#500
TX
PROGRAM TYPE: ASSISTED LIVING
0
050403
(281) 528-9508
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 10
County
IRVING
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
545 E JOHN CARPENTER FWY
77379
HARRIS
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 50
(512) 761-3548
CYPRESSWOOD MEMORY CARE LLC
Fax
Cert Alzh Capacity: 50
FAX:
02/26/2017
UNIT 16
104657
(281) 374-1750
TOTAL Lic Capacity: 50
78734
(469) 371-0445
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Phone
LAKEWAY
(281) 370-0210
TITLE 18: 0
Cert Alzh Capacity: 16
Facility Information:
06 - HOUSTON
Owner Information
GLEN HOPE HARBOR INC
TOTAL Lic Capacity: 16
County
Region
UNIT 16
103059
PRECIOOUS LIVING SPRING TEXAS CORPORATION
1324 LEMM #2 ROAD
SPRING
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(832) 299-6999
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77373
FAX:
(888) 767-6398
SERVICE TYPE TYPE B
07/22/2016
Page 188 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
Fax
(281) 257-2299
TOTAL Lic Capacity: 128
TENDER LIVING CARE
23922 LENZE RD
SPRING
Phone
TITLE 18/19:
TX
MILWAUKEE
(281) 430-4907
ICF/IID: 0
TX
FAX:
(414) 208-2118
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
21050 NORMANDY FOREST DR
SPRING
(936) 588-1512
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 924-7173
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
77388
FAX:
(936) 588-1512
SERVICE TYPE TYPE B
11/05/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
100748
UCGS LLC
TX
231 RIDGEWOOD DR
77386
Fax
SPRING
(936) 588-1512
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
TITLE 18/19:
(281) 924-7173
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
77386
FAX:
(936) 588-1512
SERVICE TYPE TYPE B
09/20/2018
Region
UNIT 08
06 - HOUSTON
Owner Information
103794
UNLIMITED CARE... ASSISTED LIVING COTTAGES
515 ENCHANTED RIVER DR
TX
SPRING
77388
Sunday, October 09, 2016
53214
11/17/2017
UNIT 08
77388
Fax
TOTAL Lic Capacity: 6
PRIVATE Beds: 7
(414) 918-5332
License Exp Dt:
102984
(281) 924-7173
Cert Alzh Capacity: 0
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
TOTAL Lic Capacity: 7
06 - HOUSTON
U C G P LLC
PRIVATE Beds: 6
(713) 419-2609
(281) 370-3720
SERVICE TYPE TYPE A
Region
6737 W WASHINGTON ST
Reg Svcs:
Cert Alzh Capacity: 0
Phone
FAX:
Owner Information
TITLE19: 0
(281) 924-7173
Facility Information:
77389-3507
12/16/2017
UNIT 16
77379
TITLE 18/19:
TOTAL Lic Capacity: 6
County
(281) 370-3720
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
Phone
06 - HOUSTON
CCRC OPCO-GLEANNLOCH FARMS LLC
Fax
PRIVATE Beds: 60
UCGS LLC
231 RIDGEWOOD DR
SPRING
ICF/IID: 0
103737
(281) 430-4900
Facility Information:
SPRING
(281) 370-3720
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 20
County
Region
UNIT 08
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 60
Phone
SERVICE TYPE TYPE B
09/09/2017
23922 LENZE RD
TITLE 18: 0
THE VILLAGE AT GLEANNLOCH FARMS
9505 NORTHPOINT BLVD
TX
SPRING
U C G P LLC
21050 NORMANDY FOREST
SPRING
(281) 996-1141
Owner Information
HARRIS
Facility Information:
FAX:
(281) 996-0101
License Exp Dt:
77389-3507
Fax
PRIVATE Beds: 10
County
77388
ALEXE REVUTCHI AND PETRUTA REVUTCHI
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000925
(281) 370-3720
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
SPRING
(214) 635-4766
HARRIS
Facility Information:
20305 HOLZWARTH RD
TITLE19: 0
PRIVATE Beds: 128
County
BRIDGEWOOD VILLAGE ON SC TRS LLC
TITLE 18: 0
Cert Alzh Capacity: 48
06 - HOUSTON
Owner Information
SPRING CREEK VILLAGE ASSISTED LIVING AND MEMORY CARE
20305 HOLZWARTH ROAD
TX
SPRING
77388
Phone
Region
UNIT 08
105559
GEL PARTNERSHIP INC
31 WINDFERN PL
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SPRING
(936) 321-2795
0
ICF/IID: 0
PHONE:
TX
(713) 858-6821
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77382
FAX:
(936) 321-2795
SERVICE TYPE TYPE B
08/11/2017
Page 189 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
WOOD GLEN COURT ASSISTED LIVING
5000 CYPRESSWOOD DR
TX
SPRING
Phone
DOWN HOME BLESSED CARE
27521 CALVERT RD
TOMBALL
Phone
TX
ICF/IID: 0
TX
SERVICE TYPE TYPE B
Region
UNIT 16
ORLANDO
(281) 351-4923
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
06 - HOUSTON
PHONE:
,STE. 1750
FL
32801
FAX:
(407) 999-2400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(407) 999-7759
SERVICE TYPE TYPE B
04/21/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
102096
INWOOD SENIOR CARE LLC
TX
1000 LEGION PLACE
77375
Fax
ORLANDO
(281) 516-9210
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 60
TITLE 18/19:
32801
FAX:
(407) 999-2400
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 1750
FL
PROGRAM TYPE: ASSISTED LIVING
0
HARRIS
(407) 999-7759
SERVICE TYPE TYPE B
04/21/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
103130
SERENITY'S HAVEN ASSISTED LIVING INC
8727 SEBER LN
TX
TOMBALL
77375
Sunday, October 09, 2016
(832) 559-8358
06/10/2017
1000 LEGION PLACE
TITLE 18: 0
Cert Alzh Capacity: 60
PRIVATE Beds: 16
FAX:
(832) 559-8356
License Exp Dt:
77375
Fax
TOTAL Lic Capacity: 60
Cert Alzh Capacity: 0
77375
BAKER SENIOR CARE, LLC
(281) 475-0161
TOTAL Lic Capacity: 16
06 - HOUSTON
Owner Information
HARRIS
(281) 357-0827
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 60
Phone
Region
TOMBALL
(832) 559-8358
000392
(281) 357-5775
Facility Information:
SERVICE TYPE TYPE B
609 SOUTH PINE ST
TITLE19: 0
Cert Alzh Capacity: 0
County
(281) 351-2326
06/03/2018
UNIT 16
77375
TITLE 18/19:
TOTAL Lic Capacity: 60
Phone
FAX:
(281) 351-0124
License Exp Dt:
TITLE 18: 0
Facility ID:
77377
Owner Information
HARRIS
INWOOD CROSSING
808 INWOOD
TOMBALL
06 - HOUSTON
FOREVER YOUNG SENIOR LIVING LLC
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104711
(832) 559-8356
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 16
County
TOMBALL
(281) 351-2326
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
Region
27521 CALVERT RD
TITLE 18: 0
FOREVER YOUNG SENIOR LIVING LLC
609 SOUTH PINE ST
TX
TOMBALL
HARVEST HOME
520 BAKER DR
TOMBALL
SERVICE TYPE TYPE B
Owner Information
HARRIS
Facility Information:
(214) 953-0278
05/26/2017
UNIT 16
77377
Fax
PRIVATE Beds: 15
County
FAX:
DOWN HOME BLESSED CARE CORPORATION
Cert Alzh Capacity: 0
Phone
75206
(214) 953-1722
License Exp Dt:
030231
(281) 351-0124
Facility Information:
PHONE:
,STE 1000
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 15
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HARRIS
Facility Information:
DALLAS
(832) 693-8556
TITLE 18: 0
PRIVATE Beds: 78
County
5910 N CENTRAL EXPRESSWAY
77379
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
CYPRESSWOOD SENIOR LIVING LLC
(832) 639-8540
TOTAL Lic Capacity: 78
Region
UNIT 16
106002
SERENITY'S HAVEN ASSISTED LIVING INC
8911 WEST LANE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MAGNOLIA
(281) 357-0827
0
ICF/IID: 0
PHONE:
TX
(281) 732-6937
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77354
FAX:
(281) 357-0827
SERVICE TYPE TYPE B
11/12/2016
Page 190 of 311
County
Reg Svcs:
HARRIS
Facility Information:
Facility ID:
Fax
(281) 351-8575
TOTAL Lic Capacity: 40
4848 LEMMON AVE #134
TITLE 18/19:
TCG TOMBALL CAMPUS LLC
1221 GRAHAM DR
TOMBALL
Phone
TX
License Exp Dt:
ICF/IID: 0
TX
SERVICE TYPE TYPE A
Region
MARSHALL
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
04 - TYLER
75692
FAX:
(903) 927-1191
SERVICE TYPE TYPE A
08/18/2017
Region
TYLER SE TEAM
04 - TYLER
Owner Information
MSHC REUNION INN OF MARSHALL LLC
4939 ELIZABETH
TEXARKANA
(903) 927-1499
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 832-0429
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HARRISON
Facility ID:
(903) 927-1191
License Exp Dt:
030355
Fax
PRIVATE Beds: 51
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
(615) 890-7978
2500 KARNACK HWY
Fax
TOTAL Lic Capacity: 51
PRIVATE Beds: 51
FAX:
Owner Information
75672
(903) 927-2242
Cert Alzh Capacity: 0
77375
12/01/2016
TYLER NW TEAM
MSHC REUNION INN ASSISTED LIVING LLC
2801 E TRAVIS ST
TX
MARSHALL
75670
TOTAL Lic Capacity: 51
(615) 896-1191
License Exp Dt:
102204
HARRISON
(903) 935-6263
06 - HOUSTON
JANICE HAYNES
PRIVATE Beds: 12
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
OAKWOOD HOUSE
2907 VICTORY DR
MARSHALL
SERVICE TYPE TYPE B
Region
TOMBALL
(281) 357-5808
TITLE19: 0
(903) 927-1191
Facility Information:
(817) 446-0923
13415 MEDICAL COMPLEX DR
TITLE 18/19:
TOTAL Lic Capacity: 12
County
FAX:
01/25/2017
UNIT 16
77375
TITLE 18: 0
Facility ID:
(817) 446-4792
76102
Owner Information
HARRISON
Phone
06 - HOUSTON
HSMTX/STALLONES-TOMBALL LLC
Fax
PRIVATE Beds: 60
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000638
(281) 357-4843
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
FORT WORTH
(281) 401-5493
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 60
Phone
Region
1200 SUMMIT AVE STE 444
TITLE 18: 0
TOMBALL RETIREMENT CENTER
13415 MEDICAL COMPLEX DR
TX
TOMBALL
CASCE HOUSE
2500 KARNACK HWY
MARSHALL
SERVICE TYPE TYPE B
Owner Information
HARRIS
Facility Information:
FAX:
12/25/2016
UNIT 16
77375
Fax
PRIVATE Beds: 147
County
75219
TCG TOMBALL CAMPUS LLC
Cert Alzh Capacity: 22
Phone
(214) 219-7160
License Exp Dt:
100721
(281) 401-5415
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 147
County
ICF/IID: 0
0
HARRIS
Facility Information:
HIGHLAND PARK
(281) 351-1129
TITLE19: 0
PRIVATE Beds: 40
County
TOMBALL SENIOR HOUSING PARTNERS LLC
TITLE 18: 0
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
SOUTHERN KNIGHTS SENIOR LIVING COMMUNITY
27919 JOHNSON RD
TX
TOMBALL
77375
Phone
Region
UNIT 16
010328
75503
FAX:
(903) 255-0385
SERVICE TYPE TYPE B
01/01/2018
Region
TYLER SE TEAM
04 - TYLER
Owner Information
000956
VERITAS INCARE, LLC
TX
6933 CRUMPLER BLVD
75670
Fax
(903) 935-6288
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
OLIVE BRANCH
0
ICF/IID: 0
PHONE:
,STE A
MS
(662) 895-1801
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
38654
FAX:
(662) 895-1804
SERVICE TYPE TYPE B
01/01/2017
Page 191 of 311
County
Reg Svcs:
HARTLEY
Facility Information:
Facility ID:
LEGACY ASSISTED LIVING COMMUNITY
301 TEXAS BLVD
TX
DALHART
Phone
PROVIDENT MEMORY CARE
645 FM 967
BUDA
Phone
TX
TX
TX
Sunday, October 09, 2016
78620
FAX:
(512) 858-4627
SERVICE TYPE TYPE A
02/01/2018
Region
TEAM V
07 - AUSTIN
Owner Information
400 OLD HWY. 290
78620
DRIPPING SPRINGS
(512) 858-7118
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 894-0801
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78620
FAX:
(512) 858-4627
SERVICE TYPE TYPE A
02/01/2018
Region
TEAM V
07 - AUSTIN
Owner Information
000575
E & J HEALTH CARE LLC
TX
400 OLD HWY. 290
78620
Fax
DRIPPING SPRINGS
(512) 858-5104
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 894-0801
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAYS
PRIVATE Beds: 16
(512) 894-0801
License Exp Dt:
103256
Fax
PRIVATE Beds: 16
Cert Alzh Capacity: 0
07 - AUSTIN
E & J HEALTH CARE LLC
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(512) 894-0701
(512) 894-0801
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 16
Phone
SERVICE TYPE TYPE B
Region
DRIPPING SPRINGS
(512) 858-5104
HAYS
MENTIS NEURO HEALTH
400 OLD HWY 290
DRIPPING SPRINGS
(830) 629-4884
400 OLD HWY. 290
TITLE 18/19:
PRIVATE Beds: 6
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
78130
03/01/2018
TEAM V
78620
Fax
TOTAL Lic Capacity: 6
Phone
(830) 624-1044
License Exp Dt:
000573
(512) 894-0440
MENTIS NEURO HEALTH
3035 HWY 290 W
DRIPPING SPRINGS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAYS
Facility Information:
07 - AUSTIN
E & J HEALTH CARE LLC
PRIVATE Beds: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
NEW BRAUNFELS
(512) 296-5633
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
MENTIS NEURO HEALTH
400 OLD HWY 290
DRIPPING SPRINGS
SERVICE TYPE TYPE B
195 S. ACADEMY
TITLE 18: 0
(512) 894-0701
Facility Information:
(806) 244-1018
Owner Information
HAYS
County
FAX:
02/07/2017
TEAM V
78610
Fax
PRIVATE Beds: 22
Phone
79022
SODALIS BUDA,LLC
Cert Alzh Capacity: 22
CORE HEALTH CARE
3035 HWY 290 W
DRIPPING SPRINGS
(806) 244-8555
License Exp Dt:
103686
(512) 295-5600
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 22
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HAYS
Facility Information:
DALHART
(806) 244-1665
TITLE 18: 0
PRIVATE Beds: 40
County
1411 DENVER
79022
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
(806) 244-1450
TOTAL Lic Capacity: 40
Region
HIGH PLAINS GERI 1
102470
78620
FAX:
(512) 858-4627
SERVICE TYPE TYPE A
02/01/2018
Region
TEAM V
07 - AUSTIN
Owner Information
100976
E & J HEALTH CARE LLC
TX
400 OLD HWY. 290
78620
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DRIPPING SPRINGS
(512) 858-4627
0
ICF/IID: 0
PHONE:
TX
(512) 894-0801
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78620
FAX:
(512) 858-4627
SERVICE TYPE TYPE B
02/01/2018
Page 192 of 311
County
Reg Svcs:
HAYS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
NEW BRAUNFELS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ORCHARD PARK OF KYLE
4701 RATCLIFFE DRIVE
KYLE
Phone
TX
Sunday, October 09, 2016
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE A
04/30/2017
Region
TEAM W
07 - AUSTIN
Owner Information
6737 W WASHINGTON ST
78666
MILWAUKEE
(512) 396-3652
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BROOKDALE SAN MARCOS SOUTH
1401 WONDER WORLD DR
TX
SAN MARCOS
PRIVATE Beds: 60
ICF/IID: 0
0
HAYS
Cert Alzh Capacity: 0
MILWAUKEE
(512) 396-3652
TITLE 18: 0
Facility ID:
07 - AUSTIN
CSH SAN MARCOS LLC
Fax
PRIVATE Beds: 12
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
050255
(512) 392-7200
Cert Alzh Capacity: 12
(407) 999-7759
04/02/2017
TEAM W
78666
Reg Svcs:
TOTAL Lic Capacity: 12
FAX:
Owner Information
HAYS
TOTAL Lic Capacity: 60
License Exp Dt:
TITLE19: 0
BROOKDALE SAN MARCOS NORTH
1720 RANCH ROAD 12
TX
SAN MARCOS
(407) 999-2400
32801
CSH SAN MARCOS LLC
TITLE 18/19:
Facility ID:
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 65
(512) 396-8271
ICF/IID: 0
050254
Fax
Cert Alzh Capacity: 0
Phone
07 - AUSTIN
,STE 1750
ORLANDO
(512) 268-5304
Reg Svcs:
Facility ID:
(512) 392-7200
Facility Information:
Region
TEAM V
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 65
County
SERVICE TYPE TYPE B
09/25/2018
1000 LEGION PLACE
TITLE 18: 0
BROOKDALE SAN MARCOS NORTH
1720 RANCH ROAD 12
TX
SAN MARCOS
Phone
FAX:
Owner Information
HAYS
Facility Information:
License Exp Dt:
78640
Fax
PRIVATE Beds: 141
County
(847) 976-1609
78130
RATCLIFF SENIOR CARE LLC
Cert Alzh Capacity: 80
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
105695
(512) 920-6400
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 141
County
NEW BRAUNFELS
0
HAYS
Facility Information:
07 - AUSTIN
1919 SHIELD DR
TITLE19: 0
PRIVATE Beds: 16
Region
NEW HAVEN ASSISTED LIVING OF KYLE, LLC
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Owner Information
Fax
(888) 774-2836
FAX:
09/25/2016
TEAM V
105976
NEW HAVEN ASSISTED LIVING AND MEMORY CARE OF KYLE, LLC
107 CREEKSIDE TRAIL - BUILDING A
TX
KYLE
78640
Phone
78130
(847) 976-1609
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAYS
Facility Information:
1919 SHIELD DR
TITLE 18: 0
Cert Alzh Capacity: 16
County
NEW HAVEN ASSISTED LIVING OF KYLE, LLC
Fax
(888) 774-2836
07 - AUSTIN
Owner Information
NEW HAVEN ASSISTED LIVING AND MEMORY CARE OF KYLE, LLC
107 CREEKSIDE TRAIL - BUILDING B
TX
KYLE
78640
Phone
Region
TEAM V
105977
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
04/30/2016
Region
TEAM Z
07 - AUSTIN
Owner Information
000924
ESC III LP
6737 W WASHINGTON STREET
78666
Fax
(512) 396-8273
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,SUITE 2300
WI
(206) 298-2909
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(206) 301-4510
SERVICE TYPE TYPE B
04/01/2017
Page 193 of 311
County
Reg Svcs:
HAYS
Facility Information:
Facility ID:
BROOKDALE SAN MARCOS SOUTH
1401 WONDER WORLD DR
TX
SAN MARCOS
Phone
RESCARE PREMIER TOWN
618 W HUTCHISON
SAN MARCOS
Phone
TX
LOUISVILLE
(512) 396-1707
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TITLE 18/19:
Phone
TOTAL Lic Capacity: 40
Cert Alzh Capacity: 0
PRIVATE Beds: 40
Sunday, October 09, 2016
Region
NEW BRAUNFELS
(830) 629-4884
ICF/IID: 0
PHONE:
TX
(830) 624-1044
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
07 - AUSTIN
78130
FAX:
(830) 629-4884
SERVICE TYPE TYPE B
05/01/2017
Region
TEAM W
07 - AUSTIN
Owner Information
TX
P O BOX 307
78676
Fax
WIMBERLEY
(512) 847-6577
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 847-5676
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HEMPHILL
(806) 323-6422
SERVICE TYPE TYPE A
JANICE M BREEZE
PRIVATE Beds: 10
Phone
(512) 357-4025
195 S ACADEMY
Reg Svcs:
Cert Alzh Capacity: 0
MESA VIEW
1 TEAS CIRCLE
CANADIAN
FAX:
Owner Information
000974
(512) 847-5676
Facility Information:
78667
05/04/2018
TEAM V
TITLE19: 0
TOTAL Lic Capacity: 10
County
(512) 567-1704
License Exp Dt:
78666
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HAYS
WIMBERLEY LIFE CARE
845 E SUMMIT DR
WIMBERLEY
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 16
07 - AUSTIN
ALZCARE SAN MARCOS LLC
Fax
Cert Alzh Capacity: 16
SERVICE TYPE TYPE A
Region
SAN MARCOS
103585
(830) 624-1044
TOTAL Lic Capacity: 16
(502) 394-2285
PO BOX 705
Reg Svcs:
SODALIS ELDER LIVING SAN MARCOS I
1001 CREPE MYRTLE DR
TX
SAN MARCOS
FAX:
THERAPEUTIC COMMUNITIES LLC
(512) 878-0391
HAYS
Facility ID:
40223-3808
10/15/2017
TEAM X
TITLE19: 0
PRIVATE Beds: 12
Facility Information:
07 - AUSTIN
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(502) 394-2100
License Exp Dt:
104086
(512) 878-8755
PHONE:
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
County
Region
9901 LINN STATION ROAD
SMITH HOUSE - SAN MARCOS COMMUNITY LIVING PROGRAM
119 SMITH LN
TX
SAN MARCOS
78666
Phone
SERVICE TYPE TYPE A
Owner Information
HAYS
Facility Information:
(206) 301-4510
05/01/2016
TEAM X
78666
Fax
PRIVATE Beds: 14
County
FAX:
TANGRAM REHABILITATION NETWORK INC
Cert Alzh Capacity: 0
Phone
53214
(206) 298-2909
License Exp Dt:
000635
(512) 396-1305
Facility Information:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HAYS
Facility Information:
MILWAUKEE
(512) 396-8273
TITLE 18: 0
PRIVATE Beds: 90
County
6737 W WASHINGTON STREET
78666
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
ESC III LP
(512) 396-8271
TOTAL Lic Capacity: 90
Region
TEAM Z
000743
78676
FAX:
(512) 847-6577
SERVICE TYPE TYPE A
11/01/2018
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
105612
HEMPHILL COUNTY HOSPITAL DISTRICT
TX
1020 S 4TH ST
79014
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CANADIAN
(806) 323-8109
0
ICF/IID: 0
PHONE:
TX
(806) 323-6422
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79014
FAX:
(806) 323-8061
SERVICE TYPE TYPE B
10/18/2017
Page 194 of 311
County
Reg Svcs:
HENDERSON
Facility Information:
LAKELAND HOUSE
213 CAYUGA DR
ATHENS
Phone
Facility ID:
TX
6933 CRUMPLER BLVD
75751
Fax
(903) 677-1272
TITLE 18/19:
Phone
TX
TX
(903) 677-2933
ICF/IID: 0
TX
FORT WORT
(903) 887-7619
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
04 - TYLER
(415) 995-3478
SERVICE TYPE TYPE B
07/11/2017
Region
TYLER SW TEAM
04 - TYLER
ARABELLA RETIREMENT OF ATHENS LLC
413 GIBSON RD
ATHENS
(903) 566-8506
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(903) 675-1995
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
HIDALGO
Facility ID:
FAX:
Owner Information
TITLE 18: 0
TITLE 18/19:
76102
(415) 995-5135
License Exp Dt:
105777
Fax
PHONE:
,STE 3300
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 66
Sunday, October 09, 2016
Region
301 COMMERCE STREET
TITLE 18: 0
Cert Alzh Capacity: 24
PRIVATE Beds: 16
SERVICE TYPE TYPE B
07/29/2017
Owner Information
75147
Fax
TOTAL Lic Capacity: 66
Cert Alzh Capacity: 0
(903) 677-2933
CEDARVIEW AID OPCO LLC
(903) 675-1995
TOTAL Lic Capacity: 16
FAX:
TYLER SW TEAM
ARABELLA OF ATHENS ASSISTED LIVING AND MEMORY CARE
413 GIBSON RD
TX
WALTON
75751
(956) 461-2240
75751
(903) 677-2043
License Exp Dt:
000975
HENDERSON
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 51
DONNA ASSISTED LIVING
522 N. MAIN STREET
DONNA
04 - TYLER
,SUITE 113
ATHENS
TITLE19: 0
(903) 887-0236
Facility Information:
Region
607 E. TYLER STREET
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
10/01/2017
TYLER SW TEAM
75751
TITLE 18: 0
TOTAL Lic Capacity: 51
Phone
(903) 677-2933
Owner Information
HENDERSON
Facility Information:
FAX:
(903) 677-2043
License Exp Dt:
105253
Fax
PRIVATE Beds: 50
County
75751
OWP - B, L.P.
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 50
CEDARVIEW PLACE
322 E MAIN ST
GUN BARREL CITY
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 675-2002
Facility Information:
04 - TYLER
,STE 113
ATHENS
(903) 675-5223
HENDERSON
County
Region
607 E TYLER
TITLE 18: 0
PRIVATE Beds: 100
Phone
SERVICE TYPE TYPE B
Owner Information
75751
Fax
Cert Alzh Capacity: 0
OAK WOOD PLACE - B
603 WOOD STREET
ATHENS
(662) 895-1804
01/01/2017
TYLER SW TEAM
100049
(903) 675-2002
Facility Information:
FAX:
M H P PARTNERSHIP LTD
TOTAL Lic Capacity: 100
County
38654
(662) 895-1801
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MS
PROGRAM TYPE: ASSISTED LIVING
0
HENDERSON
OAK WOOD PLACE
603 WOOD ST
ATHENS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 52
,STE A
OLIVE BRANCH
(903) 677-4824
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
04 - TYLER
Owner Information
VERITAS INCARE, LLC
TOTAL Lic Capacity: 52
County
Region
TYLER SW TEAM
000984
75751
FAX:
(903) 566-8506
SERVICE TYPE TYPE B
03/24/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
106093
DONNA ASSISTED LIVING INC
TX
522 N MAIN ST
78537
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DONNA
(844) 270-6033
0
ICF/IID: 0
PHONE:
TX
(956) 472-5420
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78537
FAX:
SERVICE TYPE TYPE B
08/26/2017
Page 195 of 311
County
Reg Svcs:
HIDALGO
Facility Information:
Facility ID:
NEW LIFE ASSISTED LIVING
302 NORTH D. SALINAS BLVD
DONNA
Phone
TX
2115 LOTT ROAD
78537
Fax
(956) 377-5465
TITLE 18/19:
THE BRIDGES AT EDINBURG
5208 S SUGAR RD
EDINBURG
TX
TX
PRIVATE Beds: 16
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(956) 380-0461
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
11 - CORPUS CHRISTI
78539
FAX:
(956) 287-4744
SERVICE TYPE TYPE B
06/14/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
2304 SILVERADO NORTH
78501
PALMHURST
(956) 682-8886
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(956) 571-7465
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HIDALGO
Cert Alzh Capacity: 0
Region
EDINBURG
(956) 287-4744
105027
Fax
PRIVATE Beds: 16
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
MARIO SAN ROMAN
Cert Alzh Capacity: 0
(956) 682-5659
(956) 782-2070
422 E SAMANO
Reg Svcs:
TOTAL Lic Capacity: 16
Phone
FAX:
11/10/2017
CORPUS CHRISTI 12
TITLE19: 0
(956) 682-8886
BILTMORE ASSISTED LIVING
700 E JACKSON AVE
MCALLEN
78539
Owner Information
HIDALGO
Facility Information:
(956) 782-9882
License Exp Dt:
78539
TITLE 18/19:
BARCELONA ASSISTED LIVING
712 E JACKSON AVENUE
MCALLEN
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
Facility ID:
11 - CORPUS CHRISTI
GABRIELA AGUILLON
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
104700
(956) 380-0461
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
EDINBURG
(956) 782-2070
Reg Svcs:
TOTAL Lic Capacity: 16
(956) 782-2070
5208 S SUGAR RD
78539
HIDALGO
THE GOOD LIFE ASSISTED LIVING
521 S 12TH AVE.
TX
EDINBURG
FAX:
ASSISTED LIVING PARTNERSHIP I LTD
TITLE 18/19:
Facility ID:
78539
04/06/2017
CORPUS CHRISTI 12
TITLE19: 0
PRIVATE Beds: 16
Phone
11 - CORPUS CHRISTI
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(956) 782-9882
License Exp Dt:
010225
Fax
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(956) 782-9882
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE BRIDGES AT EDINBURG BLDG B
5208 S SUGAR RD
TX
EDINBURG
County
Region
EDINBURG
(956) 782-2070
HIDALGO
Phone
SERVICE TYPE TYPE B
5208 S SUGAR RD
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
(956) 464-0007
Owner Information
78539
Fax
Cert Alzh Capacity: 0
County
FAX:
ASSISTED LIVING PARTNERSHIP I LTD
TOTAL Lic Capacity: 16
Phone
78537
09/01/2017
CORPUS CHRISTI 12
030074
(956) 782-9906
Facility Information:
(956) 464-7741
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HIDALGO
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Phone
DONNA
(956) 377-5673
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
11 - CORPUS CHRISTI
Owner Information
ELUGO LLC
TOTAL Lic Capacity: 16
County
Region
CORPUS CHRISTI 10
106165
78573
FAX:
(956) 682-8886
SERVICE TYPE TYPE B
01/05/2018
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
030409
MARIO SAN ROMAN
TX
700 E JACKSON AVE
78501
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MCALLEN
(956) 682-3985
0
ICF/IID: 0
PHONE:
TX
(956) 682-3985
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78501
FAX:
SERVICE TYPE TYPE B
01/01/2018
Page 196 of 311
County
Reg Svcs:
HIDALGO
Facility Information:
MJA ASSITED LIVING LLC
4721 BUDDY OWENS BLVD # F
MCALLEN
Phone
Facility ID:
TX
4721 BUDDY OWENS BLVD #F
78504
Fax
(956) 994-0025
TITLE 18/19:
CROSSROADS ASSISTED LIVING
9500 HWY 107
TX
MISSION
THE BRIDGES AT MISSION
1201 ST CLAIRE BLVD
MISSION
Phone
TX
ICF/IID: 0
WATERFORD GARDENS GUEST HOUSE
1522 E GRIFFIN PKWY
TX
MISSION
ICF/IID: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
FAX:
(956) 585-7314
SERVICE TYPE TYPE B
07/28/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
1522 E GRIFFIN PKWY
78572
MISSION
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(956) 519-9064
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
78572
FAX:
(956) 583-7314
SERVICE TYPE TYPE B
03/28/2017
Region
CORPUS CHRISTI 12
11 - CORPUS CHRISTI
Owner Information
100526
WATERFORD GARDENS ON GRIFFIN PARKWAY
1522 E GRIFFIN PKWY
TX
MISSION
78572
Cert Alzh Capacity: 0
78572
Owner Information
HIDALGO
TOTAL Lic Capacity: 16
11 - CORPUS CHRISTI
MISSION GUEST HOUSE LLC
TITLE 18/19:
Facility ID:
(956) 584-5565
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Fax
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
MISSION
(956) 585-7314
101938
(956) 519-9064
TOTAL Lic Capacity: 16
(956) 519-7766
1522 E GRIFFIN PARKWAY
Reg Svcs:
Facility ID:
FAX:
12/20/2017
CORPUS CHRISTI 12
TITLE19: 0
TITLE 18/19:
78572
THE BUNGALOWS AT WATERFORD GARDENS LLC
HIDALGO
(956) 584-1984
11 - CORPUS CHRISTI
Owner Information
TITLE 18: 0
PRIVATE Beds: 15
(956) 519-9800
License Exp Dt:
104822
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
MISSION
(956) 519-7766
TITLE19: 0
TITLE 18/19:
(956) 584-5565
Facility Information:
SERVICE TYPE TYPE B
1201 ST CLAIRE BLVD
TITLE 18: 0
TOTAL Lic Capacity: 15
County
FAX:
05/01/2017
CORPUS CHRISTI 12
THE BUNGALOWS AT WATERFORD GARDENS LLC
1522 E GRIFFIN PARKWAY
TX
MISSION
78572
Phone
78573
Owner Information
HIDALGO
Facility Information:
(956) 583-8013
License Exp Dt:
78572
Fax
PRIVATE Beds: 40
County
11 - CORPUS CHRISTI
ASSISTED LIVING PARTNERSHIP II LTD
Cert Alzh Capacity: 40
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100787
(956) 519-9800
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 40
County
Region
MISSION
(956) 583-5120
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
PO BOX 1136
78574
HIDALGO
Facility Information:
(956) 994-0114
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
RGV ELDER HEALTH SYSTEMS INC
Fax
Cert Alzh Capacity: 0
78504
06/14/2017
CORPUS CHRISTI 12
102866
(956) 583-8013
TOTAL Lic Capacity: 16
(956) 994-0025
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HIDALGO
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Phone
MCALLEN
(956) 994-0114
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
11 - CORPUS CHRISTI
Owner Information
MJA ASSISTED LIVING LLC
TOTAL Lic Capacity: 6
County
Region
CORPUS CHRISTI 12
104654
SENIOR GARDENS LLC
1522 E GRIFFIN PKWY
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MISSION
(956) 585-7314
0
ICF/IID: 0
PHONE:
TX
(956) 584-1964
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78572
FAX:
(956) 585-7314
SERVICE TYPE TYPE B
03/24/2017
Page 197 of 311
County
Reg Svcs:
HIDALGO
Facility Information:
Facility ID:
THE GARDENS AT BROOK RIDGE
1201 W RIDGE RD
TX
PHARR
Phone
County
WESLEY HOUSE
110 OUTLET DR
HILLSBORO
Phone
TX
TX
(903) 270-6227
SERVICE TYPE TYPE B
Region
07 - AUSTIN
4773 FM 933 N
WHITNEY
(254) 694-4253
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
76692
FAX:
(254) 694-4253
SERVICE TYPE TYPE A
06/29/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
102916
LEVELLAND HIVE LLC
140 COUNTY ROAD
79336
Fax
LEVELLAND
(806) 894-3987
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(806) 543-9852
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(254) 694-2272
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOCKLEY
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
PRIVATE Beds: 36
75457
02/02/2017
WACO
76692
Fax
Cert Alzh Capacity: 14
Cert Alzh Capacity: 0
07 - AUSTIN
CCRC ASSISTED LIVING LLC
TOTAL Lic Capacity: 14
TOTAL Lic Capacity: 36
(903) 537-4116
License Exp Dt:
103976
(806) 543-9852
(806) 894-1722
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
BEEHIVE HOMES OF LEVELLAND
140 COUNTY ROAD
TX
LEVELLAND
Phone
ICF/IID: 0
0
HOCKLEY
HICKORY PLACE
717 SOUTH ALAMO RD
LEVELLAND
SERVICE TYPE TYPE B
Region
MT. VERNON
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 50
Facility Information:
(956) 968-4570
01/04/2018
WACO
(254) 580-1608
TITLE 18: 0
Cert Alzh Capacity: 0
County
FAX:
110 DALLAS ST
Fax
TOTAL Lic Capacity: 50
Phone
License Exp Dt:
76645
(254) 694-2272
Facility Information:
(956) 968-4575
78596
Owner Information
HILL
County
11 - CORPUS CHRISTI
WESLEY PARTNERS SENIOR LIVING, LLC
PRIVATE Beds: 60
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
CCRC ASSISTED LIVING, LLC
4773 FM 933 N
WHITNEY
ICF/IID: 0
010269
(254) 582-0030
Facility Information:
Region
WESLACO
(956) 968-4570
TITLE19: 0
TOTAL Lic Capacity: 60
County
SERVICE TYPE TYPE B
1300 S BORDER
TITLE 18/19:
Facility ID:
(541) 323-3457
02/26/2017
CORPUS CHRISTI 12
78596
HILL
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 32
97702
JOHN KNOX VILLAGES OF THE LOWER RIO GRANDE VALLEY INC
Fax
Cert Alzh Capacity: 0
(541) 323-3456
License Exp Dt:
000703
(956) 968-4575
TOTAL Lic Capacity: 32
PHONE:
OR
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
JOHN KNOX VILLAGE PERSONAL CARE
1300 S BORDER
TX
WESLACO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HIDALGO
Facility Information:
BEND
(956) 961-4620
TITLE 18: 0
PRIVATE Beds: 65
County
807 SW INDUSTRIAL WAY
78577
Fax
Cert Alzh Capacity: 30
11 - CORPUS CHRISTI
Owner Information
BROOK RIDGE GARDENS LP
(956) 685-1520
TOTAL Lic Capacity: 65
Region
CORPUS CHRISTI 12
105962
79336
FAX:
(806) 894-3987
SERVICE TYPE TYPE B
07/22/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
000511
HICKORY AID OPCO LLC
TX
330 N WABASH AVE
79336
Fax
(806) 894-3330
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5902
SERVICE TYPE TYPE B
07/11/2017
Page 198 of 311
County
Reg Svcs:
HOOD
Facility Information:
Facility ID:
ARBOR HOUSE OF GRANBURY
900 AUTUMN RIDGE DR
GRANBURY
Phone
TX
2401 TEE CIRCLE
76048
NORMAN
Fax
(817) 573-7720
TITLE 18: 0
Cert Alzh Capacity: 52
TITLE 18/19:
COURTYARDS AT LAKE GRANBURY
801 CALINCO DR
TX
GRANBURY
County
(817) 736-4299
TX
SEATTLE
(817) 579-7073
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 44
Sunday, October 09, 2016
PHONE:
,STE 220
WA
(206) 441-1770
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
98103
FAX:
(206) 441-1977
SERVICE TYPE TYPE B
09/19/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
1200 SUMMIT AVE
FORT WORTH
(817) 579-6147
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 446-4792
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 444
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOOD
TOTAL Lic Capacity: 44
ICF/IID: 0
76048
Fax
PRIVATE Beds: 55
(817) 573-3434
03 - ARLINGTON
TCG GRANBURY CAMPUS LLC
Cert Alzh Capacity: 20
Phone
SEATTLE
(817) 579-7073
Reg Svcs:
TOTAL Lic Capacity: 55
TCG GRANBURY CAMPUS LLC
101 WATERMARK BLVD
GRANBURY
SERVICE TYPE TYPE B
Region
146 N CANAL ST
104024
(817) 573-9505
Facility Information:
(206) 441-1977
LIVING CARE GRANBURY LP
HOOD
Facility ID:
FAX:
07/01/2018
TEAM 3
TITLE19: 0
TITLE 18/19:
(206) 441-1770
98103
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
PHONE:
License Exp Dt:
106013
(817) 279-9259
Cert Alzh Capacity: 0
County
03 - ARLINGTON
,STE 220
WA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
(972) 387-8216
SERVICE TYPE TYPE B
Region
TEAM 3
QUAIL PARK RETIREMENT VILLAGE OF GRANBURY
2310 PALUXY HWY
TX
GRANBURY
76048
TCG GRANBURY CAMPUS LLC
101 WATERMARK BLVD
GRANBURY
FAX:
02/21/2018
146 N CANAL ST
HOOD
Facility Information:
75254
Owner Information
TITLE 18: 0
PRIVATE Beds: 22
County
(972) 308-8366
License Exp Dt:
76048
Fax
Cert Alzh Capacity: 22
Phone
PHONE:
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
101783
(817) 279-9259
Facility Information:
03 - ARLINGTON
LIVING CARE GRANBURY LP
TOTAL Lic Capacity: 22
County
ICF/IID: 0
Reg Svcs:
QUAIL PARK ASSISTED LIVING
2310 PALUXY HWY
GRANBURY
Phone
DALLAS
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
76048
HOOD
Facility Information:
(405) 360-3301
Owner Information
TITLE 18: 0
PRIVATE Beds: 107
FAX:
CSL GRANBURY LLC
Fax
Cert Alzh Capacity: 14
73069
03/06/2018
TEAM 3
102291
(817) 736-4300
TOTAL Lic Capacity: 107
(405) 801-2879
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 103
OK
PROGRAM TYPE: ASSISTED LIVING
0
HOOD
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 52
Facility Information:
03 - ARLINGTON
Owner Information
GRANBURY TX ARBOR HOUSE LP
TOTAL Lic Capacity: 52
County
Region
TEAM 2
102889
76102
FAX:
(817) 446-0923
SERVICE TYPE TYPE B
03/31/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
104023
TCG GRANBURY CAMPUS LLC
TX
1200 SUMMIT AVE
76048
Fax
(817) 573-3430
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FORT WORTH
0
ICF/IID: 0
PHONE:
,SUITE 444
TX
(817) 446-4792
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76102
FAX:
(817) 446-0923
SERVICE TYPE TYPE A
04/15/2017
Page 199 of 311
County
Reg Svcs:
HOOD
Facility Information:
THE OAKS OF GRANBURY
1017 LIPAN HWY
GRANBURY
Phone
Facility ID:
TX
1701 RIVER RUN
76048
Fax
(817) 279-8885
TITLE 18/19:
Phone
TX
TX
TX
Sunday, October 09, 2016
(903) 270-6227
SERVICE TYPE TYPE A
Region
04 - TYLER
PO BOX 612
MOUNT VERNON
(903) 439-0549
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 537-4116
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
75457
FAX:
(903) 270-6227
SERVICE TYPE TYPE B
06/12/2018
Region
NACOGDOCHES GERIATRIC
05 - BEAUMONT
Owner Information
000617
ENCHANTED PINES INC
TX
1154 E LOOP 304
75835
Fax
CROCKETT
(936) 546-2694
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(936) 544-5065
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOWARD
PRIVATE Beds: 44
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 36
Cert Alzh Capacity: 0
75457
12/01/2016
TYLER NW TEAM
75482
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 44
(903) 537-4116
License Exp Dt:
105208
(936) 544-5065
(432) 268-9041
04 - TYLER
WESLEY PARTNERS LTD
TOTAL Lic Capacity: 36
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOUSTON
MARCY PLACE
2301 WASSON
BIG SPRING
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 28
Facility Information:
Region
MOUNT VERNON
(903) 439-0549
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 28
County
SERVICE TYPE TYPE B
PO BOX 612
TITLE 18: 0
TOTAL Lic Capacity: 28
Phone
(817) 871-4001
07/11/2017
TYLER NW TEAM
75482
(903) 439-0529
ENCHANTED PINES
1154 E LOOP 304
CROCKETT
FAX:
Owner Information
HOPKINS
Facility Information:
License Exp Dt:
000950
Fax
PRIVATE Beds: 42
County
(817) 871-4000
76102
WESLEY PARTNERS LTD
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 42
WESLEY HOUSE
1044 CHURCH STREET
SULPHUR SPRINGS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 439-0529
Facility Information:
04 - TYLER
,STE 3300
FORT WORTH
(903) 885-6697
HOPKINS
County
SERVICE TYPE TYPE B
Region
301 COMMERCE ST
TITLE 18: 0
PRIVATE Beds: 63
Phone
(817) 348-0466
Owner Information
75482
Fax
Cert Alzh Capacity: 0
WESLEY HOUSE
1044 CHURCH ST
SULPHUR SPRINGS
FAX:
10/01/2016
TYLER NW TEAM
000996
(903) 439-1202
Facility Information:
76107
HOPKINS AID OPCO LLC
TOTAL Lic Capacity: 63
County
(817) 348-8841
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HOPKINS
HOPKINS PLACE
890 CAMP ST
SULPHUR SPRINGS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 48
,STE 304
FORT WORTH
(817) 579-1908
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
GRANBURY II ENTERPRISES LLC
TOTAL Lic Capacity: 48
County
Region
TEAM 2
000569
75835
FAX:
(936) 546-5674
SERVICE TYPE TYPE A
03/04/2018
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
000490
MARCY AID OPCO LLC
TX
330 N WABASH
79720
Fax
(432) 268-9092
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 200 of 311
County
Reg Svcs:
HUNT
Facility Information:
COUNTRY HOME ESTATES
2927 MONROE
COMMERCE
Phone
Facility ID:
TX
PO BOX 130
75428
Fax
(903) 886-7754
TITLE 18/19:
TX
TX
OLIVE BRANCH
(903) 455-4090
ICF/IID: 0
TITLE19: 0
TX
GREENVILLE
(903) 454-8182
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
FAX:
(903) 454-8182
SERVICE TYPE TYPE B
08/13/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
INDIVIDUAL CARE OF TEXAS INC
1655 PRIVATE RD
75474-1810
QUINLAN
(903) 356-4544
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
License Exp Dt:
Reg Svcs:
75474-1810
FAX:
(903) 356-4526
PROGRAM TYPE: ASSISTED LIVING
0
HUTCHINSON
Facility ID:
75401
(903) 454-6636
License Exp Dt:
000650
Fax
PRIVATE Beds: 100
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(972) 771-4860
SERVICE TYPE TYPE A
12/30/2016
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
000957
GOLDEN YEARS ASSISTED LIVING CENTER INC
100 N BRYAN ST
TX
BORGER
79007
Sunday, October 09, 2016
Region
3600 STANFORD ST
TITLE 18/19:
TOTAL Lic Capacity: 100
PRIVATE Beds: 16
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
(903) 356-4526
Cert Alzh Capacity: 0
(662) 895-1804
01/01/2017
TEAM 1
75401
Fax
INDIVIDUAL CARE OF TEXAS INC
1655 PRIVATE RD 2530
TX
QUINLAN
TOTAL Lic Capacity: 16
FAX:
(662) 895-1801
License Exp Dt:
101527
HUNT
(806) 274-5994
PHONE:
38654
SHAMOR INC
PRIVATE Beds: 59
Phone
03 - ARLINGTON
,STE A
MS
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(903) 454-6636
Facility Information:
SERVICE TYPE TYPE A
Region
6933 CRUMPLER BLVD
TITLE 18/19:
Cert Alzh Capacity: 31
County
(903) 454-8182
10/17/2018
TEAM 1
75401
TITLE 18: 0
TOTAL Lic Capacity: 59
Phone
FAX:
Owner Information
HUNT
Facility Information:
75401
(903) 454-6636
License Exp Dt:
000986
Fax
PRIVATE Beds: 51
County
03 - ARLINGTON
VERITAS INCARE, LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 51
THE LODGE OF COLONIAL
3590 STANFORD ST
GREENVILLE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 455-0440
Facility Information:
GREENVILLE
(903) 454-8182
HUNT
County
Region
3600 STANFORD ST
TITLE 18: 0
PRIVATE Beds: 55
Phone
SERVICE TYPE TYPE A
Owner Information
75401
Fax
Cert Alzh Capacity: 0
HARRISON HOUSE
6400 JACK FINNEY BLVD
GREENVILLE
(903) 886-8395
07/24/2017
TEAM 1
000826
(903) 454-6636
Facility Information:
FAX:
SHAMOR INC
TOTAL Lic Capacity: 55
County
75428
(903) 886-7754
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
HUNT
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
COLONIAL LODGE
3600 STANFORD ST
GREENVILLE
COMMERCE
(903) 886-8395
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
DRAUGHN & SONS LC
TOTAL Lic Capacity: 55
County
Region
TEAM 1
000952
GOLDEN YEARS ASSISTED LIVING CENTER INC
100 N BRYAN ST
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BORGER
(806) 274-5992
0
ICF/IID: 0
PHONE:
TX
(806) 274-5994
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79007
FAX:
(806) 274-5992
SERVICE TYPE TYPE A
09/22/2017
Page 201 of 311
County
Reg Svcs:
JACK
Facility Information:
Facility ID:
Fax
(940) 567-3057
TOTAL Lic Capacity: 45
1116 STATE HWY 148
TITLE 18/19:
THE DUGGER HOUSE
309 S PUMPHREY
EDNA
Phone
TX
EDNA
(361) 782-0882
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
NEWTON
(409) 383-0584
ICF/IID: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 71
Sunday, October 09, 2016
(409) 379-2048
SERVICE TYPE TYPE B
Region
05 - BEAUMONT
Owner Information
ROSEWOOD ASSISTED-LIVING CENTER INC
1010 HWY 87 S
NEWTON
(409) 381-8862
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(409) 379-2047
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
JEFFERSON
TOTAL Lic Capacity: 71
FAX:
05/08/2017
BEAUMONT GERIATRIC
030235
Fax
Facility ID:
05 - BEAUMONT
75966
(409) 379-2047
License Exp Dt:
ROSEWOOD ASSISTED LIVING CENTER INC
41 CHESTNUT CIR
TX
JASPER
75951
PRIVATE Beds: 11
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
BEAUMONT GERIATRIC
TITLE19: 0
TOTAL Lic Capacity: 11
SERVICE TYPE TYPE B
10/01/2016
1010 HWY 87 S
TITLE 18/19:
(409) 384-4533
(361) 578-6695
ROSEWOOD ASSISTED-LIVING CENTER INC
TITLE 18: 0
Facility ID:
FAX:
Owner Information
JASPER
(409) 899-4800
08 - SAN ANTONIO
77957
(361) 782-8834
License Exp Dt:
100966
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
EDNA
(361) 782-0882
TITLE 18: 0
TOTAL Lic Capacity: 16
ATRIA COLLIER PARK
4650 COLLIER ST
BEAUMONT
SERVICE TYPE TYPE A
309 S PUMPHREY
77962
(409) 489-1402
Facility Information:
(361) 578-6695
04/18/2017
TEAM V
ROSEWOOD ASSISTED LIVING CENTER II
8670 HWY 96 S
TX
JASPER
75951
County
FAX:
Owner Information
JASPER
Phone
77957
(361) 782-8834
License Exp Dt:
000764
Fax
PRIVATE Beds: 14
Facility Information:
08 - SAN ANTONIO
THE DUGGER HOUSE INC
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
Phone
Region
309 S PUMPHREY
TITLE 18: 0
(361) 771-2228
Facility Information:
SERVICE TYPE TYPE B
Owner Information
JACKSON
County
(940) 567-5782
11/16/2017
TEAM V
77957
Fax
PRIVATE Beds: 12
Phone
FAX:
THE DUGGER HOUSE INC
Cert Alzh Capacity: 0
THE HOME PLACE
105 S SIXTH ST
GANADO
76458
(940) 567-3057
License Exp Dt:
030178
(361) 782-3540
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
County
ICF/IID: 0
0
JACKSON
Facility Information:
JACKSBORO
(940) 567-5782
TITLE19: 0
PRIVATE Beds: 45
County
JACKSBORO ASSISTED LIVING INC
TITLE 18: 0
Cert Alzh Capacity: 0
02 - ABILENE
Owner Information
GREYSTONE PARK RETIREMENT & ASSISTED LIVING
1116 STATE HWY 148
TX
JACKSBORO
76458
Phone
Region
WICHITA FALLS GERIATRIC
000811
75966
FAX:
(409) 379-2048
SERVICE TYPE TYPE B
01/20/2018
Region
BEAUMONT GERIATRIC
05 - BEAUMONT
Owner Information
000636
ATRIA COLLIER PARK LLC
TX
10350 ORMSBY PARK PL
77706
Fax
(409) 899-3030
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
0
ICF/IID: 0
PHONE:
,STE 300
KY
(502) 779-4700
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40223
FAX:
(502) 779-4749
SERVICE TYPE TYPE A
03/29/2017
Page 202 of 311
County
Reg Svcs:
JEFFERSON
Facility Information:
BROOKDALE DOWLEN OAKS
2250 N DOWLEN RD
BEAUMONT
Phone
Facility ID:
TX
111 WESTWOOD PL
77706
Fax
(409) 866-8090
TITLE 18/19:
Phone
TX
TX
TX
(409) 225-5408
SERVICE TYPE TYPE B
Region
330 N. WABASH
CHICAGO
(409) 896-2539
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
05 - BEAUMONT
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
BEAUMONT GERIATRIC
05 - BEAUMONT
Owner Information
105185
PELICAN ASSISTED LIVING, LLC
TX
4500 MAIN AVE
77707
Fax
GROVES
(409) 962-9253
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
SERENITY ASSISTED CARE LIVING
1945 PENNSYLVANIA AVE
TX
BEAUMONT
(409) 962-0910
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
JEFFERSON
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 107
PRIVATE Beds: 30
77706
01/09/2017
BEAUMONT GERIATRIC
77703
Fax
Cert Alzh Capacity: 28
Cert Alzh Capacity: 0
05 - BEAUMONT
LUCAS AID OPCO LLC
TOTAL Lic Capacity: 107
TOTAL Lic Capacity: 30
(409) 363-4171
License Exp Dt:
000477
(409) 962-4450
(409) 833-1989
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
JEFFERSON
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 58
Facility Information:
Region
BEAUMONT
(409) 347-2497
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
6209 SHERIDAN OAKS DR
TITLE 18: 0
TOTAL Lic Capacity: 58
Phone
(214) 758-8153
02/27/2018
BEAUMONT GERIATRIC
77708
(409) 896-2332
PELICAN BAY
2501 S MAJOR DR
BEAUMONT
FAX:
Owner Information
JEFFERSON
Facility Information:
License Exp Dt:
100980
Fax
PRIVATE Beds: 8
County
(214) 758-8000
75201
REYNALDO C. MEDINA
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
LUCAS PLACE
2910 TOCCOA RD
BEAUMONT
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(409) 347-2497
Facility Information:
05 - BEAUMONT
,STE 1200
DALLAS
(409) 861-1002
JEFFERSON
County
SERVICE TYPE TYPE B
Region
700 N PEARL ST
TITLE 18: 0
PRIVATE Beds: 54
Phone
(414) 918-5054
Owner Information
77706
Fax
Cert Alzh Capacity: 16
LENROSE PLACE
5395 ROSE LN
BEAUMONT
FAX:
09/30/2017
BEAUMONT GERIATRIC
100189
(409) 861-1123
Facility Information:
37027
BUCKNER RETIREMENT SERVICES INC
TOTAL Lic Capacity: 54
County
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
JEFFERSON
CALDER WOODS
7080 CALDER
BEAUMONT
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 99
,STE 400
BRENTWOOD
(409) 866-2929
TITLE 18: 0
Cert Alzh Capacity: 32
Facility Information:
05 - BEAUMONT
Owner Information
ESC IV LP
TOTAL Lic Capacity: 99
County
Region
BEAUMONT GERIATRIC
000325
77619
FAX:
(409) 962-9253
SERVICE TYPE TYPE B
12/12/2016
Region
BEAUMONT GERIATRIC
05 - BEAUMONT
Owner Information
000418
SERENITY ASSISTED CARE LIVING LLC
3449 PLATL AVE P
77701
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PORT ARTHUR
(409) 835-3499
0
ICF/IID: 0
PHONE:
TX
(409) 985-2427
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77640
FAX:
(409) 984-9226
SERVICE TYPE TYPE B
07/01/2018
Page 203 of 311
County
Reg Svcs:
JEFFERSON
Facility Information:
Facility ID:
HOLLAND PLACE SENIOR LIVING LLC
109 7TH AVENUE
TX
NEDERLAND
Phone
ROSE PLACE
8214 ANCHOR DR
PORT ARTHUR
Phone
TX
CHICAGO
(409) 722-4796
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
DALLAS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(972) 308-8366
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
09/10/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
330 N WABASH
CHICAGO
(817) 645-0290
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE GARDENS AT CHISHOLM TRAIL
513 OLD BETSY RD.
TX
KEENE
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
JOHNSON
Sunday, October 09, 2016
PHONE:
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
76031
Fax
PRIVATE Beds: 53
PRIVATE Beds: 36
03 - ARLINGTON
WREN AID OPCO LLC
Cert Alzh Capacity: 0
Cert Alzh Capacity: 36
DALLAS
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 53
TOTAL Lic Capacity: 36
SERVICE TYPE TYPE B
Region
14160 DALLAS PKWY
000664
(817) 517-6170
(817) 556-9100
(469) 547-5422
CSL S CLEBURNE LLC
(817) 645-3237
JOHNSON
Facility ID:
FAX:
09/29/2017
TEAM 2
TITLE19: 0
TITLE 18/19:
(214) 916-5750
75206
Owner Information
TITLE 18: 0
PRIVATE Beds: 70
PHONE:
License Exp Dt:
102894
Fax
Cert Alzh Capacity: 16
Phone
03 - ARLINGTON
,SUITE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(817) 645-0785
Facility Information:
SERVICE TYPE TYPE B
Region
5910 N CENTRAL EXPRESSWAY
76033
TITLE 18: 0
TOTAL Lic Capacity: 70
County
(312) 332-5300
Owner Information
SANTA FE TRAILS ASSISTED LIVING AND MEMORY CARE COMMUNITY
402 COLONIAL DR
TX
CLEBURNE
76033
Phone
FAX:
07/11/2017
TEAM 5
106182
JOHNSON
WREN HOUSE
814 WOODARD AVE
CLEBURNE
(312) 725-7000
License Exp Dt:
Fax
PRIVATE Beds: 94
Facility Information:
PHONE:
60611
CLEBURNE AL PARTNERS LP
Cert Alzh Capacity: 35
County
05 - BEAUMONT
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 94
Phone
SERVICE TYPE TYPE B
Region
330 N WABASH
TITLE 18: 0
(817) 645-8000
Facility Information:
(409) 724-1930
Owner Information
JOHNSON
County
FAX:
08/28/2018
BEAUMONT GERIATRIC
77642
Fax
PRIVATE Beds: 58
Phone
77627
ROSE AID OPCO LLC
Cert Alzh Capacity: 0
HEARTIS CLEBURNE
902 WALTER HOLIDAY DRIVE
CLEBURNE
(409) 719-1004
License Exp Dt:
000480
(409) 722-3423
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 58
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
JEFFERSON
Facility Information:
NEDERLAND
(409) 724-1930
TITLE 18: 0
PRIVATE Beds: 16
County
109 7TH AVENUE
77627
Fax
Cert Alzh Capacity: 0
05 - BEAUMONT
Owner Information
HOLLAND PLACE SENIOR LIVING LLC
(409) 719-1004
TOTAL Lic Capacity: 16
Region
BEAUMONT GERIATRIC
105237
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
101822
CHISHOLM TRAIL ESTATES INC.
513 OLD BETSY RD.
76059
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
KEENE
(817) 556-0742
0
ICF/IID: 0
PHONE:
TX
(817) 556-9100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76059
FAX:
(817) 556-0742
SERVICE TYPE TYPE B
04/17/2017
Page 204 of 311
County
Reg Svcs:
JONES
Facility Information:
Facility ID:
COUNTRY ELEGANCE
1700 COLUMBIA STREET
STAMFORD
Phone
TX
1601 COLUMBIA STREET
79553
Fax
(325) 773-5511
STAMFORD
(325) 773-5522
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 76
County
DALLAS
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 60
County
TITLE 18/19:
ROSEHAVEN RETIREMENT INN
102 E 9TH ST
KAUFMAN
Phone
TX
ICF/IID: 0
Sunday, October 09, 2016
(972) 486-4880
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
9422 E US HWY 80
75161
TERRELL
(972) 551-3155
ICF/IID: 0
PHONE:
TX
(972) 551-3155
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
75161
FAX:
(972) 551-3155
SERVICE TYPE TYPE A
08/30/2016
Region
TEAM 6
03 - ARLINGTON
Owner Information
101009
MORNING DOVE INC DBA COLONIAL LODGE
202 W BRITISH FLYING SCHOOL BLVD
TX
TERRELL
75160
PRIVATE Beds: 80
FAX:
LIFE OPEN HEART OPEN HOME INC
TITLE 18/19:
Facility ID:
75142
Owner Information
KAUFMAN
Cert Alzh Capacity: 0
03 - ARLINGTON
03/01/2018
TEAM 6
TITLE19: 0
PRIVATE Beds: 6
(214) 288-5887
License Exp Dt:
TITLE 18: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100136
Fax
TOTAL Lic Capacity: 6
TOTAL Lic Capacity: 80
Region
KAUFMAN
(972) 486-4880
Reg Svcs:
Facility ID:
(972) 551-3155
(972) 563-1043
SERVICE TYPE TYPE A
08/29/2017
TEAM 6
TITLE19: 0
TITLE 18/19:
LIFE OPEN HEART OPEN HOME, INC
9422 E US HWY 80
TX
TERRELL
Phone
(972) 486-4880
108 W HICKORY STREET 9TH ST
KAUFMAN
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
County
75142
(214) 288-5887
License Exp Dt:
75142
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
010341
(972) 932-5882
Facility Information:
03 - ARLINGTON
ROSEHAVEN RETIREMENT RESIDENCES INC
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
KAUFMAN
(972) 486-4880
KAUFMAN
Facility Information:
SERVICE TYPE TYPE B
05/08/2017
108 W HICKORY STREET 9TH ST
TITLE19: 0
PRIVATE Beds: 60
(214) 953-0278
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
ROSEHAVEN RETIREMENT RESIDENCES INC
Fax
(972) 962-3359
75206
(214) 953-1722
TEAM 6
103527
HICKORY SQUARE RETIREMENT CENTER
108 W HICKORY
TX
KAUFMAN
75142
Phone
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
03 - ARLINGTON
,STE1000
TX
PROGRAM TYPE: ASSISTED LIVING
0
KAUFMAN
Facility Information:
Region
5910 N CENTRAL EXPRESSWAY
TITLE19: 0
PRIVATE Beds: 76
SERVICE TYPE TYPE B
FORNEY SENIOR LIVING, LLC
TITLE 18: 0
Cert Alzh Capacity: 32
(325) 773-3781
Owner Information
Fax
(972) 552-3426
FAX:
04/09/2018
TEAM 6
105514
THREE FORKS SENIOR LIVING OF FORNEY
335 FM 548
TX
FORNEY
75126
Phone
79553
(325) 773-4711
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
KAUFMAN
Facility Information:
02 - ABILENE
Owner Information
JONES COUNTY REGIONAL HEALTHCARE SYSTEM
TOTAL Lic Capacity: 16
County
Region
ABILENE GERIATRIC
103374
MORNING DOVE INC
PO BOX 4
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PARIS
(972) 563-9036
0
ICF/IID: 0
PHONE:
TX
(903) 785-4152
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75461
FAX:
SERVICE TYPE TYPE B
07/03/2018
Page 205 of 311
County
Reg Svcs:
KAUFMAN
Facility Information:
Facility ID:
ROSEHAVEN RETIREMENT INN
1010 ROSEHILL RD
TERRELL
Phone
TX
108 W HICKORY STREET 9TH ST
75160
Fax
(972) 563-2399
KAUFMAN
(972) 486-4880
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 30
TITLE 18/19:
Fax
(972) 524-9884
TOTAL Lic Capacity: 40
County
TITLE 18/19:
HERITAGE PLACE
120 CROSSPOINT DR
BOERNE
Phone
ICF/IID: 0
TX
ICF/IID: 0
Fax
TX
PRIVATE Beds: 16
Sunday, October 09, 2016
78201-2600
FAX:
(210) 734-1111
SERVICE TYPE TYPE B
06/15/2018
Region
TEAM X
08 - SAN ANTONIO
Owner Information
112 BUCKSKIN DR
BOERNE
(830) 755-8069
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(830) 755-4673
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
KERR
Cert Alzh Capacity: 0
(210) 734-1000
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 15
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78006
Fax
Cert Alzh Capacity: 0
(830) 895-4600
08 - SAN ANTONIO
ELENA DORCA AND MIHAELA DORCA GENERAL PARTNERSHIP
TOTAL Lic Capacity: 15
Phone
SERVICE TYPE TYPE B
Region
SAN ANTONIO
103401
(830) 755-4673
220 HARPER L L C
220 HARPER RD
KERRVILLE
(617) 219-1435
700 BABCOCK RD
ICF/IID: 0
Reg Svcs:
Facility ID:
FAX:
MORNINGSIDE MINISTRIES
TITLE19: 0
TITLE 18/19:
02458
02/07/2017
TEAM V
(830) 816-4901
KENDALL
Facility Information:
08 - SAN ANTONIO
Owner Information
TITLE 18: 0
PRIVATE Beds: 112
(617) 796-8387
License Exp Dt:
101799
(830) 816-4900
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 52
County
Region
NEWTON
(830) 249-0576
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 112
Phone
SERVICE TYPE TYPE A
04/08/2018
TEAM X
MORNINGSIDE MINISTRIES AT MENGER SPRINGS-THE CIBOLO HOUSE
1000 GRAND BLVD
TX
BOERNE
78006
NEW HOPE ASSISTED LIVING
112 BUCKSKIN DRIVE
BOERNE
FAX:
400 CENTRE ST
KENDALL
Facility Information:
75169
Owner Information
TITLE 18: 0
PRIVATE Beds: 56
County
(972) 524-9884
License Exp Dt:
78006
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
010340
(830) 249-9817
Facility Information:
03 - ARLINGTON
FSQC-TX LLC
TOTAL Lic Capacity: 56
County
Region
WILLS POINTS
(972) 563-9887
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
13812 HIRAM RD
KENDALL
Facility Information:
(972) 486-4880
PREMIER COUNTRY HAVEN ASSISTED LIVING, INC.
TITLE19: 0
PRIVATE Beds: 40
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
75142
10/06/2016
TEAM 6
100719
PREMIER COUNTRY HAVEN ASSISTED LIVING, INC.
13812 HIRAM RD
TX
WILLS POINT
75169
Phone
(214) 288-5887
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
KAUFMAN
Facility Information:
03 - ARLINGTON
Owner Information
ROSEHAVEN RETIREMENT RESIDENCES INC
TOTAL Lic Capacity: 30
County
Region
TEAM 6
030406
78006
FAX:
(830) 755-8069
SERVICE TYPE TYPE B
05/09/2018
Region
TEAM W
08 - SAN ANTONIO
Owner Information
030017
220 HARPER LLC
TX
220 HARPER RD
78028
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
KERRVILLE
(830) 895-4601
0
ICF/IID: 0
PHONE:
TX
(830) 895-4600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78028
FAX:
SERVICE TYPE TYPE A
11/18/2017
Page 206 of 311
County
Reg Svcs:
KERR
Facility Information:
Facility ID:
Fax
(830) 896-2323
TOTAL Lic Capacity: 60
TITLE 18/19:
Phone
TX
TX
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2016
Region
TEAM X
08 - SAN ANTONIO
600 LESLIE DRIVE
KERRVILLE
(830) 792-6965
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
78029
FAX:
(830) 792-6965
SERVICE TYPE TYPE B
01/01/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
MAHARLIKA RESOURCES INC
11913 PASEO DORADO CIR
78028
EL PASO
(830) 792-4999
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(915) 329-1039
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
KERR
Facility ID:
(830) 792-6964
License Exp Dt:
102640
Fax
PRIVATE Beds: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
53214
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 50
PRIVATE Beds: 70
(414) 918-5441
License Exp Dt:
78028
(830) 792-4001
Cert Alzh Capacity: 32
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
000590
Fax
MOUNTAIN VILLA AT KERRVILLE
2201 JUNCTION HWY
TX
KERRVILLE
TOTAL Lic Capacity: 70
ICF/IID: 0
0
KERR
(830) 258-4150
08 - SAN ANTONIO
HILL COUNTRY OUTREACH INC
PRIVATE Beds: 70
Phone
MILWAUKEE
(830) 257-6761
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
RIVER POINT OF KERRVILLE
1441 BANDERA HWY
KERRVILLE
(414) 918-5054
SERVICE TYPE TYPE A
Region
TEAM W
TITLE19: 0
(830) 792-6964
Facility Information:
FAX:
08/05/2016
6737 W WASHINGTON ST
TITLE 18/19:
TOTAL Lic Capacity: 70
County
License Exp Dt:
TITLE 18: 0
HILL COUNTRY OUTREACH INC
600 LESLIE DR
KERRVILLE
Phone
(414) 918-5000
53214
Owner Information
KERR
Facility Information:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
78028
Fax
PRIVATE Beds: 60
County
08 - SAN ANTONIO
BROOKDALE SENIOR LIVING COMMUNITIES INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000306
(830) 257-6769
Facility Information:
MILWAUKEE
(830) 895-3927
Reg Svcs:
TOTAL Lic Capacity: 60
County
SERVICE TYPE TYPE B
Region
6737 W. WASHINGTON STREET
TITLE19: 0
BROOKDALE KERRVILLE
725 LESLIE DR
KERRVILLE
(830) 278-8529
02/28/2017
TEAM Z
78028
TITLE 18/19:
Facility ID:
FAX:
Owner Information
KERR
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 45
(830) 278-6251
78801
EMERITUS CORPORATION
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
000769
(830) 895-2626
TOTAL Lic Capacity: 45
County
ICF/IID: 0
Reg Svcs:
Facility ID:
BROOKDALE GUADALUPE RIVER PLAZA
135 PLAZA DRIVE
TX
KERRVILLE
Phone
UVALDE
0
KERR
Facility Information:
1025 GARNER FIELD RD
TITLE19: 0
PRIVATE Beds: 60
County
UVALDE COUNTY HOSPITAL AUTHORITY
(830) 896-2331
TITLE 18: 0
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
ALPINE TERRACE RETIREMENT & CONVALESCENT CENTER PC UNIT
746 ALPINE DR
TX
KERRVILLE
78028
Phone
Region
TEAM V
000411
79936
FAX:
(915) 562-6611
SERVICE TYPE TYPE B
07/11/2017
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
105114
BANDERA SENIOR CARE, LLC
TX
1000 LEGIONPLACE
78028
Fax
(830) 792-6348
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ORLANDO
0
ICF/IID: 0
PHONE:
,SUITE 1750
FL
(407) 999-2400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
32801
FAX:
(407) 999-7759
SERVICE TYPE TYPE B
11/17/2016
Page 207 of 311
County
Reg Svcs:
KERR
Facility Information:
VILLAGIO OF KERRVILLE
747 ALPINE DR
KERRVILLE
Phone
Facility ID:
TX
2956 VIA ESPERANZA
78028
Fax
(830) 896-6555
TITLE 18/19:
TX
TX
(903) 784-7662
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
301 COMMERCE STREET
FORT WORTH
(903) 784-7662
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
04 - TYLER
(817) 871-4000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3300
TX
PROGRAM TYPE: ASSISTED LIVING
0
76102
FAX:
(817) 871-4001
SERVICE TYPE TYPE A
07/11/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
104876
WILLIEJOYCE LOVE
TX
5020 SUNSET VIEW
75460
Fax
PARIS
(903) 737-8652
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 739-9845
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LAMAR
PRIVATE Beds: 16
(312) 332-5300
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
Cert Alzh Capacity: 0
FAX:
07/11/2017
TYLER NW TEAM
75460
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 16
License Exp Dt:
000913
(903) 739-9845
(903) 783-0652
(312) 725-7000
76102
PARIS OAKS AID OPCO, LLC
TOTAL Lic Capacity: 6
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LAMAR
PINE TREE RANCH
2990 PINE MILL RD
PARIS
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 68
Facility Information:
04 - TYLER
,STE 3700
FORT WORTH
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
330 N WABASH AVE
TITLE 18: 0
TOTAL Lic Capacity: 68
Phone
(414) 918-6076
12/01/2017
TYLER NW TEAM
75460
(903) 784-3243
LOVE HOUSE OF PARIS
1555 NE 17ST
PARIS
FAX:
Owner Information
LAMAR
Facility Information:
(414) 918-5441
License Exp Dt:
000806
Fax
PRIVATE Beds: 52
County
PHONE:
53214
PARIS OAKS AID OPCO, LLC
Cert Alzh Capacity: 20
Phone
04 - TYLER
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 52
LAMAR PLACE
2905 N MAIN ST
PARIS
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 784-3243
Facility Information:
MILWAUKEE
(930) 737-2964
LAMAR
County
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 60
Phone
(888) 753-6262
Owner Information
75462
Fax
Cert Alzh Capacity: 0
LAMAR PLACE
2905 N MAIN ST
PARIS
FAX:
02/26/2018
TYLER NW TEAM
000593
(903) 784-8800
Facility Information:
73013
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
County
(405) 822-7328
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
OK
PROGRAM TYPE: ASSISTED LIVING
0
LAMAR
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 48
BROOKDALE PARIS
2410 STILLHOUSE RD
PARIS
EDMOND
(830) 896-5717
TITLE 18: 0
Cert Alzh Capacity: 48
Facility Information:
08 - SAN ANTONIO
Owner Information
SELECT OPERATIONS OF KERRVILLE LLC
TOTAL Lic Capacity: 48
County
Region
TEAM V
100504
75462
FAX:
(903) 737-8652
SERVICE TYPE TYPE A
01/15/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
102034
REEDER PARKER CROCKETT ASSET HOLDINGS LLC
TX
4301 LAKE HILL DR
75460
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ROWLETT
(903) 783-0643
0
ICF/IID: 0
TX
PHONE:
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75089
SERVICE TYPE TYPE B
06/01/2017
Page 208 of 311
County
Reg Svcs:
LAMAR
Facility Information:
Facility ID:
Fax
(903) 785-1110
TOTAL Lic Capacity: 70
TITLE 18/19:
THE HOME PLACE
115 NE 27TH ST
PARIS
Phone
TX
ICF/IID: 0
LITTLEFIELD
(806) 892-3224
ICF/IID: 0
TX
SERVICE TYPE TYPE B
04/15/2017
Region
01 - LUBBOCK
PO BOX 409
Fax
OLTON
(806) 285-2506
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 285-2506
SERVICE TYPE TYPE B
03/09/2017
Region
TEMPLE
07 - AUSTIN
1802 HWY 281 S
LAMPASAS
(512) 556-8994
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(832) 385-2295
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
LAVACA
THE WILLIAMSBURG HOUSE INC
4656 US HWY 77 S
TX
HALLETTSVILLE
FAX:
SCAL LAMPASAS LLC
TITLE 18/19:
Facility ID:
79064
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(806) 285-2677
License Exp Dt:
102468
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Sunday, October 09, 2016
(806) 828-6641
Owner Information
79064
(512) 556-8990
PRIVATE Beds: 15
FAX:
HIGH PLAINS GERI 2
SILVER CREEK ASSISTED LIVING LAMPASAS
1802 HWY 281 S
TX
LAMPASAS
76550
Cert Alzh Capacity: 0
79339
(806) 828-4200
License Exp Dt:
030256
LAMPASAS
TOTAL Lic Capacity: 15
01 - LUBBOCK
RUNNINGWATER DRAW CARE CENTER INC
PRIVATE Beds: 20
(361) 798-2345
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
Region
1303 MARSHALL HOWARD BLVD
TITLE19: 0
(806) 285-3356
Facility Information:
SERVICE TYPE TYPE B
04/21/2017
HIGH PLAINS GERI 2
79339
TITLE 18/19:
TOTAL Lic Capacity: 20
County
FAX:
(903) 739-2805
License Exp Dt:
TITLE 18: 0
Facility ID:
75462
Owner Information
LAMB
Phone
04 - TYLER
LIBRARY OF LEGACIES LITTLEFIELD LLC
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100381
(806) 385-0364
Facility Information:
PARIS
(903) 783-9294
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
TYLER NW TEAM
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
SERVICE TYPE TYPE B
09/10/2018
5569 FM 1499
TITLE 18: 0
LIBRARY OF LEGACIES LITTLEFIELD LLC
1303 MARSHALL HOWARD BLVD
TX
LITTLEFIELD
SANDHILLS VILLAGE
1200 AVE I
OLTON
(972) 387-8216
Owner Information
LAMB
Facility Information:
FAX:
(972) 308-8366
License Exp Dt:
75460
Fax
PRIVATE Beds: 16
County
75254
JANA AND CODY SANDERS INC
Cert Alzh Capacity: 0
Phone
PHONE:
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
103873
(903) 739-9450
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
County
DALLAS
0
LAMAR
Facility Information:
14160 DALLAS PKWY
TITLE19: 0
PRIVATE Beds: 70
County
CSL S PARIS LLC
(903) 785-1112
TITLE 18: 0
Cert Alzh Capacity: 16
04 - TYLER
Owner Information
SPRING LAKE ASSISTED LIVING AND MEMORY CARE COMMUNITY
750 N COLLEGIATE DRIVE
TX
PARIS
75460-3465
Phone
Region
TYLER NW TEAM
102683
76550
FAX:
(855) 557-2835
SERVICE TYPE TYPE A
07/31/2017
Region
TEAM Z
08 - SAN ANTONIO
Owner Information
100437
THE WILLIAMSBURG HOUSE INC
PO BOX F
77964
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HALLETTSVILLE
(361) 798-5367
0
ICF/IID: 0
PHONE:
TX
(361) 798-2345
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77964
FAX:
(361) 798-5994
SERVICE TYPE TYPE A
07/20/2016
Page 209 of 311
County
Reg Svcs:
LAVACA
Facility Information:
Facility ID:
PERSONALIZED CARE INC
122 N AVE E
SHINER
Phone
TX
122 N AVE E
77984
Fax
(361) 594-2728
TITLE 18/19:
TODAYS ASSISTED LIVING
210 HUBBARD ST
YOAKUM
TX
TX
FAX:
SERVICE TYPE TYPE A
12/02/2016
Region
BEAUMONT GERIATRIC
06 - HOUSTON
304 ROAD 3430
77327
CLEVELAND
(281) 689-6501
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(281) 689-6501
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
77327
FAX:
(281) 689-6501
SERVICE TYPE TYPE B
09/24/2017
Region
BEAUMONT GERIATRIC
06 - HOUSTON
Owner Information
100270
FEELS JUST LIKE HOME LLC
TX
701 E HOUSTON ST
77327
Fax
(281) 592-3952
TOTAL Lic Capacity: 12
CLEVELAND
(281) 592-3952
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
TITLE 18/19:
BRIGHTER DAYS ASSISTED LIVING LLC
406 E. CLAYTON
TX
DAYTON
(281) 592-3952
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LIBERTY
Sunday, October 09, 2016
77995
Owner Information
LIBERTY
PRIVATE Beds: 16
08 - SAN ANTONIO
JANICE M SHILLING
TITLE 18/19:
Facility ID:
(361) 293-2526
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102595
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
TOTAL Lic Capacity: 16
Region
YOAKUM
TITLE19: 0
(281) 689-6501
(832) 279-8532
SERVICE TYPE TYPE A
210 HUBBARD ST
77995
TITLE 18/19:
COUNTRY HAVEN SENIOR CARE
304 ROAD 3430
TX
CLEVELAND
Phone
FAX:
Owner Information
LIBERTY
Facility Information:
77995
05/22/2017
TEAM W
104470
TITLE 18: 0
PRIVATE Beds: 8
County
(361) 293-2526
License Exp Dt:
Fax
Cert Alzh Capacity: 0
Phone
08 - SAN ANTONIO
TODAYS SENIOR CONCEPTS, INC
TOTAL Lic Capacity: 8
FEELS JUST LIKE HOME LLC
701 E HOUSTON
CLEVELAND
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(361) 293-7722
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TODAY'S ASSISTED LIVING 206
206 HUBBARD STREET
YOAKUM
County
Region
YOAKUM
LAVACA
Phone
SERVICE TYPE TYPE A
210 HUBBARD ST
77995
TITLE 18: 0
PRIVATE Beds: 12
Facility Information:
(361) 594-2273
Owner Information
Fax
Cert Alzh Capacity: 0
County
FAX:
TODAYS SENIOR CONCEPTS, INC
TOTAL Lic Capacity: 12
Phone
77984
05/01/2018
TEAM W
101780
(361) 293-2526
Facility Information:
(361) 594-2728
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LAVACA
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
Phone
SHINER
(361) 594-2273
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
PERSONALIZED CARE INC
TOTAL Lic Capacity: 12
County
Region
TEAM X
030325
77327
FAX:
(281) 592-3952
SERVICE TYPE TYPE B
03/09/2017
Region
BEAUMONT GERIATRIC
06 - HOUSTON
Owner Information
105734
BRIGHTER DAYS ASSISTED LIVING LLC
406 E CLAYTON
77535
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DAYTON
(936) 257-5028
0
ICF/IID: 0
PHONE:
TX
(832) 279-8532
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77535
FAX:
(936) 257-5028
SERVICE TYPE TYPE A
12/17/2017
Page 210 of 311
County
Reg Svcs:
LIBERTY
Facility Information:
Facility ID:
DAYTON-TARKINGTON CARE CENTER
17019 HWY 321
TX
DAYTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
(936) 536-1651
TOTAL Lic Capacity: 10
County
TITLE 18/19:
ICF/IID: 0
Fax
TOTAL Lic Capacity: 7
County
TITLE 18/19:
HAMPTONS ASSISTED LIVING HOME
1099 FM 339 S
TX
GROESBECK
Phone
County
Phone
County
(254) 344-2472
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
PRIVATE Beds: 9
Sunday, October 09, 2016
07 - AUSTIN
PHONE:
76642-5521
FAX:
License Exp Dt:
SERVICE TYPE TYPE A
12/21/2016
Region
WACO
07 - AUSTIN
Owner Information
JOHN A VINCENT
458 LCR 635
76642
GROESBECK
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(254) 729-3157
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
TITLE 18: 0
HOLLISTERS ASSISTED LIVING HOME
1579 LCR 310
TX
MART
Phone
ICF/IID: 0
0
LIMESTONE
Facility Information:
SERVICE TYPE TYPE A
Region
GROESBECK
(254) 789-2001
Fax
PRIVATE Beds: 10
(254) 789-2001
1099 FM 339 S
000550
(254) 729-3157
Cert Alzh Capacity: 0
FAX:
Owner Information
Reg Svcs:
TOTAL Lic Capacity: 10
76642
12/21/2017
WACO
TITLE19: 0
VINCENT PERSONAL CARE HOME
458 LCR 635
TX
GROESBECK
(254) 789-2296
License Exp Dt:
76642-5521
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LIMESTONE
Facility Information:
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 8
07 - AUSTIN
NORMA I HAMPTON
Fax
Cert Alzh Capacity: 0
Region
GROESBECK
(254) 789-2001
000410
(254) 789-2285
TOTAL Lic Capacity: 8
SERVICE TYPE TYPE B
980 FM 339 S
Reg Svcs:
Facility ID:
FAX:
CONNIE L HAMPTON
LIMESTONE
Facility Information:
77564
10/15/2016
WACO
TITLE19: 0
PRIVATE Beds: 7
06 - HOUSTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(936) 536-6193
License Exp Dt:
000403
(254) 789-2296
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
CONNIES ASSISTED LIVING HOME OF BEN HUR
980 FM 339 S
TX
GROESBECK
76642-3446
Phone
Region
HULL
(936) 536-1792
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
PO BOX 410
LIMESTONE
Facility Information:
(713) 330-4406
JAMES M ANDERSON
TITLE19: 0
PRIVATE Beds: 10
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
77036
05/01/2018
BEAUMONT GERIATRIC
101423
FAIRYS LANDING RESIDENTIAL PERSONAL CARE CENTER
4837 FM 770 N
TX
HULL
77564
Phone
(832) 654-6588
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LIBERTY
Facility Information:
HOUSTON
(713) 592-1225
TITLE 18: 0
PRIVATE Beds: 8
County
7710 MOONMIST DRIVE
77535
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
DAYTON-TARKINGTON CARE CENTER
(713) 592-1225
TOTAL Lic Capacity: 8
Region
BEAUMONT GERIATRIC
104967
76642
FAX:
SERVICE TYPE TYPE A
11/18/2016
Region
WACO
07 - AUSTIN
Owner Information
000422
VIVIAN ELAINE HOLLISTER
1579 LCR 310
76664
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MART
(254) 344-2472
0
ICF/IID: 0
PHONE:
TX
(254) 344-2472
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76664
FAX:
(254) 344-2472
SERVICE TYPE TYPE A
12/21/2016
Page 211 of 311
County
Reg Svcs:
LLANO
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
12400 HWY 71 W
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
WINDCHIME AT THE VILLAGE
216 COVENANT LN
KINGSLAND
Phone
TX
TOTAL Lic Capacity: 10
Cert Alzh Capacity: 0
PRIVATE Beds: 10
Sunday, October 09, 2016
PHONE:
TX
(512) 853-0645
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78643
FAX:
(325) 247-3470
SERVICE TYPE TYPE B
01/08/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
910 FRONTAGE RD
79329
IDALOU
(806) 892-3224
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(806) 828-4200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
LUBBOCK
(806) 698-9105
ICF/IID: 0
TITLE 18: 0
Facility ID:
07 - AUSTIN
LIBRARY OF LEGACIES IDALOU LLC
Fax
PRIVATE Beds: 16
SERVICE TYPE TYPE B
Region
LLANO
(325) 247-3470
030068
(806) 892-3456
Cert Alzh Capacity: 0
(855) 557-2835
701 E YOUNG
Reg Svcs:
TOTAL Lic Capacity: 16
FAX:
12/30/2017
TEAM Z
TITLE19: 0
LIBRARY OF LEGACIES IDALOU LLC
910 FRONTAGE RD
TX
IDALOU
75010
Owner Information
LUBBOCK
Phone
License Exp Dt:
78643
TITLE 18/19:
Facility ID:
(832) 385-2295
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 36
PHONE:
TX
BETHANY ASSISTED LIVING INC
Fax
Cert Alzh Capacity: 0
ABIDING CARE
5720 79TH ST
LUBBOCK
ICF/IID: 0
103674
(325) 247-5470
Facility Information:
07 - AUSTIN
,STE 100C
CARROLLTON
(325) 388-0742
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 36
County
(512) 532-7515
SERVICE TYPE TYPE B
Region
TEAM Z
TITLE19: 0
TITLE 18/19:
WALDEN COURT ASSISTED LIVING
701 E YOUNG
TX
LLANO
Phone
FAX:
11/02/2017
2501 E HEBRON PKWY
LLANO
Facility Information:
78738
Owner Information
TITLE 18: 0
PRIVATE Beds: 72
County
License Exp Dt:
78639
Fax
Cert Alzh Capacity: 0
Phone
(512) 761-3377
PROGRAM TYPE: ASSISTED LIVING
0
000359
(325) 388-3502
Facility Information:
PHONE:
TX
SCAL KINGSLAND LLC
TOTAL Lic Capacity: 72
County
ICF/IID: 0
Reg Svcs:
Facility ID:
07 - AUSTIN
,STE 350-391
AUSTIN
LLANO
Facility Information:
SERVICE TYPE TYPE B
Region
12400 HWY 71 W
TITLE19: 0
PRIVATE Beds: 16
(512) 532-7515
HSB SENIOR CARE 1 LLC
TITLE 18: 0
Cert Alzh Capacity: 16
FAX:
Owner Information
Fax
(830) 596-1710
78738
01/01/2017
TEAM V
106255
SPANISH TRAIL MEMORY CARE OF HORSESHOE BAY
26409 HWY 71 BLDG B
TX
HORSESHOE BAY
78657
Phone
(512) 761-3377
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LLANO
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
,STE 350-391
AUSTIN
TITLE 18: 0
Cert Alzh Capacity: 0
County
HSB SENIOR CARE 1 LLC
Fax
(830) 220-2288
07 - AUSTIN
Owner Information
SPANISH TRAIL ASSISTED LIVING OF HORSESHOE BAY
26409 E HWY 71
TX
HORSESHOE BAY
78657
Phone
Region
TEAM Z
104874
79329
FAX:
(806) 828-6641
SERVICE TYPE TYPE B
04/15/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
001250
ABRAM RODRIGUEZ INC
TX
5720 79TH ST
79424
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 698-9105
0
ICF/IID: 0
PHONE:
TX
(806) 698-9105
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79424
FAX:
(806) 698-9105
SERVICE TYPE TYPE B
08/01/2017
Page 212 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
Facility ID:
ANGEL'S ARMS ASSISTED LIVING
3305 38TH STREET
TX
LUBBOCK
Phone
TX
TX
TX
Sunday, October 09, 2016
FAX:
SERVICE TYPE TYPE B
04/13/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
12316 N F.M. 179
SHALLOWATER
(806) 788-1498
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 786-9910
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79363
FAX:
(806) 793-4482
SERVICE TYPE TYPE B
08/19/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
100762
CARILLON INC
TX
1717 NORFOLK AVE
79416
Fax
LUBBOCK
(806) 281-6043
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 281-6000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
PRIVATE Beds: 56
79363
Owner Information
TITLE 18: 0
PRIVATE Beds: 37
Cert Alzh Capacity: 56
(806) 746-6733
License Exp Dt:
79407
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 56
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
106684
(806) 281-6000
(806) 788-1919
01 - LUBBOCK
P.P. ENTERPRISES LLC
TOTAL Lic Capacity: 37
Phone
ICF/IID: 0
0
LUBBOCK
BROOKDALE MONTEREY
5204 ELGIN AVE
LUBBOCK
SERVICE TYPE TYPE B
Region
SHALLOWATER
(806) 793-4482
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
Facility Information:
(806) 281-9969
03/03/2017
HIGH PLAINS GERI 2
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
12316 N FM 179
TITLE 18: 0
TOTAL Lic Capacity: 16
Phone
License Exp Dt:
79407
(806) 788-1497
BELLECOURT SOUTH
1717 NORFOLK AVE
LUBBOCK
(806) 799-6363
79414
Owner Information
LUBBOCK
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102482
Fax
PRIVATE Beds: 14
County
01 - LUBBOCK
POTTER PEOPLE LLC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
BEEHIVE HOMES II
2109 WEST LOOP 289
LUBBOCK
Region
LUBBOCK
(806) 281-9969
TITLE19: 0
TITLE 18/19:
(806) 793-4483
Facility Information:
SERVICE TYPE TYPE B
4613 66TH
LUBBOCK
County
(806) 785-0024
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Phone
FAX:
04/16/2017
HIGH PLAINS GERI 2
79414
Fax
Cert Alzh Capacity: 0
BEEHIVE HOMES
2105 W LOOP 289
LUBBOCK
License Exp Dt:
101630
(806) 799-6363
Facility Information:
(806) 765-0021
79413
SOUTHHAVEN INC
TOTAL Lic Capacity: 16
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
ASHTON OF SOUTHHAVEN INC
4611 66TH
LUBBOCK
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
Facility Information:
LUBBOCK
(806) 785-0024
TITLE 18: 0
PRIVATE Beds: 14
County
3305 38TH STREET
79413
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
SDMC ENTERPRISES, LLC
(806) 785-0021
TOTAL Lic Capacity: 14
Region
HIGH PLAINS GERI 2
102208
79416
FAX:
(806) 281-6041
SERVICE TYPE TYPE B
01/16/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
030161
ESC IV LP
TX
111 WESTWOOD PL
79413
Fax
(806) 785-7088
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
03/01/2018
Page 213 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
Facility ID:
BROOKDALE REMINGTON PARK
5301 66TH ST
TX
LUBBOCK
Phone
BROOKDALE SHADOW HILLS
110 FRANKFORD AVE
LUBBOCK
Phone
TX
(806) 799-4597
TX
SERVICE TYPE TYPE B
06/15/2018
Region
HIGH PLAINS GERI 2
LUBBOCK
(806) 281-6039
ICF/IID: 0
TITLE19: 0
(806) 281-6000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
01 - LUBBOCK
79416
FAX:
(806) 281-6041
SERVICE TYPE TYPE A
08/26/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
000801
HEARTLAND HOUSE INC
TX
2605 N COUNTY RD 1700
79416
Fax
LUBBOCK
(806) 771-3603
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 765-6480
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Sunday, October 09, 2016
FAX:
1717 NORFOLK AVE
TITLE 18/19:
PRIVATE Beds: 12
PRIVATE Beds: 12
79412
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(806) 789-4615
License Exp Dt:
79416
Fax
TOTAL Lic Capacity: 12
TOTAL Lic Capacity: 12
01 - LUBBOCK
CARILLON INC
(806) 765-6480
(806) 368-7438
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Phone
ICF/IID: 0
Reg Svcs:
PRIVATE Beds: 50
IVY HOUSE
1701 30TH ST
LUBBOCK
Region
LUBBOCK
(806) 863-2605
030382
(806) 281-6000
Facility Information:
SERVICE TYPE TYPE B
2314 58TH
TITLE19: 0
Cert Alzh Capacity: 0
County
(414) 918-6076
08/29/2018
HIGH PLAINS GERI 2
79424
TITLE 18/19:
TOTAL Lic Capacity: 50
Phone
FAX:
Owner Information
LUBBOCK
HEARTLAND HOUSE INC
2605 N COUNTY RD 1700
LUBBOCK
License Exp Dt:
TITLE 18: 0
Facility ID:
(949) 918-5441
92614
CALLANDER HOUSE LLC
Fax
PRIVATE Beds: 16
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
101948
(806) 863-2617
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
01 - LUBBOCK
,STE 1200
IRVINE
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
Phone
SERVICE TYPE TYPE B
Region
1920 MAIN ST
TITLE 18: 0
CALLANDER HOUSE HIGHLANDS
14711 SLIDE ROAD
TX
LUBBOCK
CARILLON ASSISTED LIVING
1717 NORFOLK AVE
LUBBOCK
(414) 918-5054
Owner Information
LUBBOCK
Facility Information:
FAX:
09/30/2017
HIGH PLAINS GERI 2
79416
Fax
PRIVATE Beds: 48
County
53214
S-H OPCO COTTAGE VILLAGE, LLC
Cert Alzh Capacity: 0
Phone
(414) 918-5000
License Exp Dt:
000471
(806) 799-4225
Facility Information:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 48
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
Facility Information:
MILWAUKEE
(806) 798-1120
TITLE 18: 0
PRIVATE Beds: 117
County
6737 W. WASHINGTON STREET
79424
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
TEXAS ESC LUBBOCK LP
(806) 798-9871
TOTAL Lic Capacity: 117
Region
HIGH PLAINS GERI 2
000311
79416
FAX:
(806) 771-3603
SERVICE TYPE TYPE A
02/02/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
100571
SENIOR SOLACE LLC
TX
2510 SLIDE RD
79411
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 368-8512
0
ICF/IID: 0
PHONE:
TX
(806) 781-3268
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79407
FAX:
SERVICE TYPE TYPE B
05/16/2018
Page 214 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
MACKENZIE PLACE
8609 BOSTON AVE
LUBBOCK
Phone
Facility ID:
TX
330 N. WABASH AVE.
79423
Fax
(806) 745-7770
TITLE 18/19:
TX
ICF/IID: 0
ICF/IID: 0
Reg Svcs:
Phone
(806) 368-0840
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
FAX:
SERVICE TYPE TYPE B
01/08/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
4003-87TH STREET
LUBBOCK
(806) 771-1844
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(806) 698-0064
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
PROMISELAND ASSISTED LIVING II LLC
3416 43RD STREET
TX
LUBBOCK
79413
PROMISELAND ASSISTED LIVING-KINGSGATE LLC
Fax
Facility ID:
01 - LUBBOCK
Owner Information
LUBBOCK
Facility Information:
(806) 777-4167
License Exp Dt:
105603
(806) 698-0064
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
PROMISELAND ASSISTED LIVING - KINGSGATE
4003 - 87TH STREET
TX
LUBBOCK
79423
County
Region
LUBBOCK
(806) 771-1844
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE C
3314 40TH
TITLE 18/19:
Cert Alzh Capacity: 0
FAX:
09/04/2016
HIGH PLAINS GERI 2
79413
TITLE 18: 0
TOTAL Lic Capacity: 6
79407
Owner Information
LUBBOCK
Phone
01 - LUBBOCK
PROMISELAND ASSISTED LIVING LP
Fax
Facility ID:
(806) 796-0463
License Exp Dt:
101518
(806) 687-5118
PRIVATE Beds: 14
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
LUBBOCK
TITLE19: 0
TOTAL Lic Capacity: 14
SERVICE TYPE TYPE B
7012 SANTE FE DR
79407
TITLE 18/19:
PROMISELAND ASSISTED LIVING
3314 40TH ST
TX
LUBBOCK
FAX:
MARY R LUGO
TITLE 18: 0
Facility ID:
79407
Owner Information
LUBBOCK
Facility Information:
01 - LUBBOCK
06/01/2018
HIGH PLAINS GERI 2
Fax
PRIVATE Beds: 4
(806) 781-3268
License Exp Dt:
100750
(806) 796-0463
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MARY LUGO ADULT FOSTER CARE
7012 SANTE FE DR
TX
LUBBOCK
Phone
Region
LUBBOCK
LUBBOCK
Facility Information:
SERVICE TYPE TYPE B
2510 SLIDE RD
79407
TITLE 18: 0
PRIVATE Beds: 14
County
(312) 332-5300
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
FAX:
07/11/2017
HIGH PLAINS GERI 2
000655
(806) 799-7911
Facility Information:
60611
SENIOR SOLACE LLC
TOTAL Lic Capacity: 14
County
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE. 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 58
MANNA ACRES
2510 SLIDE RD
LUBBOCK
CHICAGO
(806) 745-8117
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
01 - LUBBOCK
Owner Information
MACKENZIE AID OPCO LLC
TOTAL Lic Capacity: 58
County
Region
HIGH PLAINS GERI 2
000820
79423
FAX:
(806) 771-1844
SERVICE TYPE TYPE B
08/20/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
104026
PROMISELAND ASSISTED LIVING II LLC
3416 43 RD STREET
79413
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 368-0840
0
ICF/IID: 0
PHONE:
TX
(806) 368-0830
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79413
FAX:
(806) 368-0830
SERVICE TYPE TYPE B
09/24/2017
Page 215 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
Facility ID:
PROMISELAND ASSISTED LIVING III, LLC
3012 81ST ST
TX
LUBBOCK
Phone
SERENDIPITY SUITES
5321 19TH STREET
LUBBOCK
Phone
TX
TX
TX
Sunday, October 09, 2016
79407
FAX:
SERVICE TYPE TYPE B
12/14/2016
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
4613 66TH
79414
LUBBOCK
(806) 281-9969
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 799-6363
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79414
FAX:
(806) 281-9969
SERVICE TYPE TYPE B
01/01/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
102566
TRACY W CLECKLER
TX
5807 88TH PLACE
79407
Fax
LUBBOCK
(806) 687-3069
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 239-3800
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
PRIVATE Beds: 14
(806) 781-3268
License Exp Dt:
030060
Fax
PRIVATE Beds: 7
Cert Alzh Capacity: 0
01 - LUBBOCK
SOUTHHAVEN INC
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 14
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(806) 239-3800
(806) 791-5851
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 7
Phone
Region
LUBBOCK
(806) 799-5173
LUBBOCK
TANGLEWOOD VILLAGE
5501 34TH
LUBBOCK
SERVICE TYPE TYPE B
2510 SLIDE RD
TITLE 18/19:
PRIVATE Beds: 16
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
79407
03/06/2017
HIGH PLAINS GERI 2
79407
Fax
TOTAL Lic Capacity: 16
Phone
01 - LUBBOCK
SENIOR SOLACE LLC
(806) 799-6363
TANGLEWOOD ESTATE
4505 20TH ST
LUBBOCK
(806) 781-3268
License Exp Dt:
000844
LUBBOCK
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
Phone
Region
LUBBOCK
TITLE 18: 0
TOTAL Lic Capacity: 8
SOUTHHAVEN
4613 66TH ST
LUBBOCK
SERVICE TYPE TYPE B
2510 SLIDE RD
79407
(806) 799-7944
Facility Information:
(806) 445-0049
Owner Information
LUBBOCK
County
FAX:
09/07/2017
HIGH PLAINS GERI 2
Fax
PRIVATE Beds: 10
Phone
79423
SENIOR SOLACE LLC
Cert Alzh Capacity: 0
SISTERS LOVING ARMS
4713 22ND ST
LUBBOCK
(806) 445-0039
License Exp Dt:
103688
(806) 239-1593
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
Facility Information:
LUBBOCK
(806) 445-0049
TITLE 18: 0
PRIVATE Beds: 6
County
3012 81ST ST
79423
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
PROMISELAND ASSISTED LIVING III, LLC
(806) 445-0039
TOTAL Lic Capacity: 6
Region
HIGH PLAINS GERI 2
104941
79424
FAX:
(806) 687-3069
SERVICE TYPE TYPE B
02/28/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
000816
TRACY W CLECKLER
TX
5807 88TH PLACE
79407
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 791-5851
0
ICF/IID: 0
PHONE:
TX
(806) 239-3800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79424
FAX:
(806) 687-3069
SERVICE TYPE TYPE B
09/15/2016
Page 216 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
THE CALLANDER HOUSE LLC
4524 77TH ST
LUBBOCK
Phone
Facility ID:
TX
4524 77TH ST
79424
LUBBOCK
Fax
(806) 771-1777
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
THE CALLANDER HOUSE-SOUTH
11902 FRANKFORD AVENUE
TX
LUBBOCK
County
LUBBOCK
THE ISLE AT RAIDER RANCH
6806 43RD ST
LUBBOCK
Phone
TX
ICF/IID: 0
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
01 - LUBBOCK
79411
FAX:
(806) 784-0603
SERVICE TYPE TYPE B
08/31/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
TRANSITIONAL LEARNING CENTER AT GALVESTON
1528 POSTOFFICE ST
GALVESTON
(806) 281-5436
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(409) 762-6661
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
LUBBOCK
Sunday, October 09, 2016
(806) 784-0033
License Exp Dt:
103456
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
PRIVATE Beds: 26
SERVICE TYPE TYPE B
Region
LUBBOCK
(806) 784-0603
TITLE 18: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(407) 540-2544
2302 34TH ST
Fax
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 26
FAX:
Owner Information
79413
(806) 281-5400
(806) 798-1011
32801
08/29/2017
HIGH PLAINS GERI 2
TRANSITIONAL LEARNING CENTER AT LUBBOCK
4000 22ND PLACE 3RD FLR
TX
LUBBOCK
79410
Phone
(407) 540-7500
License Exp Dt:
000376
LUBBOCK
WEDGEWOOD SOUTH
9812 VINTON AVE
LUBBOCK
01 - LUBBOCK
THE SPHINX SUNRUNNERS INC
PRIVATE Beds: 10
Facility Information:
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
ORLANDO
(806) 797-0200
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 10
Phone
SERVICE TYPE TYPE B
450 S ORANGE AVE
TITLE 18: 0
(806) 792-9091
Facility Information:
FAX:
Owner Information
LUBBOCK
County
79412
04/01/2018
HIGH PLAINS GERI 2
79407
Fax
PRIVATE Beds: 160
Phone
01 - LUBBOCK
CHP RAIDER RANCH TX TENANT CORP
Cert Alzh Capacity: 47
THE PHOENIX HOUSE
3319 35TH ST
LUBBOCK
(806) 789-4615
License Exp Dt:
103812
(806) 368-6565
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 160
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
2314 58TH
79424
LUBBOCK
Facility Information:
SERVICE TYPE TYPE B
CALLANDER HOUSE LLC
TITLE 18: 0
PRIVATE Beds: 16
FAX:
Owner Information
Fax
Cert Alzh Capacity: 0
79424
07/09/2017
HIGH PLAINS GERI 2
000595
(806) 794-7603
TOTAL Lic Capacity: 16
(806) 789-4615
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
01 - LUBBOCK
Owner Information
THE CALLANDER HOUSE LLC
TOTAL Lic Capacity: 6
County
Region
HIGH PLAINS GERI 2
104551
77550
FAX:
(409) 762-9961
SERVICE TYPE TYPE B
08/31/2016
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
100083
LUBBOCK PRIME LIFE, LLC
TX
9812 VINTON AVE
79424
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 794-0234
0
ICF/IID: 0
PHONE:
TX
(806) 790-1008
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79424
FAX:
(806) 589-4986
SERVICE TYPE TYPE B
08/31/2017
Page 217 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
WEDGEWOOD SOUTH
9812 VINTON AVE
LUBBOCK
Phone
Facility ID:
TX
9812 VINTON AVE
79424
Fax
(806) 798-1011
TITLE 18/19:
TX
TX
TX
Sunday, October 09, 2016
(806) 589-4986
SERVICE TYPE TYPE B
Region
01 - LUBBOCK
1528 POSTOFFICE STREET
GALVESTON
(409) 762-9961
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(409) 762-6661
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77550
FAX:
(409) 762-9961
SERVICE TYPE TYPE B
08/19/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
050716
WILSHIRE ON 4TH LLC
TX
6410 ERSKINE
79416
Fax
LUBBOCK
(806) 791-3627
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 793-1616
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Cert Alzh Capacity: 0
79424
08/31/2017
HIGH PLAINS GERI 2
79416
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 16
(806) 790-1008
License Exp Dt:
106640
(806) 791-0002
(806) 791-0002
01 - LUBBOCK
TRANSITIONAL LEARNING CENTER AT GALVESTON
TOTAL Lic Capacity: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
WILSHIRE ON 4TH LLC
6502 4TH ST
LUBBOCK
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 6
Facility Information:
SERVICE TYPE TYPE B
Region
LUBBOCK
(806) 794-0234
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(806) 589-4986
9812 VINTON AVE
TITLE 18: 0
TOTAL Lic Capacity: 6
Phone
FAX:
08/31/2017
HIGH PLAINS GERI 2
79424
(409) 797-1456
WILSHIRE ON 4TH
6514 4TH ST
LUBBOCK
79424
Owner Information
LUBBOCK
Facility Information:
(806) 790-1008
License Exp Dt:
030082
Fax
PRIVATE Beds: 14
County
01 - LUBBOCK
LUBBOCK PRIME LIFE, LLC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 14
WESTWAY
4416 10TH STREET
LUBBOCK
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 798-1011
Facility Information:
Region
LUBBOCK
(806) 794-0234
LUBBOCK
County
SERVICE TYPE TYPE B
9812 VINTON AVE
TITLE 18: 0
PRIVATE Beds: 14
Phone
(806) 589-4986
Owner Information
79424
Fax
Cert Alzh Capacity: 0
WEDGEWOOD SOUTH
9812 VINTON AVE
LUBBOCK
FAX:
08/31/2017
HIGH PLAINS GERI 2
030081
(806) 798-1011
Facility Information:
79424
LUBBOCK PRIME LIFE, LLC
TOTAL Lic Capacity: 14
County
(806) 790-1008
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
WEDGEWOOD SOUTH
9812 VINTON AVE
LUBBOCK
LUBBOCK
(806) 794-0234
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
01 - LUBBOCK
Owner Information
LUBBOCK PRIME LIFE, LLC
TOTAL Lic Capacity: 14
County
Region
HIGH PLAINS GERI 2
030086
79416
FAX:
(806) 589-4986
SERVICE TYPE TYPE B
08/30/2018
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
000930
WILSHIRE ON 4TH LLC
TX
6410 ERSKINE
79416
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 791-3627
0
ICF/IID: 0
PHONE:
TX
(806) 793-1616
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79416
FAX:
(806) 589-4986
SERVICE TYPE TYPE B
08/31/2018
Page 218 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
WILSHIRE ON 4TH LLC
6508 4TH ST
LUBBOCK
Phone
Facility ID:
TX
6410 ERSKINE
79416
Fax
(806) 791-0002
TITLE 18/19:
WILSHIRE PLACE SENIOR LIVING
6410 ERSKINE
TX
LUBBOCK
Phone
LIBRARY OF LEGACIES II
1420 WOODROW RD
SLATON
Phone
TX
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(806) 828-4200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
01 - LUBBOCK
79364
FAX:
(806) 828-6641
SERVICE TYPE TYPE B
09/07/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
103867
LIBRARY OF LEGACIES LLC
TX
1420 WOODROW RD
79364
Fax
SLATON
(806) 828-6641
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(806) 828-4200
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
ADAMS ASSISTED LIVING COMMUNITY
8824 FM 1585
TX
WOLFFORTH
PRIVATE Beds: 16
SERVICE TYPE TYPE B
Region
SLATON
(806) 828-6641
LUBBOCK
Cert Alzh Capacity: 0
(806) 589-4986
05/20/2018
HIGH PLAINS GERI 2
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 16
TOTAL Lic Capacity: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(806) 863-3663
79416
1420 WOODROW RD
Fax
TOTAL Lic Capacity: 16
Phone
(806) 793-1616
License Exp Dt:
79364
(806) 828-4200
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
County
01 - LUBBOCK
LIBRARY OF LEGACIES LLC
PRIVATE Beds: 12
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
LIBRARY OF LEGACIES LLC
1420 WOODROW RD
SLATON
SERVICE TYPE TYPE A
Region
LUBBOCK
(806) 589-4986
104807
(806) 828-4200
Facility Information:
(806) 589-4986
6410 ERSKINE
TITLE19: 0
TOTAL Lic Capacity: 12
County
FAX:
05/20/2018
HIGH PLAINS GERI 2
79416
TITLE 18/19:
Facility ID:
79416
Owner Information
LUBBOCK
Facility Information:
(806) 793-1616
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
01 - LUBBOCK
WILSHIRE PLACE, LLC
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104342
(806) 793-1616
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
WILSHIRE PLACE SENIOR LIVING
6410 ERSKINE
TX
LUBBOCK
Region
LUBBOCK
(806) 589-4986
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
6410 ERSKINE
79416
LUBBOCK
Facility Information:
(806) 589-4986
Owner Information
TITLE 18: 0
PRIVATE Beds: 66
FAX:
WILSHIRE PLACE, LLC
Fax
Cert Alzh Capacity: 0
79416
08/30/2018
HIGH PLAINS GERI 2
103433
(806) 793-1616
TOTAL Lic Capacity: 66
(806) 793-1616
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Phone
LUBBOCK
(806) 791-3627
TITLE 18: 0
Cert Alzh Capacity: 16
Facility Information:
01 - LUBBOCK
Owner Information
WILSHIRE ON 4TH LLC
TOTAL Lic Capacity: 16
County
Region
HIGH PLAINS GERI 2
030040
79364
FAX:
(806) 828-6641
SERVICE TYPE TYPE B
06/10/2017
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
000568
3TA LTD
6825 84TH
79382
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LUBBOCK
(806) 863-3951
0
ICF/IID: 0
PHONE:
TX
(806) 778-5508
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79424
FAX:
SERVICE TYPE TYPE B
02/01/2018
Page 219 of 311
County
Reg Svcs:
LUBBOCK
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
4150 INTERNATIONAL PLAZA
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 16
County
FORT WORTH
(806) 866-4111
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 16
County
TITLE 18/19:
YOUNG AT HEART ASSISTED LIVING
808 MAIN ST.
TX
WOLFFORTH
Phone
LYNNWOOD
1801 COUNTRY CLUB ROAD
TAHOKA
Phone
TX
PRIVATE Beds: 30
Sunday, October 09, 2016
(806) 855-4699
License Exp Dt:
79382
FAX:
(806) 855-4622
SERVICE TYPE TYPE B
12/03/2016
Region
HIGH PLAINS GERI 2
01 - LUBBOCK
Owner Information
2600 LOCKWOOD
79373
Fax
TAHOKA
(806) 561-4049
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(806) 998-4533
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
MADISONVILLE ASSISTED LIVING
410 E COLLARD ST
TX
MADISONVILLE
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MADISON
TOTAL Lic Capacity: 30
01 - LUBBOCK
LYNN COUNTY HOSPITAL DISTRICT
PRIVATE Beds: 40
(936) 348-3985
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
Region
WOLFFORTH
(806) 855-4622
100713
(806) 998-1226
Facility Information:
SERVICE TYPE TYPE B
808 MAIN ST
TITLE19: 0
TOTAL Lic Capacity: 40
County
(817) 348-0466
09/01/2018
HIGH PLAINS GERI 2
79382
TITLE 18/19:
Facility ID:
FAX:
Owner Information
LYNN
Facility Information:
(817) 348-8959
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 10
PHONE:
76109
LECLEAR ELDERLY SERVICES, LLC
Fax
Cert Alzh Capacity: 0
01 - LUBBOCK
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
106044
(806) 855-4699
TOTAL Lic Capacity: 10
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
FORT WORTH
(806) 866-4111
LUBBOCK
Facility Information:
(817) 348-0466
09/01/2018
4150 INTERNATIONAL PLAZA
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
76109
WOLFFORTH I ENTERPRISES, LLC
Fax
(806) 866-4666
(817) 348-8959
HIGH PLAINS GERI 2
000628
VILLA RESIDENTIAL CARE OF WOLFFORTH III
301 E 5TH ST
TX
WOLFFORTH
79382
Phone
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
01 - LUBBOCK
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Facility Information:
SERVICE TYPE TYPE B
Region
4150 INTERNATIONAL PLAZA
TITLE19: 0
PRIVATE Beds: 16
(817) 348-0466
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
WOLFFORTH I ENTERPRISES, LLC
Fax
(806) 866-4666
76109
09/01/2018
HIGH PLAINS GERI 2
000625
VILLA RESIDENTIAL CARE OF WOLFFORTH II
301 E 5TH ST
TX
WOLFFORTH
79382
Phone
(817) 348-8959
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
LUBBOCK
Facility Information:
FORT WORTH
(806) 866-4111
TITLE 18: 0
Cert Alzh Capacity: 0
County
WOLFFORTH I ENTERPRISES, LLC
Fax
(806) 866-4666
01 - LUBBOCK
Owner Information
VILLA RESIDENTIAL CARE OF WOLFFORTH I
301 E 5TH ST
TX
WOLFFORTH
79382
Phone
Region
HIGH PLAINS GERI 2
000784
79373
FAX:
(806) 561-4049
SERVICE TYPE TYPE B
01/22/2018
Region
BRENHAM
07 - AUSTIN
Owner Information
101027
MADISONVILLE III ENTERPRISES LLC
4150 INTERNATIONAL PLAZA
77864
Fax
(936) 348-3501
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FORT WORTH
0
ICF/IID: 0
PHONE:
,STE 600
TX
(817) 348-8959
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76109
FAX:
(817) 348-0466
SERVICE TYPE TYPE A
09/01/2018
Page 220 of 311
County
Reg Svcs:
MARION
Facility Information:
CYPRESS PLACE
100 W DOUGLAS ST
JEFFERSON
Phone
Facility ID:
TX
3801 HULEN STREET
75657-1506
Fax
(903) 665-9855
TITLE 18/19:
TX
TX
PRIVATE Beds: 46
Sunday, October 09, 2016
SERVICE TYPE TYPE A
Region
WACO
ICF/IID: 0
TITLE19: 0
(254) 754-4902
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
07 - AUSTIN
76708
FAX:
SERVICE TYPE TYPE A
12/01/2016
Region
WACO
07 - AUSTIN
Owner Information
104810
HEWITT A.L., LLC
TX
151 ROYAL LANE
76643
Fax
HEWITT
(254) 933-2550
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
76643
FAX:
PROGRAM TYPE: ASSISTED LIVING
0
MCLENNAN
Cert Alzh Capacity: 28
(325) 597-2664
5508 FLAT ROCK RD
76638
TITLE 18/19:
PRIVATE Beds: 56
TOTAL Lic Capacity: 46
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(254) 420-1400
76825
10/30/2017
WACO
Fax
TOTAL Lic Capacity: 56
Phone
(325) 597-2662
License Exp Dt:
000450
(254) 933-3800
STONEY BROOK OF HEWITT
151 ROYAL LANE
HEWITT
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MCLENNAN
Facility Information:
09 - ABILENE
J SCARBOROUGH INC
PRIVATE Beds: 15
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
BRADY
(325) 597-2664
TITLE19: 0
TOTAL Lic Capacity: 15
STONEY BROOK OF HEWITT
151 ROYAL LANE
HEWITT
(972) 931-3801
104 E 5TH ST
TITLE 18/19:
(254) 754-4902
Facility Information:
FAX:
04/01/2017
SAN ANGLEO GERIATRIC
76825
TITLE 18: 0
Facility ID:
75093
Owner Information
MCLENNAN
County
06 - HOUSTON
TEXAS JUBILEE HOUSE LLC
Fax
PRIVATE Beds: 16
(972) 931-3800
License Exp Dt:
101609
(325) 597-2662
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TEXAS JUBILEE HOUSE OF BRADY
104 E 5TH
TX
BRADY
SCARBOROUGH I
8808 N HWY 6
CRAWFORD
PLANO
(979) 245-1245
MCCULLOCH
Facility Information:
Region
5420 W PLANO PKWY
TITLE 18: 0
PRIVATE Beds: 44
County
SERVICE TYPE TYPE B
Owner Information
77414
Fax
Cert Alzh Capacity: 0
Phone
(817) 386-8324
10/15/2017
UNIT 08
100120
(979) 245-7891
Facility Information:
FAX:
PINNACLE HEALTH FACILITIES OF TEXAS XII LP
TOTAL Lic Capacity: 44
County
76107
(817) 386-8888
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 202
TX
PROGRAM TYPE: ASSISTED LIVING
0
MATAGORDA
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 42
LEGACY ASSISTED LIVING
720 12TH ST
BAY CITY
FORT WORTH
(903) 665-6809
TITLE 18: 0
Cert Alzh Capacity: 22
Facility Information:
04 - TYLER
Owner Information
CYPRESS PLACE RE 2015, LLC
TOTAL Lic Capacity: 42
County
Region
TYLER SE TEAM
030353
SERVICE TYPE TYPE A
08/24/2017
Region
WACO
07 - AUSTIN
Owner Information
104809
HEWITT A.L., LLC
TX
151 ROYAL LANE
76643
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HEWITT
(254) 420-1401
0
ICF/IID: 0
TX
PHONE:
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76643
SERVICE TYPE TYPE B
08/24/2017
Page 221 of 311
County
Reg Svcs:
MCLENNAN
Facility Information:
Facility ID:
CRYSTAL MANOR ASSISTED LIVING
6016 W LAKE CREEK RD
TX
RIESEL
Phone
County
BROOKDALE LAKESHORE
1700 LAKESHORE DRIVE
WACO
Phone
(254) 752-7952
TX
(254) 754-1047
ICF/IID: 0
PHONE:
TX
(254) 799-1849
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
07 - AUSTIN
76705
FAX:
(254) 752-0300
SERVICE TYPE TYPE A
11/17/2017
Region
WACO
07 - AUSTIN
Owner Information
106458
HEARTIS WACO PARTNERS, LP
TX
5910 N CENTRAL EXPWY
76712
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 916-5750
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
MCLENNAN
Sunday, October 09, 2016
Region
WACO
Reg Svcs:
PRIVATE Beds: 156
PRIVATE Beds: 6
SERVICE TYPE TYPE B
514 CONCORN WAY
TITLE19: 0
Cert Alzh Capacity: 34
Cert Alzh Capacity: 0
(414) 918-6076
12/01/2017
WACO
76705
TITLE 18/19:
TOTAL Lic Capacity: 156
TOTAL Lic Capacity: 6
FAX:
LADONNA BERRY
(254) 848-9090
(254) 752-5434
(414) 918-5441
53214
Owner Information
TITLE 18: 0
Facility ID:
PHONE:
License Exp Dt:
000689
MCLENNAN
Phone
07 - AUSTIN
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Fax
PRIVATE Beds: 10
MABELLS PLACE
1115 N 12TH ST
WACO
ICF/IID: 0
Reg Svcs:
Facility ID:
(254) 799-1849
Facility Information:
MILWAUKEE
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
TOTAL Lic Capacity: 10
Phone
(414) 918-5054
10/01/2017
WACO
76708
Fax
DONNA BERRY COMMUNITY HOME
514 CONCORN WAY
TX
WACO
HEARTIS WACO
5317 SPEEGLEVILLE RD
WACO
License Exp Dt:
FAX:
Owner Information
MCLENNAN
Facility Information:
(414) 918-5441
37027
BROOKDALE SENIOR LIVING COMMUNITIES INC
PRIVATE Beds: 50
County
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000349
(254) 754-7900
Facility Information:
07 - AUSTIN
,STE 400
BRENTWOOD
TITLE19: 0
TOTAL Lic Capacity: 50
County
SERVICE TYPE TYPE A
Region
111 WESTWOOD PL
TITLE 18/19:
Facility ID:
(254) 875-9526
04/23/2017
WACO
76708
MCLENNAN
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 101
76682
ESC IV LP
Fax
Cert Alzh Capacity: 20
(254) 875-9525
License Exp Dt:
000379
(254) 714-2222
TOTAL Lic Capacity: 101
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
BROOKDALE LAKE BRAZOS
3801 MARTIN LUTHER KING JR BLVD
TX
WACO
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MCLENNAN
Facility Information:
RIESEL
(254) 875-9526
TITLE 18: 0
PRIVATE Beds: 16
County
6016 W LAKE CREEK RD
76682
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
JEANNETTE R BLACK
(254) 875-9525
TOTAL Lic Capacity: 16
Region
WACO
000598
75206
FAX:
(469) 547-5422
SERVICE TYPE TYPE B
04/19/2018
Region
WACO
07 - AUSTIN
Owner Information
030137
MABELLS PLACE
TX
1115 N 12TH ST
76707
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
WACO
(254) 752-4478
0
ICF/IID: 0
PHONE:
TX
(254) 742-5434
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76707
FAX:
(254) 752-4478
SERVICE TYPE TYPE A
08/26/2018
Page 222 of 311
County
Reg Svcs:
MCLENNAN
Facility Information:
Facility ID:
Fax
(254) 776-9681
TOTAL Lic Capacity: 120
TITLE 18/19:
TX
TX
76712
FAX:
(254) 761-8050
SERVICE TYPE TYPE B
07/01/2017
Region
WACO
07 - AUSTIN
Owner Information
5801 CROSSLAKE PARKWAY
WACO
(254) 420-0058
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(254) 420-0056
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
76712
FAX:
(254) 420-0058
SERVICE TYPE TYPE B
08/15/2018
Region
WACO
07 - AUSTIN
Owner Information
000907
EDWARD C THOMPSON
TX
484 MANCHACA PL
76705
Fax
WACO
(254) 875-2413
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
TITLE 18/19:
TIMMY MOORE PERSONAL CARE HOME
1112 ROSE ST
TX
WACO
(254) 875-2531
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MCLENNAN
Sunday, October 09, 2016
(254) 761-8500
License Exp Dt:
76712
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
TITLE 18: 0
TOTAL Lic Capacity: 10
PRIVATE Beds: 8
07 - AUSTIN
WOODWAY HEALTHCARE INC.
(254) 875-2531
Cert Alzh Capacity: 0
ICF/IID: 0
0
MCLENNAN
TOTAL Lic Capacity: 8
SERVICE TYPE TYPE B
Region
WACO
(254) 761-8050
106572
Fax
PRIVATE Beds: 40
(254) 752-9115
(830) 629-4884
300 WEST HWY 6
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
FAX:
Owner Information
TITLE19: 0
(254) 420-0056
Facility Information:
78130
04/28/2017
WACO
76712
TITLE 18/19:
TOTAL Lic Capacity: 40
County
(830) 624-1044
License Exp Dt:
TITLE 18: 0
THE HEALTHCARE RESORT OF WACO
5801 CROSSLAKE PARKWAY
TX
WACO
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MCLENNAN
THOMPSON HOME
484 MANCHACA PL
WACO
ICF/IID: 0
000639
Fax
PRIVATE Beds: 50
Facility Information:
07 - AUSTIN
PROVIDENCE PARK, INC.
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
NEW BRAUNFELS
(830) 629-4884
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 50
Phone
(254) 776-7960
06/01/2017
WACO
TITLE19: 0
TITLE 18/19:
(254) 761-8500
Facility Information:
FAX:
195 S ACADEMY
MCLENNAN
County
76712
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Phone
License Exp Dt:
76708
Fax
Cert Alzh Capacity: 16
ST. ELIZABETH PLACE
300 W HWY 6
WACO
(254) 776-9681
PROGRAM TYPE: ASSISTED LIVING
0
103795
(830) 624-1044
Facility Information:
PHONE:
TX
ALZCARE WACO LLC
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SODALIS ELDER LIVING WACO I
4308 N 19TH ST
WACO
Phone
WACO
(254) 776-7960
MCLENNAN
Facility Information:
1900 W STATE HWY 6
TITLE19: 0
PRIVATE Beds: 120
County
DHC OPCO-WACO LLC
TITLE 18: 0
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
RIDGECREST RETIREMENT AND HEALTHCARE COMMUNITY
1900 HWY 6 W
TX
WACO
76712
Phone
Region
WACO
000640
76705
FAX:
SERVICE TYPE TYPE A
11/18/2017
Region
WACO
07 - AUSTIN
Owner Information
000436
PHYLLIS D BRADY
1112 ROSE ST
76704
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
WACO
(254) 755-6917
0
ICF/IID: 0
PHONE:
TX
(254) 752-9115
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76704
FAX:
SERVICE TYPE TYPE A
04/22/2017
Page 223 of 311
County
Reg Svcs:
MCLENNAN
Facility Information:
Facility ID:
LIVING SPRINGS VILLAGE
8601 OLD MCGREGOR ROAD
WOODWAY
Phone
TX
8601 OLD MCGREGOR ROAD
76712
Fax
(254) 374-0015
WACO
(888) 726-4686
TITLE 18: 0
Cert Alzh Capacity: 16
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 8
County
TITLE 18/19:
CHAPA RESIDENTIAL CARE HOME
216 WEST C R 5719
TX
DEVINE
Phone
Phone
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 50
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(830) 665-4801
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
08 - SAN ANTONIO
78016
FAX:
SERVICE TYPE TYPE A
07/01/2018
Region
TEAM X
08 - SAN ANTONIO
Owner Information
100900
BRENDA BURFORD
TX
PO BOX 570
78016
Fax
DEVINE
(830) 665-3494
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(830) 665-2000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MEDINA
TOTAL Lic Capacity: 50
SERVICE TYPE TYPE A
Region
DEVINE
(830) 665-4801
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
(830) 665-2000
(830) 709-5038
07/21/2018
TEAM W
TITLE19: 0
Cert Alzh Capacity: 0
Phone
FAX:
730 CR 664
TITLE 18/19:
TOTAL Lic Capacity: 8
HERITAGE RESIDENTIAL
307 BRISCOE AVE
DEVINE
License Exp Dt:
TITLE 18: 0
(830) 663-9200
Facility Information:
(830) 709-4420
78016
Owner Information
MEDINA
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78016
Fax
PRIVATE Beds: 14
Phone
08 - SAN ANTONIO
MELISSA CRUZ RODRIGUEZ
Cert Alzh Capacity: 0
DEVINE ASSISTED LIVING
405 E HONDO
DEVINE
ICF/IID: 0
000599
(830) 665-4801
Facility Information:
Region
DEVINE
(830) 709-5038
Reg Svcs:
TOTAL Lic Capacity: 14
County
SERVICE TYPE TYPE A
216 W CR 5719
TITLE19: 0
CRUZ PERSONAL CARE HOME
730 CR 664
DEVINE
FAX:
04/22/2018
TEAM W
78016
TITLE 18/19:
Facility ID:
78016
Owner Information
MEDINA
Facility Information:
(830) 665-2000
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 14
08 - SAN ANTONIO
CHAPA RESIDENTIAL CARE HOME LLC
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000578
(830) 709-4420
TOTAL Lic Capacity: 14
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
DEVINE
(830) 665-3494
MEDINA
Facility Information:
SERVICE TYPE TYPE B
PO BOX 570
TITLE19: 0
PRIVATE Beds: 8
(888) 726-4686
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
BRENDA'S DEVINE HERITAGE RESIDENTIAL INC
Fax
(830) 663-2832
76712
01/14/2018
TEAM W
050639
BRENDAS RESIDENTIAL ASSISTED LIVING
309 BRISCOE AVE
TX
DEVINE
78016
Phone
(254) 374-0015
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MEDINA
Facility Information:
07 - AUSTIN
Owner Information
LIVING SPRINGS ALZHEIMER'S VILLAGE, INC.
TOTAL Lic Capacity: 16
County
Region
WACO
106334
78016
FAX:
(830) 665-3494
SERVICE TYPE TYPE A
02/26/2017
Region
TEAM X
08 - SAN ANTONIO
Owner Information
000413
BRENDA'S DEVINE HERITAGE RESIDENTIAL INC
TX
PO BOX 570
78016
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DEVINE
(830) 663-2832
0
ICF/IID: 0
PHONE:
TX
(830) 665-2000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78016
FAX:
SERVICE TYPE TYPE B
10/01/2017
Page 224 of 311
County
Reg Svcs:
MEDINA
Facility Information:
Facility ID:
Fax
(830) 709-3544
TOTAL Lic Capacity: 12
266 W CR 5719
TITLE 18/19:
ICF/IID: 0
Fax
(830) 665-2559
TOTAL Lic Capacity: 16
County
TITLE 18/19:
RAMIREZ PERSONAL CARE HOME I
1024 CR 664
TX
DEVINE
Phone
County
County
REDMANS BOARDING HOME
850 C R 6612
DEVINE
Phone
(830) 665-9678
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
08 - SAN ANTONIO
ICF/IID: 0
PHONE:
TX
(830) 665-5829
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78016
FAX:
SERVICE TYPE TYPE A
07/01/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
ROBERT B RAMIREZ
1034 CR 664
78016
Fax
DEVINE
(830) 665-2787
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(830) 665-9725
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
Region
DEVINE
(830) 665-5829
MEDINA
Facility Information:
SERVICE TYPE TYPE A
1024 CR 664
000604
(830) 665-9725
PRIVATE Beds: 15
FAX:
Owner Information
Reg Svcs:
Cert Alzh Capacity: 0
78016
06/25/2017
TEAM V
TITLE19: 0
TOTAL Lic Capacity: 15
(830) 665-5829
License Exp Dt:
78016
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
TITLE 18: 0
RAMIREZ RESIDENTIAL CARE HOME
1034 CR 664
TX
DEVINE
Phone
ICF/IID: 0
0
MEDINA
Facility Information:
08 - SAN ANTONIO
RONALD D RAMIREZ
Fax
PRIVATE Beds: 12
SERVICE TYPE TYPE A
Region
DEVINE
(830) 665-5829
000615
(830) 665-5829
Cert Alzh Capacity: 0
(830) 665-2846
1024 CR 664
Reg Svcs:
TOTAL Lic Capacity: 12
FAX:
04/27/2018
TEAM V
TITLE19: 0
RAMIREZ PERSONAL CARE HOME I I
1024 CR 664
TX
DEVINE
Phone
License Exp Dt:
78016
TITLE 18/19:
Facility ID:
(830) 665-2559
78016
Owner Information
MEDINA
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 8
08 - SAN ANTONIO
RONALD D RAMIREZ
Fax
Cert Alzh Capacity: 0
County
ICF/IID: 0
000602
(830) 665-5829
TOTAL Lic Capacity: 8
Region
DEVINE
(830) 665-2846
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE A
265 COUNTY RD 6611
MEDINA
Facility Information:
(830) 709-5417
RALPH GARZA
TITLE19: 0
PRIVATE Beds: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78016-4028
10/10/2017
TEAM Z
050475
RALPH AND LEONOR GARZA RESIDENT CARE HOME
265 COUNTY RD 6611
TX
DEVINE
78016-4629
Phone
(830) 709-3544
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MEDINA
Facility Information:
DEVINE
(830) 709-5417
TITLE19: 0
PRIVATE Beds: 12
County
MARTIN DUNCAN
TITLE 18: 0
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
MARTIN DUNCAN PERSONAL CARE HOME
266 W CR 5719
TX
DEVINE
78016-4028
Phone
Region
TEAM X
000605
78016
FAX:
(830) 665-2787
SERVICE TYPE TYPE A
09/24/2018
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
000571
IRMA REDMAN LEE
TX
850 CR 6612
78016
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DEVINE
(830) 665-9678
0
ICF/IID: 0
PHONE:
TX
(830) 665-9678
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78016
FAX:
(830) 665-9678
SERVICE TYPE TYPE A
07/17/2018
Page 225 of 311
County
Reg Svcs:
MEDINA
Facility Information:
Facility ID:
REDMANS PERSONAL CARE HOME
850 CR 6612
TX
DEVINE
Phone
TX
TX
TX
FAX:
(830) 709-5247
SERVICE TYPE TYPE A
05/21/2017
Region
MIDLAND GERIATRIC
111 WESTWOOD PL
09 - ABILENE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE 400
BRENTWOOD
(432) 687-0355
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
10/01/2017
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
000802
CIMARRON AID OPCO LLC
TX
330 N. WABASH
79707
Fax
CHICAGO
(432) 689-0203
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HELEN GREATHOUSE MANOR
401 HELEN GREATHOUSE CIRCLE
TX
MIDLAND
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
MIDLAND
Sunday, October 09, 2016
78016
Owner Information
TITLE 18: 0
PRIVATE Beds: 58
PRIVATE Beds: 233
(210) 365-7799
License Exp Dt:
79705
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 58
08 - SAN ANTONIO
ESC IV LP
TOTAL Lic Capacity: 58
TOTAL Lic Capacity: 233
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
000323
(432) 689-2717
(432) 694-1691
ICF/IID: 0
0
MIDLAND
Phone
SERVICE TYPE TYPE A
Region
DEVINE
(830) 709-0459
Reg Svcs:
Facility ID:
PRIVATE Beds: 87
Facility Information:
(830) 709-0247
01/22/2018
TEAM V
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
FAX:
286 W CR 5719
TITLE 18: 0
TOTAL Lic Capacity: 87
Phone
License Exp Dt:
78059
(432) 687-0460
CIMARRON PLACE
3400 CALDERA BLVD
MIDLAND
(830) 709-4519
78059
Owner Information
MIDLAND
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101730
Fax
PRIVATE Beds: 20
County
08 - SAN ANTONIO
REAGAN MANOR INC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 20
BROOKDALE MIDLAND
1808 W LOOP 250 N
MIDLAND
Region
NATALIA
(830) 709-0247
TITLE19: 0
TITLE 18/19:
(210) 365-7799
Facility Information:
SERVICE TYPE TYPE A
185 CR 679
MEDINA
County
(830) 665-9678
Owner Information
TITLE 18: 0
PRIVATE Beds: 24
Phone
FAX:
09/06/2017
TEAM Y
78059
Fax
Cert Alzh Capacity: 0
REAGAN MANOR
229 E CR 5718
NATALIA
License Exp Dt:
030233
(830) 709-4519
Facility Information:
(830) 665-9678
78016
MARY A PERALTA
TOTAL Lic Capacity: 24
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
M A ASSISTED LIVING FACILITY
185 C R 679
NATALIA
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MEDINA
Facility Information:
DEVINE
(830) 665-9678
TITLE 18: 0
PRIVATE Beds: 8
County
850 CR 6612
78016
Fax
Cert Alzh Capacity: 0
08 - SAN ANTONIO
Owner Information
IRMA REDMAN LEE
(830) 665-9678
TOTAL Lic Capacity: 8
Region
TEAM Y
000603
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
MIDLAND GERIATRIC
09 - ABILENE
Owner Information
000699
MANOR PARK INC
2208 N LOOP 250 W
79707
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MIDLAND
(432) 699-0369
0
ICF/IID: 0
PHONE:
TX
(432) 689-9898
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79707
FAX:
(432) 694-8769
SERVICE TYPE TYPE B
12/15/2017
Page 226 of 311
County
Reg Svcs:
MIDLAND
Facility Information:
LEGACY RANCH
4800 BRAIRWOOD AVE
MIDLAND
Phone
Facility ID:
TX
5310 HARVEST HILL RD
79707
TITLE 18: 0
Cert Alzh Capacity: 66
TITLE 18/19:
Phone
TX
TX
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
02 - ABILENE
914 FAYETTE
NOCONA
(940) 825-3048
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(940) 825-4913
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
76255
FAX:
(940) 825-3048
SERVICE TYPE TYPE B
12/22/2016
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
000673
THE JAMES BRUNER TK RANCH, INC.
TX
PO BOX 879
76270-6106
Fax
BOWIE
(940) 872-3222
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(940) 872-5581
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTAGUE
PRIVATE Beds: 9
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Cert Alzh Capacity: 0
76255
08/10/2018
WICHITA FALLS GERIATRIC
76255
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 9
(940) 825-6820
License Exp Dt:
104492
(940) 872-2027
(940) 872-3623
02 - ABILENE
YESTER YEAR HOME, LLC
TOTAL Lic Capacity: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTAGUE
TK RANCH DORM 2
364 PRIVATE ROAD 156
SUNSET
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 5
Facility Information:
SERVICE TYPE TYPE B
Region
NOCONA
(940) 825-1032
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 5
County
(940) 872-8590
208 CLARK ST
TITLE 18: 0
TOTAL Lic Capacity: 5
Phone
FAX:
12/17/2017
WICHITA FALLS GERIATRIC
76255
(940) 825-4913
TK RANCH DORM 1
406 PRIVATE RD 156
SUNSET
76230
Owner Information
MONTAGUE
Facility Information:
(940) 872-9718
License Exp Dt:
100415
Fax
PRIVATE Beds: 36
County
02 - ABILENE
LYNN V ADAMS
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 36
YESTER YEAR HOME, LLC
914 FAYETTE
NOCONA
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(940) 825-5085
Facility Information:
Region
BOWIE
(940) 872-8590
MONTAGUE
County
SERVICE TYPE TYPE B
1210 JACKSON ST
TITLE 18: 0
PRIVATE Beds: 36
Phone
(214) 368-7341
Owner Information
76230
Fax
Cert Alzh Capacity: 0
CHERRY STREET VILLAGE
200 E CHERRY ST
NOCONA
FAX:
03/28/2018
WICHITA FALLS GERIATRIC
010323
(940) 872-9718
Facility Information:
75230
IND HALL LLC
TOTAL Lic Capacity: 36
County
(214) 871-2155
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTAGUE
INDEPENDENCE HALL
1210 JACKSON ST
BOWIE
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 66
,SUITE 280
DALLAS
Fax
(432) 694-5600
Facility Information:
09 - ABILENE
Owner Information
CHP LEGACY RANCH TX TENANT CORP
TOTAL Lic Capacity: 66
County
Region
MIDLAND GERIATRIC
104879
76230
FAX:
(940) 872-3222
SERVICE TYPE TYPE A
01/01/2018
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
000674
THE JAMES BRUNER TK RANCH, INC.
TX
PO BOX 879
76270
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BOWIE
(940) 872-3222
0
ICF/IID: 0
PHONE:
TX
(940) 872-5581
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76230
FAX:
(940) 872-3222
SERVICE TYPE TYPE A
02/15/2017
Page 227 of 311
County
Reg Svcs:
MONTAGUE
Facility Information:
TK RANCH DORM 3
899 HUDDLESTON RD
SUNSET
Phone
Facility ID:
TX
PO BOX 879
76270
Fax
(940) 872-3360
TITLE 18/19:
ABOVE & BEYOND ASSISTED LIVING #2
101 S WOODSWAY W
TX
CONROE
MONTGOMERY
(936) 647-2526
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
TITLE 18/19:
ABUNDANT LIFE ASSISTED LIVING INC
15245 SADDLEWOOD DR
TX
CONROE
Phone
AVID CARE COTTAGES
206 W DALLAS
CONROE
Phone
TOTAL Lic Capacity: 9
Cert Alzh Capacity: 0
PRIVATE Beds: 9
Sunday, October 09, 2016
PHONE:
TX
(281) 221-3040
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
77384
FAX:
(936) 273-6337
SERVICE TYPE TYPE B
09/12/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
TX
19127 TIMBER WAY DR
77301
Fax
HUMBLE
(281) 812-3756
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(832) 457-2104
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
(936) 273-3668
06 - HOUSTON
ACCESS HARMONY GROUP LLC
PRIVATE Beds: 14
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
BEREAN ESTATES
13430 PARK AVE
CONROE
Region
CONROE
(281) 789-4207
102005
(936) 441-9865
Facility Information:
SERVICE TYPE TYPE B
15245 SADDLEWOOD DR
TITLE19: 0
TOTAL Lic Capacity: 14
County
(936) 449-1214
06/27/2017
UNIT 16
77384
TITLE 18/19:
Facility ID:
FAX:
Owner Information
MONTGOMERY
Facility Information:
(936) 449-1214
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 9
PHONE:
77356
ABUNDANT LIFE ASSISTED LIVING INC
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
103081
(281) 221-3040
TOTAL Lic Capacity: 9
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
MONTGOMERY
(936) 828-2331
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE B
11/02/2017
145 PARK WAY
TITLE19: 0
PRIVATE Beds: 16
(936) 449-1214
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
ABOVE AND BEYOND ASSISTED LIVING INC
Fax
TOTAL Lic Capacity: 16
77356
(936) 449-1214
UNIT 16
104479
(936) 494-2250
PHONE:
License Exp Dt:
ABOVE AND BEYOND ASSISTED LIVING # 3
204 W DALLAS ST
TX
CONROE
77301
Phone
06 - HOUSTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
145 PARK WAY
77301
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
(940) 872-3222
ABOVE AND BEYOND ASSISTED LIVING INC
Fax
Cert Alzh Capacity: 0
FAX:
12/08/2017
UNIT 16
103728
(936) 494-2210
TOTAL Lic Capacity: 8
76230
(940) 872-5581
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 10
Phone
BOWIE
(940) 872-3222
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
02 - ABILENE
Owner Information
THE JAMES BRUNER TK RANCH, INC.
TOTAL Lic Capacity: 10
County
Region
WICHITA FALLS GERIATRIC
000839
77346
FAX:
(281) 812-3756
SERVICE TYPE TYPE B
10/01/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
105425
STAK HOLDINGS, LLC
TX
3245 MAIN ST
77384
Fax
(936) 273-3669
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
,STE 235-308
FRISCO
ICF/IID: 0
PHONE:
TX
(214) 538-8822
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75034
FAX:
SERVICE TYPE TYPE B
05/16/2018
Page 228 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
CHATEAU WOODLANDS
327 TALLOW
CONROE
Phone
Facility ID:
TX
327 TALLOW
77385
Fax
(281) 296-8825
TITLE 18/19:
TX
County
Phone
(936) 788-2626
TOTAL Lic Capacity: 138
Cert Alzh Capacity: 38
PRIVATE Beds: 138
Sunday, October 09, 2016
PHONE:
TX
(936) 232-9144
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
06 - HOUSTON
77302
FAX:
(936) 271-9413
SERVICE TYPE TYPE A
05/02/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
NICOLE WILSON
607 JEB STUART
77304
Fax
CONROE
(936) 271-9413
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(936) 232-9144
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
MONTGOMERY
ELMCROFT OF RIVERSHIRE
450 N RIVERSHIRE
CONROE
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
CONROE
(936) 828-3059
105119
(936) 228-2572
Facility Information:
(936) 271-9413
621 SPRING FOREST CT
MONTGOMERY
PRIVATE Beds: 6
FAX:
Owner Information
TITLE19: 0
Cert Alzh Capacity: 0
77302
09/21/2017
UNIT 16
77304
TITLE 18/19:
TOTAL Lic Capacity: 6
(936) 232-9144
License Exp Dt:
TITLE 18: 0
COMPASSIONATE CARE SENIOR LIVING
94 PANORAMA DR
TX
CONROE
06 - HOUSTON
NICOLE WILSON
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104566
(936) 828-3059
PRIVATE Beds: 5
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
Region
CONROE
TITLE19: 0
TOTAL Lic Capacity: 5
(936) 788-7785
607 JEB STUART
77302
TITLE 18/19:
COMPASSIONATE CARE SENIOR LIVING
933 RIVERSHIRE
TX
CONROE
FAX:
NICOLE WILSON
TITLE 18: 0
Facility ID:
77305
Owner Information
MONTGOMERY
Facility Information:
06 - HOUSTON
01/11/2018
UNIT 16
Fax
PRIVATE Beds: 10
(936) 788-7770
License Exp Dt:
104028
(936) 232-9144
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
COMPASSIONATE CARE SENIOR
607 JEB STUART LN
TX
CONROE
Phone
Region
CONROE
(936) 788-7785
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE B
PO BOX 929
TITLE 18: 0
PRIVATE Beds: 16
County
(281) 296-0066
Owner Information
77304
Fax
Cert Alzh Capacity: 0
Phone
FAX:
10/25/2017
UNIT 16
000915
(936) 788-7770
Facility Information:
77385
NEUROBEHAVIORAL RESOURCES LTD
TOTAL Lic Capacity: 16
County
(281) 296-8825
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
CHURCHILL
9297 WAHRENBERGER RD
CONROE
CONROE
(281) 296-0066
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
JED INC
TOTAL Lic Capacity: 14
County
Region
UNIT 16
103147
77302
FAX:
(936) 271-9413
SERVICE TYPE TYPE A
07/03/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
000322
RIVERSHIRE OPERATIONS, LLC
TX
9510 ORMSBY STATION ROAD
77304
Fax
(936) 441-5874
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LOUISVILLE
0
ICF/IID: 0
PHONE:
,STE 101
KY
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
40223
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Page 229 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
GOOD DAY ASSISTED LIVING
3726 WOODCLIFFE DR
CONROE
Phone
TX
3726 WOODCLIFFE DR
77304
Fax
(936) 441-5931
TITLE 18/19:
HEARTIS CONROE
608 S CONROE MEDICAL DRIVE
CONROE
TX
5910 N CENTRAL EXPRESSWAY
77304
DALLAS
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 52
TITLE 18/19:
Reg Svcs:
Facility ID:
Fax
TOTAL Lic Capacity: 90
TITLE 18/19:
Phone
TX
License Exp Dt:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 16
PRIVATE Beds: 16
Sunday, October 09, 2016
FAX:
(936) 788-7785
SERVICE TYPE TYPE A
06/01/2017
Region
UNIT 16
06 - HOUSTON
635 PINEWOOD
CONROE
(281) 323-4676
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 323-4676
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
77305
CHRISTINA DEDOMINICIS
MONTGOMERY
TOTAL Lic Capacity: 16
06 - HOUSTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 9
(936) 788-7770
License Exp Dt:
030252
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 323-4676
(936) 788-7770
Region
CONROE
(936) 788-7785
TITLE 18: 0
TOTAL Lic Capacity: 9
Phone
SERVICE TYPE TYPE B
PO BOX 929
LOVING KINDNESS ASSISTED LIVING HOME
635 PINEWOOD
TX
CONROE
77385
NEW GENESIS
9297 WAHRENBERGER RD
CONROE
(972) 387-8216
Owner Information
MONTGOMERY
Facility Information:
FAX:
09/10/2018
UNIT 16
77304
Fax
PRIVATE Beds: 11
County
(972) 308-8366
75254
NEUROBEHAVIORAL RESOURCES LTD
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101166
(936) 788-7770
Facility Information:
06 - HOUSTON
,STE 300
DALLAS
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 11
County
14160 DALLAS PKWY
(936) 760-2030
MONTGOMERY
Facility ID:
Region
CSL S CONROE LLC
TITLE19: 0
PRIVATE Beds: 90
SERVICE TYPE TYPE B
11/13/2017
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 27
75206
FAX:
UNIT 16
104283
(936) 760-2010
PHONE:
License Exp Dt:
HERITAGE OAKS ASSISTED LIVING AND MEMORY CARE COMMUNITY
903 LONGMIRE RD
TX
CONROE
77304
JANUS
285 HEREFORD DR
CONROE
06 - HOUSTON
,SUITE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Facility Information:
Region
Owner Information
Fax
Cert Alzh Capacity: 52
County
SERVICE TYPE TYPE B
07/02/2018
CONROE MC PARTNERS L P
TOTAL Lic Capacity: 52
Phone
77304
FAX:
UNIT 16
105730
(936) 441-4454
Facility Information:
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Phone
CONROE
(936) 441-5931
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
LIVIA ROTARI
TOTAL Lic Capacity: 6
County
Region
UNIT 16
103417
77385
FAX:
SERVICE TYPE TYPE A
05/03/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
106107
NEUROBEHAVIORAL RESOURCES LTD
TX
PO BOX 929
77304
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CONROE
(936) 788-7785
0
ICF/IID: 0
PHONE:
TX
(936) 788-7770
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77305
FAX:
(936) 788-7785
SERVICE TYPE TYPE B
01/07/2017
Page 230 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
ROYAL PALMS SENIOR LIVING
209 BYBEE DR.
CONROE
Phone
TX
209 BYBEE DR
77301
Fax
(936) 202-8638
TITLE 18/19:
SERENITY MANOR ROSEBUD HOUSE
11120 FM 1485
TX
CONROE
Phone
TX
TX
(936) 788-7785
SERVICE TYPE TYPE B
Region
UNIT 16
FORT WORTH
(936) 539-9858
ICF/IID: 0
TITLE19: 0
06 - HOUSTON
PHONE:
,STE 3300
TX
(817) 871-4000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
76102
FAX:
(817) 871-4001
SERVICE TYPE TYPE B
07/11/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
000533
TEIGO INC
TX
11185 DAMICO LN
77306
Fax
TOTAL Lic Capacity: 9
CONROE
(936) 231-4253
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
TITLE 18/19:
THE WELLINGTON AT CONROE
500 RIVER POINTE DR
CONROE
(936) 231-3127
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Sunday, October 09, 2016
FAX:
08/10/2018
301 COMMERCE STREET
TITLE 18/19:
(936) 231-3127
PRIVATE Beds: 35
License Exp Dt:
TITLE 18: 0
TEIGOROC # 1
11184 DAMICO LN
CONROE
Cert Alzh Capacity: 0
(936) 788-7770
77305
Owner Information
MONTGOMERY
TOTAL Lic Capacity: 35
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77304
Fax
PRIVATE Beds: 45
(936) 756-8643
06 - HOUSTON
STRAKE AID OPCO LLC
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
000698
(936) 539-5558
Facility Information:
SERVICE TYPE TYPE B
Region
CONROE
(936) 788-7785
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 45
County
(936) 231-3122
08/16/2017
UNIT 16
TITLE19: 0
TITLE 18/19:
STRAKE PLACE
1701 WESTVIEW BLVD
CONROE
Phone
FAX:
PO BOX 929
MONTGOMERY
Facility Information:
77306
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
County
(936) 231-3124
License Exp Dt:
77304
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000429
(936) 788-7770
Facility Information:
06 - HOUSTON
NEUROBEHAVIORAL RESOURCES LTD
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
SOMERSET
9297 WAHRENBERGER RD
CONROE
Region
CONROE
(936) 231-3122
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
11120 FM 1485
77306
MONTGOMERY
Facility Information:
(936) 202-8640
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
FAX:
ROSEBUD SENIOR SERVICES LLC
Fax
Cert Alzh Capacity: 0
77301
08/13/2018
UNIT 16
000993
(936) 231-3124
TOTAL Lic Capacity: 8
(936) 202-8638
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
CONROE
(936) 202-8640
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
ROYAL PALMS SENIOR LIVING LLC
TOTAL Lic Capacity: 7
County
Region
UNIT 16
105942
77306
FAX:
(936) 231-4253
SERVICE TYPE TYPE A
05/07/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
100324
CSL CE CONROE LLC
TX
14160 DALLAS PKWY
77304
Fax
(936) 756-8664
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 300
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
03/30/2018
Page 231 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
TOTAL Lic Capacity: 16
404 SOUTH LOOP 336 WEST
TITLE 18/19:
Phone
TX
TX
(281) 359-8812
TX
SERVICE TYPE TYPE B
Region
06 - HOUSTON
Owner Information
5307 E MOCKINGBIRD LANE
DALLAS
(832) 644-6090
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 370-2699
SERVICE TYPE TYPE B
04/01/2017
Region
UNIT 08
06 - HOUSTON
SUBTENANT 22955 EASTEX FREEWAY, LLC
4500 DORR STREET
77339
TOLEDO
(281) 312-1040
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
MONTGOMERY
ASSISTED LIVING OF SENDERA RANCH
5406 RANCH LAKE DR
TX
MAGNOLIA
FAX:
Owner Information
TITLE 18: 0
Facility ID:
75206
(214) 370-2600
License Exp Dt:
050702
Fax
PRIVATE Beds: 48
PHONE:
,SUITE 1010
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 48
Sunday, October 09, 2016
(414) 918-5054
09/01/2017
UNIT 08
77339
Fax
TOTAL Lic Capacity: 48
PRIVATE Beds: 8
FAX:
(414) 918-5000
License Exp Dt:
105248
(281) 312-2526
Cert Alzh Capacity: 0
PHONE:
53214
SBLP KINGWOOD LLC
SILVERADO SENIOR LIVING KINGWOOD
22955 EASTEX FRWY
TX
KINGWOOD
TOTAL Lic Capacity: 8
06 - HOUSTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
(936) 271-1033
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 119
Phone
MILWAUKEE
TITLE19: 0
(281) 312-4400
Facility Information:
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18/19:
Cert Alzh Capacity: 43
County
(936) 788-7785
07/03/2017
UNIT 08
77339
TITLE 18: 0
TOTAL Lic Capacity: 119
Phone
FAX:
Owner Information
MONTGOMERY
Facility Information:
77305
(936) 788-7770
License Exp Dt:
100259
Fax
PRIVATE Beds: 83
County
06 - HOUSTON
HBP LEASECO LLC
Cert Alzh Capacity: 40
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 83
ISLE AT KINGWOOD
24025 KINGWOOD PLACE DR
KINGWOOD
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 359-8800
Facility Information:
CONROE
(936) 788-7785
MONTGOMERY
County
Region
PO BOX 929
TITLE 18: 0
PRIVATE Beds: 16
Phone
SERVICE TYPE TYPE B
Owner Information
77304
Fax
Cert Alzh Capacity: 16
BROOKDALE KINGWOOD
919 ROCKMEAD DR
KINGWOOD
(936) 760-2454
05/17/2017
UNIT 16
101044
(936) 788-7770
Facility Information:
FAX:
NEUROBEHAVIORAL RESOURCES LTD
TOTAL Lic Capacity: 16
County
77304
(936) 760-2424
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
WINDSOR
9297 WAHRENBERGER
CONROE
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
Facility Information:
CONROE
(936) 760-2454
TITLE 18: 0
Cert Alzh Capacity: 16
County
VILLAGE GREEN LLC
Fax
(936) 760-2424
06 - HOUSTON
Owner Information
VILLAGE GREEN ALZHEIMERS CARE HOME
404 SOUTH LOOP 336 WEST
TX
CONROE
77304
Phone
Region
UNIT 16
105404
43615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
03/16/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
103637
ASSISTED LIVING OF MAGNOLIA INC
12079 WILLOW RIDGE CIRCLE
77354
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CONROE
(936) 441-8185
0
ICF/IID: 0
PHONE:
TX
(281) 804-6182
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77304
FAX:
(936) 441-8185
SERVICE TYPE TYPE B
09/16/2017
Page 232 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
LLEWELLYNS MAGNOLIA PLACE INC
8912 WEST LANE
TX
MAGNOLIA
Phone
County
STAGECOACH SENIOR LIVING
13715 STAGECOACH RD
MAGNOLIA
Phone
TX
TX
PRIVATE Beds: 16
Sunday, October 09, 2016
FAX:
SERVICE TYPE TYPE B
01/01/2018
Region
UNIT 16
06 - HOUSTON
14552 FM 2854
77316
MONTGOMERY
(936) 588-7472
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(936) 588-2678
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77316
FAX:
(936) 588-7472
SERVICE TYPE TYPE B
10/04/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
105320
LOAL HOLDINGS INC
TX
114 WATERFORD WAY
77356
MONTGOMERY
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(936) 597-4140
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Cert Alzh Capacity: 0
77355
Owner Information
TITLE 18: 0
PRIVATE Beds: 64
TOTAL Lic Capacity: 16
(281) 900-3801
License Exp Dt:
105000
Fax
Cert Alzh Capacity: 0
(936) 597-7377
06 - HOUSTON
GENESIS SENIOR CARE INC
TOTAL Lic Capacity: 64
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
(936) 597-4140
SILVER HILLS I
23164 LANDRUM VILLAGE DR
MONTGOMERY
ICF/IID: 0
0
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE B
Region
MAGNOLIA
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 16
County
(281) 259-2936
11/05/2017
UNIT 16
(832) 934-0172
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
FAX:
13715 STAGECOACH RD
Fax
TOTAL Lic Capacity: 16
LIVE OAK ASSISTED LIVING
115 LONE STAR BEND
MONTGOMERY
License Exp Dt:
77355
(936) 588-2432
Facility Information:
(281) 259-9657
77355
Owner Information
MONTGOMERY
County
06 - HOUSTON
DAVID FISCU
PRIVATE Beds: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
GENESIS SENIOR CARE INC
14552 FM 2854
MONTGOMERY
ICF/IID: 0
104045
(281) 259-8979
Facility Information:
Region
MAGNOLIA
(281) 259-2936
TITLE19: 0
TOTAL Lic Capacity: 16
County
SERVICE TYPE TYPE A
32802 WRIGHT DR
TITLE 18/19:
Facility ID:
(281) 356-3201
02/06/2018
UNIT 16
77355
MONTGOMERY
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
77354
MEMORY LANE ASSISTED LIVING LLC
Fax
Cert Alzh Capacity: 0
(281) 356-3201
License Exp Dt:
102768
(281) 259-9657
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MEMORY LANE ASSISTED LIVING LLC
32802 WRIGHT RD
TX
MAGNOLIA
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MONTGOMERY
Facility Information:
MAGNOLIA
(281) 356-3201
TITLE 18: 0
PRIVATE Beds: 16
County
8912 WEST LANE
77354
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
LLEWELLYNS MAGNOLIA PLACE INC.
(281) 356-3201
TOTAL Lic Capacity: 16
Region
UNIT 16
101825
77356
FAX:
SERVICE TYPE TYPE B
01/02/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
000886
SCAL MONTGOMERY LLC
TX
2501 E HEBRON PKWY
77316
Fax
(936) 597-7426
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CARROLLTON
0
ICF/IID: 0
PHONE:
,STE 100C
TX
(972) 338-9748
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75010
FAX:
(855) 557-2835
SERVICE TYPE TYPE B
04/09/2017
Page 233 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
SILVER HILLS II
23188 LANDRUM VILLAGE DR
MONTGOMERY
Phone
Facility ID:
TX
2501 E HEBRON PKWY
77316
Fax
(936) 597-7377
TITLE 18/19:
Phone
TX
TX
SERVICE TYPE TYPE A
Region
NEW CANEY
(281) 429-1838
ICF/IID: 0
PHONE:
TX
(281) 429-1838
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
06 - HOUSTON
77357
FAX:
(281) 429-1838
SERVICE TYPE TYPE A
01/01/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
104997
JABEZ OUTREACH CENTER INC
TX
2307 HUMMINGBIRD ST
77357
Fax
NEW CANEY
(281) 689-7839
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
TITLE 18/19:
(281) 689-7839
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Sunday, October 09, 2016
(281) 429-1838
17188 OAK GROVE LN
TITLE19: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 12
FAX:
04/06/2018
UNIT 08
77357
TITLE 18/19:
TOTAL Lic Capacity: 7
Cert Alzh Capacity: 0
77357
JIMMIE L SMITH
(281) 689-7839
TOTAL Lic Capacity: 12
06 - HOUSTON
Owner Information
MONTGOMERY
(281) 399-3718
(281) 429-1838
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000456
Fax
PRIVATE Beds: 16
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
TOTAL LOVING CARE INC
23370 JOHNSON RD
NEW CANEY
Region
NEW CANEY
(281) 399-7654
TITLE19: 0
(281) 429-1838
Facility Information:
SERVICE TYPE TYPE B
17188 OAK GROVE LN
TITLE 18/19:
TOTAL Lic Capacity: 16
County
(855) 557-2835
04/29/2017
UNIT 08
77357
TITLE 18: 0
J AND D PERSONAL CARE HOME
17188 OAK GROVE LN
TX
NEW CANEY
Phone
FAX:
Owner Information
MONTGOMERY
JABEZ HOME CARE
2307 HUMMINGBIRD ST
NEW CANEY
License Exp Dt:
000906
Fax
PRIVATE Beds: 8
Facility Information:
(972) 338-9748
75010
JIMMIE L SMITH
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 399-7654
Facility Information:
06 - HOUSTON
,STE 100C
CARROLLTON
(936) 597-7426
MONTGOMERY
County
SERVICE TYPE TYPE A
Region
2501 E HEBRON PKWY
TITLE 18: 0
PRIVATE Beds: 16
Phone
(855) 557-2835
Owner Information
77316
Fax
Cert Alzh Capacity: 0
J AND D HOME CARE 2 LLC
19874 N WHITE OAK DR
NEW CANEY
FAX:
04/09/2017
UNIT 16
103298
(936) 597-7377
Facility Information:
75010
SCAL MONTGOMERY LLC
TOTAL Lic Capacity: 16
County
(972) 338-9748
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
SILVER HILLS III
23188 LANDRUM VILLAGE DR
MONTGOMERY
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
,STE 100C
CARROLLTON
(936) 597-7426
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
SCAL MONTGOMERY LLC
TOTAL Lic Capacity: 14
County
Region
UNIT 16
100293
77357
FAX:
(281) 601-2071
SERVICE TYPE TYPE A
11/29/2016
Region
UNIT 08
06 - HOUSTON
Owner Information
102301
TOTAL LOVING CARE INC
TX
23370 JOHNSON RD
77357
NEW CANEY
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(281) 399-3718
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77357
FAX:
SERVICE TYPE TYPE B
03/13/2018
Page 234 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
TOTAL LOVING CARE INC II
23374 JOHNSON RD
NEW CANEY
Phone
Facility ID:
TX
23374 JOHNSON RD
77357
Fax
(281) 399-8377
TITLE 18/19:
TX
TX
Sunday, October 09, 2016
PHONE:
TX
(281) 312-1339
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
77365
FAX:
(281) 312-1994
SERVICE TYPE TYPE B
12/15/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
19930 PLANTATION ESTATES
77365
PORTER
(281) 577-0199
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(281) 354-1886
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
MONTGOMERY
PRIVATE Beds: 8
ICF/IID: 0
TITLE 18: 0
PLANTATION ASSISTED LIVING, LLC
19930 S PLANTATION ESTATES
TX
PORTER
06 - HOUSTON
PLANTATION ASSISTED LIVING LLC
Fax
Facility ID:
SERVICE TYPE TYPE B
Region
PORTER
(281) 312-2994
105421
(281) 354-5964
PRIVATE Beds: 12
(281) 601-6822
20432 LANA LN
77365
Reg Svcs:
Cert Alzh Capacity: 0
FAX:
01/03/2018
UNIT 08
TITLE19: 0
TOTAL Lic Capacity: 12
77365
Owner Information
MONTGOMERY
Cert Alzh Capacity: 8
06 - HOUSTON
LOVING COMFORT SENIOR CARE
TITLE 18/19:
PLANTATION ASSISTED LIVING B, LLC
19926 S.PLANTATION ESTATE
TX
PORTER
(281) 601-6811
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105336
Fax
PRIVATE Beds: 8
TOTAL Lic Capacity: 8
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
(281) 354-1886
SERVICE TYPE TYPE B
Region
PORTER
(281) 601-6822
TITLE19: 0
TOTAL Lic Capacity: 8
Phone
(281) 354-5673
23979 WILDWOOD RD
TITLE 18/19:
(281) 312-1339
Facility Information:
FAX:
09/09/2018
UNIT 08
77365
TITLE 18: 0
LOVING COMFORT SENIOR CARE
20432 LANA LANE
TX
PORTER
County
77365
Owner Information
MONTGOMERY
Phone
(936) 777-5967
License Exp Dt:
105440
Fax
PRIVATE Beds: 7
Facility Information:
06 - HOUSTON
COMPASSIA LLC
Cert Alzh Capacity: 0
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 7
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 601-6811
Facility Information:
PORTER
(281) 354-5673
MONTGOMERY
County
Region
24181 KELLY RD
TITLE 18: 0
PRIVATE Beds: 16
Phone
SERVICE TYPE TYPE B
Owner Information
77365
Fax
Cert Alzh Capacity: 0
COMPASSIA, LLC
23979 WILDWOOD RD
PORTER
FAX:
10/16/2017
UNIT 08
010337
(281) 354-5254
Facility Information:
77357
DIVINE LIGHT II LLC
TOTAL Lic Capacity: 16
County
(281) 399-8377
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 9
CARING HANDS
24181 KELLY RD
PORTER
NEW CANEY
(281) 399-8377
TITLE 18: 0
Cert Alzh Capacity: 9
Facility Information:
06 - HOUSTON
Owner Information
TOTAL LOVING CARE II INC
TOTAL Lic Capacity: 9
County
Region
UNIT 08
103825
77365
FAX:
(281) 577-0199
SERVICE TYPE TYPE B
05/30/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
103990
PLANTATION ASSISTED LIVING LLC
19930 PLANTATION ESTATES
77365
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PORTER
(281) 577-0199
0
ICF/IID: 0
PHONE:
TX
(281) 354-1886
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77365
FAX:
(281) 577-0199
SERVICE TYPE TYPE B
12/16/2017
Page 235 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
GRACE ELDERLY CARE HOME LLC
25615 SPRING RIDGE DR
TX
SPRING
Phone
GRACE MEMORY CARE II
25610 OAKHURST DR
SPRING
Phone
TX
TX
TX
Sunday, October 09, 2016
77381
FAX:
(936) 321-7516
SERVICE TYPE TYPE B
04/01/2018
Region
UNIT 08
06 - HOUSTON
Owner Information
105291
25705 OAKHURST DR
77386
SPRING
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 825-9223
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77386
FAX:
(281) 351-1026
SERVICE TYPE TYPE B
07/30/2017
Region
UNIT 08
06 - HOUSTON
Owner Information
102983
UCGA, LLC
TX
29730 SPRING TERRACE
77386
Fax
SPRING
(936) 448-2185
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 924-7173
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
PRIVATE Beds: 7
(713) 410-4868
License Exp Dt:
Fax
PRIVATE Beds: 6
Cert Alzh Capacity: 0
06 - HOUSTON
WMF HOLDINGS LLC
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(281) 924-7173
(713) 419-2609
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 6
Phone
SERVICE TYPE TYPE B
Region
WOODLANDS
(832) 442-4807
MONTGOMERY
UNLIMITED CARE -- BUDDE #2
25707 BUDDE RD
SPRING
(281) 419-3165
39 PETALCUP PL
TITLE 18/19:
PRIVATE Beds: 16
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
County
77386
01/22/2018
UNIT 16
77380
Fax
TOTAL Lic Capacity: 16
Phone
(832) 677-2901
License Exp Dt:
103452
(832) 585-0624
UCGA, LLC
29730 SPRING TERRACE
SPRING
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Facility Information:
06 - HOUSTON
A.T.B.R.O., LLC
PRIVATE Beds: 9
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
SPRING
(281) 419-3165
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 9
THE PINES AT OAKHURST
25206 OAKHURST DR
SPRING
SERVICE TYPE TYPE B
423 PINEWOOD RIDGE DR
TITLE 18: 0
(713) 410-4868
Facility Information:
(281) 419-8707
Owner Information
MONTGOMERY
County
FAX:
03/20/2018
UNIT 08
77386
Fax
PRIVATE Beds: 10
Phone
77386
GRACE MEMORY CARE INC
Cert Alzh Capacity: 0
HELENS CARE COTTAGES
710 SHADOW BROOK DR
SPRING
(281) 419-8707
License Exp Dt:
104078
(832) 677-2901
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 10
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MONTGOMERY
Facility Information:
SPRING
(281) 419-8707
TITLE 18: 0
PRIVATE Beds: 12
County
25615 SPRING RIDGE DR
77386
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
GRACE ELDERLY CARE HOME LLC
(281) 419-8707
TOTAL Lic Capacity: 12
Region
UNIT 08
105684
77386
FAX:
(936) 588-1512
SERVICE TYPE TYPE B
06/09/2018
Region
UNIT 16
06 - HOUSTON
Owner Information
101708
GEL PARTNERSHIP INC
TX
31 WINDFERN PL
77380
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SPRING
(936) 321-2795
0
ICF/IID: 0
PHONE:
TX
(713) 858-6821
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77382
FAX:
(936) 321-2795
SERVICE TYPE TYPE B
01/27/2017
Page 236 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
UNLIMITED CARE -- BUDDE #3
25711 BUDDE RD
SPRING
Phone
Facility ID:
TX
31 WINDFERN PL
77381
Fax
(713) 419-2609
TITLE 18/19:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
TX
ICF/IID: 0
Sunday, October 09, 2016
FAX:
(936) 321-2795
SERVICE TYPE TYPE B
04/01/2018
Region
UNIT 16
06 - HOUSTON
31 WINDFERN PL
SPRING
(936) 321-2795
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(713) 858-6821
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AUTUMN GROVE - WOODLANDS
5000 W ALDEN BRIDGE DR
TX
THE WOODLANDS
77382
GEL PARTNERSHIP INC
MONTGOMERY
PRIVATE Beds: 16
06 - HOUSTON
Owner Information
TITLE 18: 0
Facility ID:
(713) 858-6821
License Exp Dt:
103673
Fax
PRIVATE Beds: 7
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 16
SERVICE TYPE TYPE B
Region
SPRING
(936) 321-2795
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 7
TOTAL Lic Capacity: 16
(936) 321-2795
31 WINDFERN PL
TITLE 18: 0
(713) 419-2609
(281) 362-0900
FAX:
03/17/2018
UNIT 16
UNLIMITED CARE...ASSISTED LIVING COTTAGES
25715 BUDDE RD
TX
SPRING
77380
Phone
77382
Owner Information
MONTGOMERY
Facility Information:
(713) 858-6821
License Exp Dt:
77380
Fax
PRIVATE Beds: 7
County
06 - HOUSTON
GEL PARTNERSHIP INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101315
(713) 419-2609
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 7
County
SERVICE TYPE TYPE B
Region
SPRING
(936) 321-2795
MONTGOMERY
Facility ID:
(936) 321-2795
31 WINDFERN PL
TITLE19: 0
PRIVATE Beds: 7
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 7
77382
GEL PARTNERSHIP INC
Fax
TOTAL Lic Capacity: 7
Phone
06 - HOUSTON
05/17/2016
UNIT 16
103909
(713) 419-2609
(713) 858-6821
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
UNLIMITED CARE ASSISTED LIVING COTTAGES
2027 CHERRY LAUREL DR
TX
SPRING
77386
UNLIMITED CARE BUDDE
25703 BUDDE RD
SPRING
Region
SPRING
(936) 321-2795
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE B
31 WINDFERN PL
TITLE 18: 0
PRIVATE Beds: 7
County
(936) 321-2795
Owner Information
77386
Fax
Cert Alzh Capacity: 0
Phone
FAX:
01/27/2017
UNIT 08
104487
(281) 298-1649
Facility Information:
77382
GEL PARTNERSHIP INC
TOTAL Lic Capacity: 7
County
(713) 858-6821
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
UNLIMITED CARE - OAKRIDGE
26222 HANNA RD
SPRING
SPRING
(936) 321-2795
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
GEL PARTNERSHIP INC
TOTAL Lic Capacity: 7
County
Region
UNIT 16
102006
77382
FAX:
(936) 321-2795
SERVICE TYPE TYPE B
09/09/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
103125
GLEN HOPE HARBOR INC
101 FIREBIRD COVE
77382
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LAKEWAY
(281) 698-1222
0
ICF/IID: 0
PHONE:
TX
(469) 371-0445
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78734
FAX:
(512) 761-3548
SERVICE TYPE TYPE B
02/26/2017
Page 237 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
AUTUMN LEAVES OF THE WOODLANDS
10700 MONTFAIR BOULEVARD
TX
THE WOODLANDS
Phone
County
2219 SAWDUST RD
77384
Phone
TX
ICF/IID: 0
THE WOODLANDS
(281) 419-9721
ICF/IID: 0
TOTAL Lic Capacity: 54
Cert Alzh Capacity: 20
PRIVATE Beds: 54
Sunday, October 09, 2016
SERVICE TYPE TYPE B
05/01/2018
Region
06 - HOUSTON
Owner Information
4500 DORR STREET
TOLEDO
(281) 681-8001
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
OH
(419) 247-2800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
MONTGOMERY
(281) 292-2600
(281) 419-9721
SUBTENANT 7950 BAYBRANCH DRIVE LLC
Fax
THE FORUM AT THE WOODLANDS
5055 W PANTHER CREEK DR
TX
THE WOODLANDS
FAX:
UNIT 16
SILVERADO SENIOR LIVING THE WOODLANDS
7950 BAYBRANCH DR
TX
THE WOODLANDS
77382
Facility ID:
06 - HOUSTON
77380
(832) 291-6089
License Exp Dt:
030375
(281) 681-8000
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 48
Region
25914 OAKRIDGE DR
MONTGOMERY
Cert Alzh Capacity: 48
SERVICE TYPE TYPE B
Owner Information
TITLE19: 0
TOTAL Lic Capacity: 48
(414) 918-5054
09/01/2017
UNIT 16
77380
TITLE 18/19:
Facility ID:
FAX:
(414) 918-5000
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 8
PHONE:
53214
GRACE RESIDENTIAL CARE HOME INC
Fax
Cert Alzh Capacity: 0
Phone
06 - HOUSTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
103213
(832) 291-6089
Facility Information:
Region
MILWAUKEE
(281) 681-9489
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
County
SERVICE TYPE TYPE B
UNIT 16
TITLE19: 0
TITLE 18/19:
GRACE RESIDENTIAL CARE HOME INC
25914 OAKRIDGE DR
TX
THE WOODLANDS
Phone
(281) 306-2382
07/29/2018
6737 W WASHINGTON ST
MONTGOMERY
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 120
County
License Exp Dt:
77380
Fax
Cert Alzh Capacity: 39
Phone
77380
(281) 907-9553
PROGRAM TYPE: ASSISTED LIVING
0
050724
(281) 681-9900
Facility Information:
PHONE:
TX
HBP LEASECO LLC
TOTAL Lic Capacity: 120
County
ICF/IID: 0
Reg Svcs:
BROOKDALE THE WOODLANDS
1730 WOODSTEAD CT
THE WOODLANDS
06 - HOUSTON
,STE 1903
THE WOODLANDS
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
IP AVANTI VISION PARK OPCO LLC
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE B
12/31/2017
Owner Information
TITLE 18: 0
PRIVATE Beds: 58
FAX:
UNIT 16
Fax
Cert Alzh Capacity: 40
75062
(241) 845-4500
License Exp Dt:
106594
(281) 882-3855
TOTAL Lic Capacity: 58
PHONE:
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
AVANTI SENIOR LIVING AT VISION PARK
120 VISION PARK DRIVE
TX
THE WOODLANDS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
MONTGOMERY
Facility Information:
IRVING
(832) 764-5327
TITLE 18: 0
PRIVATE Beds: 44
County
545 E JOHN CARPENTER FREEWAY
77382
Fax
Cert Alzh Capacity: 44
06 - HOUSTON
Owner Information
THE WOODLANDS ARC TENANT LLC
(832) 764-5324
TOTAL Lic Capacity: 44
Region
UNIT 16
104378
43615
FAX:
(419) 247-2826
SERVICE TYPE TYPE B
04/11/2017
Region
UNIT 16
06 - HOUSTON
Owner Information
030266
FIVE STAR WOODLANDS LLC
5055 W PANTHER CREEK DR
77381
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
THE WOODLANDS
(281) 292-1836
0
ICF/IID: 0
PHONE:
TX
(617) 796-8387
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77381
FAX:
(617) 219-1435
SERVICE TYPE TYPE B
02/01/2018
Page 238 of 311
County
Reg Svcs:
MONTGOMERY
Facility Information:
Facility ID:
THE FORUM AT THE WOODLANDS
5055 W PANTHER CREEK DR
TX
THE WOODLANDS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 119
County
TITLE 18/19:
OLIMPIA'S SENIOR CARE, LLC
13571 NEEDHAM PLACE
WILLIS
Phone
TX
TX
ICF/IID: 0
License Exp Dt:
ICF/IID: 0
77318
FAX:
(936) 890-7348
SERVICE TYPE TYPE B
12/14/2017
Region
TYLER NW TEAM
04 - TYLER
TEXAS ENTERPRISES LLC
102 FLOYD ST
75568
NAPLES
(903) 897-0311
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
75568
FAX:
(908) 897-0311
SERVICE TYPE TYPE A
08/12/2018
Region
NACOGDOCHES GERIATRIC
05 - BEAUMONT
Owner Information
MAGNOLIA COURT ASSISTED LIVING AND MEMORY CARE COMMUNITY
5902 N STREET
TX
NACOGDOCHES
75965
CSL S NACOGDOCHES, LLC
14160 DALLAS PARKWAY
DALLAS
(936) 569-6231
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
(908) 897-9600
License Exp Dt:
102964
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
NACOGDOCHES
Sunday, October 09, 2016
06 - HOUSTON
Owner Information
TITLE 18: 0
Facility ID:
(936) 689-2546
License Exp Dt:
103419
Fax
PRIVATE Beds: 62
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
PRIVATE Beds: 70
SERVICE TYPE TYPE B
Region
WILLIS
(936) 890-7348
TITLE19: 0
TOTAL Lic Capacity: 62
Cert Alzh Capacity: 16
(866) 345-2396
12646 ARIES LOOP
TITLE 18/19:
(903) 897-9600
TOTAL Lic Capacity: 70
FAX:
09/17/2018
UNIT 16
77318
TITLE 18: 0
BLUEBONNET ELITE ASSISTED LIVING
102 FLOYD ST
TX
NAPLES
(936) 569-6227
(936) 344-6126
77318
Owner Information
MORRIS
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102843
Fax
PRIVATE Beds: 16
Facility Information:
06 - HOUSTON
DIVAYA LLC
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE B
Region
WILLIS
(866) 345-2396
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
(312) 673-4487
02/19/2017
UNIT 16
TITLE19: 0
TITLE 18/19:
(936) 228-0941
Facility Information:
FAX:
13571 NEEDHAM PLACE
MONTGOMERY
County
60601
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
Phone
License Exp Dt:
77318
Fax
Cert Alzh Capacity: 0
VIRGINIA'S LAKEVIEW HOME
14450 LONGSTREET RD
WILLIS
(312) 673-4333
PROGRAM TYPE: ASSISTED LIVING
0
106007
(936) 344-6126
Facility Information:
PHONE:
IL
OLIMPIA'S SENIOR CARE LLC
TOTAL Lic Capacity: 11
County
ICF/IID: 0
Reg Svcs:
Facility ID:
06 - HOUSTON
,STE 2400
CHICAGO
(281) 292-4622
MONTGOMERY
Facility Information:
SERVICE TYPE TYPE A
Region
303 E WACKER DR
TITLE19: 0
PRIVATE Beds: 119
(617) 219-1435
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 34
FAX:
SLH WOODLANDS MANAGER, LLC
Fax
(281) 292-4600
77381
02/01/2018
UNIT 16
104849
THE VILLAGE AT THE WOODLANDS WATERWAY
2323 LAKE ROBBINS DR
TX
THE WOODLANDS
77380
Phone
(617) 796-8387
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MONTGOMERY
Facility Information:
THE WOODLANDS
(281) 292-1836
TITLE 18: 0
PRIVATE Beds: 126
County
5055 W PANTHER CREEK DR
77381
Fax
Cert Alzh Capacity: 0
06 - HOUSTON
Owner Information
FIVE STAR WOODLANDS LLC
(281) 292-2600
TOTAL Lic Capacity: 126
Region
UNIT 16
000722
0
ICF/IID: 0
PHONE:
,SUITE 300
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
09/10/2018
Page 239 of 311
County
Reg Svcs:
NACOGDOCHES
Facility Information:
MEADOWVIEW PLACE
901 OAKVIEW DR
NACOGDOCHES
Phone
Facility ID:
TX
330 N WABASH AVE
75961
Fax
(936) 559-9055
TITLE 18/19:
Phone
TX
TX
MILWAUKEE
(903) 872-0168
ICF/IID: 0
TITLE19: 0
AUSTIN
(903) 872-5949
ICF/IID: 0
TOTAL Lic Capacity: 36
Cert Alzh Capacity: 0
PRIVATE Beds: 36
Sunday, October 09, 2016
FAX:
(877) 639-9530
SERVICE TYPE TYPE B
01/01/2017
Region
05 - BEAUMONT
Owner Information
ROSEWOOD ASSISTED-LIVING CENTER INC
1010 HWY 87 S
Fax
NEWTON
(409) 379-2048
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(409) 379-2047
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
NOLAN
(325) 235-5655
78703
(512) 634-4941
BEAUMONT GERIATRIC
103224
(409) 379-2047
PHONE:
License Exp Dt:
ROSEWOOD ASSISTED-LIVING CENTER INC
1010 HIGHWAY 87 SOUTH
TX
NEWTON
75966
Facility ID:
03 - ARLINGTON
,STE 800
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 25
SERVICE TYPE TYPE B
Region
1703 W FIFTH ST
75110
NEWTON
Cert Alzh Capacity: 0
(414) 918-6076
12/05/2016
TEAM 5
TITLE19: 0
TOTAL Lic Capacity: 25
FAX:
(414) 918-5441
PM MANAGEMENT - CORSICANA NC II, LLC
TITLE 18/19:
Facility ID:
53214
Owner Information
TITLE 18: 0
PRIVATE Beds: 92
PHONE:
License Exp Dt:
000478
Fax
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 92
HOYT PLACE
1700 HOYT AVE
SWEETWATER
Region
6737 W WASHINGTON ST
TITLE 18/19:
(903) 872-5130
Facility Information:
SERVICE TYPE TYPE B
05/08/2017
TEAM 5
75110
TITLE 18: 0
HERITAGE OAKS RETIREMENT VILLAGE
3002 W 2ND AVE
TX
CORSICANA
County
(214) 736-7020
Owner Information
NAVARRO
Phone
FAX:
(214) 736-7007
License Exp Dt:
000666
Fax
PRIVATE Beds: 50
Facility Information:
PHONE:
75225
BROOKDALE SENIOR LIVING COMMUNITIES INC
Cert Alzh Capacity: 0
County
05 - BEAUMONT
,STE. 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 50
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 872-8400
Facility Information:
DALLAS
(936) 560-1682
NAVARRO
County
Region
8214 WESTCHESTER DRIVE
TITLE 18: 0
PRIVATE Beds: 62
Phone
SERVICE TYPE TYPE B
Owner Information
75964
Fax
Cert Alzh Capacity: 0
BROOKDALE CORSICANA
3329 W 7TH AVE
CORSICANA
(312) 332-5300
07/11/2017
NACOGDOCHES GERIATRIC
000668
(936) 560-1272
Facility Information:
FAX:
PSL ARBOR OPERATIONS, LLC
TOTAL Lic Capacity: 62
County
60611
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
IL
PROGRAM TYPE: ASSISTED LIVING
0
NACOGDOCHES
THE ARBOR ASSISTED LIVING
3002 WESTWARD DR
NACOGDOCHES
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 36
,STE 3700
CHICAGO
(936) 564-6794
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
05 - BEAUMONT
Owner Information
AUSTIN AID OPCO LLC
TOTAL Lic Capacity: 36
County
Region
NACOGDOCHES GERIATRIC
000491
75966
FAX:
(409) 379-2048
SERVICE TYPE TYPE B
10/16/2016
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
000501
HOYT AID OPCO LLC
TX
330 N. WABASH
79556
Fax
(325) 235-5391
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,STE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 240 of 311
County
Reg Svcs:
NUECES
Facility Information:
Facility ID:
BROOKDALE CORPUS CHRISTI
6410 MEADOWVISTA BLVD
CORPUS CHRISTI
Phone
TX
111 WESTWOOD PL
78414
Fax
(361) 985-0555
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 60
TITLE 18/19:
Fax
(361) 980-8200
TOTAL Lic Capacity: 67
County
TITLE 18/19:
HOLMGREEN CENTER
317 N CARANCAHUA ST
CORPUS CHRISTI
Phone
TX
Sunday, October 09, 2016
Region
CORPUS CHRISTI
(361) 334-5598
ICF/IID: 0
11 - CORPUS CHRISTI
PHONE:
TX
(361) 815-8384
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78411
FAX:
(361) 334-5598
SERVICE TYPE TYPE B
08/01/2017
Region
CORPUS CHRISTI 11
11 - CORPUS CHRISTI
Owner Information
104912
TX
12720 HILLCREST RD
78414
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(469) 916-8958
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 106
TX
PROGRAM TYPE: ASSISTED LIVING
0
NUECES
PRIVATE Beds: 60
SERVICE TYPE TYPE B
SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI INC
PRIVATE Beds: 66
Cert Alzh Capacity: 0
(866) 885-0538
4301 KEYWEST
Reg Svcs:
Cert Alzh Capacity: 18
TOTAL Lic Capacity: 60
FAX:
Owner Information
TITLE19: 0
(361) 994-0906
(361) 855-6243
37027
07/25/2017
CORPUS CHRISTI 11
78411
TITLE 18/19:
TOTAL Lic Capacity: 66
Phone
(615) 221-2250
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
,#400
TN
PROGRAM TYPE: ASSISTED LIVING
0
NUECES
MOUNT CARMEL HOME
4130 S ALAMEDA ST
CORPUS CHRISTI
11 - CORPUS CHRISTI
JOEL A GARCIA
Fax
PRIVATE Beds: 11
Facility Information:
ICF/IID: 0
102612
(361) 334-7460
Cert Alzh Capacity: 0
County
Region
BRENTWOOD
(361) 884-3320
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 11
Phone
SERVICE TYPE TYPE A
CORPUS CHRISTI 11
TITLE19: 0
TITLE 18/19:
JMJ SENIOR CITIZEN GROUP HOME
4301 KEY WEST
TX
CORPUS CHRISTI
MIRADOR
5857 TIMBERGATE DR
CORPUS CHRISTI
(770) 754-3085
04/01/2016
111 WESTWOOD PLACE
NUECES
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 90
County
License Exp Dt:
78401
Fax
Cert Alzh Capacity: 22
Phone
30326
(770) 754-9660
PROGRAM TYPE: ASSISTED LIVING
0
000682
(361) 887-2000
Facility Information:
PHONE:
GA
TRINITY TOWERS LIMITED PARTNERSHIP
TOTAL Lic Capacity: 90
County
11 - CORPUS CHRISTI
,STE 510
ATLANTA
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
3500 LENOX RD NE
(361) 980-8288
NUECES
Facility Information:
SERVICE TYPE TYPE B
04/09/2018
LSREF GOLDEN OPS 26 (TX) II LLC
TITLE19: 0
PRIVATE Beds: 67
(414) 918-6076
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
CORPUS CHRISTI 11
030038
GARDEN ESTATES OF CORPUS CHRISTI ASSISTED LIVING COMMUNITY
2709 CIMARRON BLVD
TX
CORPUS CHRISTI
78414
Phone
37027
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
NUECES
,STE 400
BRENTWOOD
(361) 985-6128
TITLE 18: 0
Cert Alzh Capacity: 20
Facility Information:
11 - CORPUS CHRISTI
Owner Information
ARC HOMEWOOD CORPUS CHRISTI LLC
TOTAL Lic Capacity: 60
County
Region
CORPUS CHRISTI 11
000330
75230
FAX:
(215) 623-6115
SERVICE TYPE TYPE B
12/29/2017
Region
CORPUS CHRISTI 11
11 - CORPUS CHRISTI
Owner Information
000607
THE CARMELITE SISTERS D C J
TX
4130 S ALAMEDA ST
78411
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CORPUS CHRISTI
(361) 854-8513
0
ICF/IID: 0
PHONE:
TX
(361) 855-6243
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78411
FAX:
(361) 854-8513
SERVICE TYPE TYPE A
01/01/2018
Page 241 of 311
County
Reg Svcs:
NUECES
Facility Information:
Facility ID:
SENIOR CARE OF CORPUS CHRISTI
202 FORTUNE DR
TX
CORPUS CHRISTI
Phone
THE WATERFORD AT CORPUS CHRISTI
5813 ESPLANADE DR
TX
CORPUS CHRISTI
Phone
County
(361) 980-8989
ICF/IID: 0
Reg Svcs:
County
TITLE 18/19:
CORPUS CHRISTI
VILLA OF CORPUS CHRISTI SOUTH
4834 YORKTOWN BLVD
TX
CORPUS CHRISTI
Phone
CORPUS CHRISTI
(361) 991-2368
ICF/IID: 0
TITLE19: 0
Fax
County
TITLE 18/19:
THE SEASONS
401 SW 24TH AVE
PERRYTON
Phone
(806) 648-1884
TOTAL Lic Capacity: 54
Cert Alzh Capacity: 0
PRIVATE Beds: 54
Sunday, October 09, 2016
Region
5353 WYOMING BLVD
ALBUQUERQUE
ICF/IID: 0
11 - CORPUS CHRISTI
PHONE:
,STE A
NM
87109
FAX:
(505) 797-8735
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
VILLA QUILT OF CORPUS NORTHWEST LIMITED PARTNERSHIP
(361) 242-9764
OCHILTREE
Facility Information:
(505) 797-9003
12/01/2017
CORPUS CHRISTI 11
TITLE19: 0
PRIVATE Beds: 80
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
11 - CORPUS CHRISTI
87413
(505) 797-8735
License Exp Dt:
000927
(361) 242-9446
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 80
Region
4834 YORKTOWN BLVD
VILLA RESIDENTIAL CARE OF CORPUS CHRISTI NORTHWEST
2822 ROBBY
TX
CORPUS CHRISTI
78410
Phone
SERVICE TYPE TYPE B
07/06/2018
CORPUS CHRISTI 11
78413
TITLE 18/19:
Facility ID:
FAX:
Owner Information
NUECES
Facility Information:
PHONE:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 96
78412
VILLA QUILT OF CORPUS SOUTH LIMITED PARTNERSHIP
Fax
Cert Alzh Capacity: 40
11 - CORPUS CHRISTI
TX
PROGRAM TYPE: ASSISTED LIVING
0
000317
(361) 991-3252
TOTAL Lic Capacity: 96
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
7245 MCARDLE
NUECES
Facility Information:
SERVICE TYPE TYPE A
10/17/2018
THRIVE IN OSO BAY, LLC
TITLE19: 0
PRIVATE Beds: 64
(972) 387-8216
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 64
FAX:
CORPUS CHRISTI 11
Fax
TOTAL Lic Capacity: 64
75254
(972) 308-8366
License Exp Dt:
106554
(361) 288-4695
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
THRIVE MEMORY CARE AT CORPUS CHRISTI
7245 MCARDLE ROAD
TX
CORPUS CHRISTI
78412
Phone
11 - CORPUS CHRISTI
,STE 300
DALLAS
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
14160 DALLAS PKWY
78414
NUECES
Facility Information:
SERVICE TYPE TYPE B
01/01/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 56
(214) 252-7599
CSL CE CORPUS LLC
Fax
Cert Alzh Capacity: 0
FAX:
CORPUS CHRISTI 11
000815
(361) 991-9600
TOTAL Lic Capacity: 56
75201
(214) 252-7600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
NUECES
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,STE 1100
DALLAS
(361) 289-7516
TITLE 18: 0
PRIVATE Beds: 66
County
600 N PEARL ST
78405
Fax
Cert Alzh Capacity: 0
11 - CORPUS CHRISTI
Owner Information
CORPUS CHRISTI SCC LLC
(361) 289-0889
TOTAL Lic Capacity: 66
Region
CORPUS CHRISTI 11
000662
(505) 797-9003
SERVICE TYPE TYPE B
01/01/2018
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
100949
OCHILTREE COUNTY HOSPITAL DISTRICT
TX
3101 GARRETT DR
79070
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PERRYTON
(806) 648-1878
0
ICF/IID: 0
PHONE:
TX
(806) 435-3606
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79070
FAX:
(806) 648-2813
SERVICE TYPE TYPE B
07/29/2018
Page 242 of 311
County
Reg Svcs:
ORANGE
Facility Information:
ANSWERED PRAYER
602 AZALEA AVE
ORANGE
Phone
Facility ID:
TX
602 AZALEA AVE
77630
Fax
(409) 670-9841
TITLE 18/19:
GOLDEN YEARS ASSISTED LIVING
16532 S HWY 62 S
TX
ORANGE
SABINE PLACE
5301 MEEKS DR
ORANGE
Phone
TX
TX
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
,STE 3700
PHONE:
IL
60611
FAX:
(312) 728-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
105535
SERENITY ESTATES LLC
TX
401 NW 4TH STREET
76067
Fax
MINERAL WELLS
(940) 325-3093
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
76067
FAX:
(940) 325-3744
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
CARRIES ASSISTED LIVING CENTER
2625 CR 302
TX
CARTHAGE
Sunday, October 09, 2016
Region
CHICAGO
(940) 328-0699
PANOLA
PRIVATE Beds: 12
SERVICE TYPE TYPE B
07/11/2017
330 N WABASH
TITLE 18/19:
PRIVATE Beds: 26
Cert Alzh Capacity: 0
(312) 332-5300
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 12
FAX:
TEAM 2
76067
(940) 325-3744
(903) 694-9290
60611
(312) 725-7000
License Exp Dt:
000672
Fax
TOTAL Lic Capacity: 26
Phone
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
PALO PINTO
Facility Information:
ICF/IID: 0
IL
LAKEWELL AID OPCO LLC
PRIVATE Beds: 36
County
05 - BEAUMONT
,STE. 3700
CHICAGO
(409) 883-8302
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
BEAUMONT GERIATRIC
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 36
SERENITY ESTATES, LLC
401 NW 4TH STREET
MINERAL WELLS
SERVICE TYPE TYPE B
06/10/2018
330 N. WABASH AVE.
TITLE 18: 0
(940) 325-7979
Facility Information:
(409) 962-9622
Owner Information
PALO PINTO
County
FAX:
(409) 656-5110
License Exp Dt:
77630
Fax
PRIVATE Beds: 42
Phone
77619
SABINE AID OPCO LLC
Cert Alzh Capacity: 0
LAKEWELL PLACE
3005 NORTHEAST 2ND ST
MINERAL WELLS
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000468
(936) 559-9055
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 42
County
GROVES
(409) 745-9956
TITLE19: 0
TITLE 18/19:
Facility ID:
05 - BEAUMONT
6230 WARREN ST
77630
ORANGE
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE B
05/13/2017
NDBL LLC
Fax
Cert Alzh Capacity: 0
FAX:
BEAUMONT GERIATRIC
101381
(409) 745-9096
TOTAL Lic Capacity: 16
77630
(409) 313-1044
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
ORANGE
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Phone
ORANGE
(409) 670-9841
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
05 - BEAUMONT
Owner Information
JKW HALOS AND HORNS INC
TOTAL Lic Capacity: 8
County
Region
BEAUMONT GERIATRIC
100548
(940) 325-3093
SERVICE TYPE TYPE A
09/05/2017
Region
NACOGDOCHES GERIATRIC
04 - TYLER
Owner Information
102017
GRACELAND PERSONAL CARE HOMES INC
PO BOX 329
75633
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CARTHAGE
(903) 694-9191
0
ICF/IID: 0
PHONE:
TX
(903) 693-9617
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75633
FAX:
(903) 694-9191
SERVICE TYPE TYPE A
03/01/2018
Page 243 of 311
County
Reg Svcs:
PANOLA
Facility Information:
MARIAN PLACE INC
1690 NE LOOP
CARTHAGE
Phone
Facility ID:
TX
1690 NE LOOP
75633
Fax
(903) 690-0556
TITLE 18/19:
TX
County
NORMAN
Phone
(817) 596-4159
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 0
PRIVATE Beds: 16
Sunday, October 09, 2016
PHONE:
(405) 292-1040
License Exp Dt:
Reg Svcs:
73069
FAX:
(405) 360-3301
SERVICE TYPE TYPE B
11/18/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
WEATHERFORD TX ARBOR HOUSE, LP
2401 TEE CIRCLE
76086
Fax
NORMAN
(817) 613-9230
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 103
OK
(405) 292-1040
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
03 - ARLINGTON
,STE 103
OK
PROGRAM TYPE: ASSISTED LIVING
0
PARKER
AUTUMN HILL MANOR
202 W RENTZ ST
WEATHERFORD
ICF/IID: 0
030057
(817) 599-5075
Facility Information:
(903) 622-4806
SERVICE TYPE TYPE A
Region
2401 TEE CIRCLE
76086
PARKER
PRIVATE Beds: 7
FAX:
07/19/2018
TEAM 2
TITLE19: 0
Cert Alzh Capacity: 0
75639
WEATHERFORD TX ARBOR HOUSE, LP
TITLE 18/19:
TOTAL Lic Capacity: 7
04 - TYLER
Owner Information
TITLE 18: 0
ARBOR HOUSE OF WEATHERFORD
1101 JAMESON ST
TX
WEATHERFORD
(903) 622-4596
License Exp Dt:
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102371
(817) 599-5075
PRIVATE Beds: 16
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Region
DE BERRY
(903) 622-4806
PARKER
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
5154 US HWY 79 N
TITLE19: 0
ARBOR HOUSE OF WEATHERFORD
1101 JAMESON STREET
TX
WEATHERFORD
(312) 332-5300
07/11/2017
TYLER SE TEAM
75639
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 12
(312) 725-7000
60611
ELZENA FITE
Fax
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
030363
(903) 622-4596
Facility Information:
04 - TYLER
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
HAPPY ACRES PERSONAL CARE
5154 US HWY 79 N
TX
DE BERRY
Phone
CHICAGO
(903) 694-2644
PANOLA
Facility Information:
SERVICE TYPE TYPE B
Region
330 N WABASH
TITLE 18: 0
PRIVATE Beds: 36
County
(903) 690-0526
Owner Information
75633
Fax
Cert Alzh Capacity: 0
Phone
FAX:
12/01/2016
NACOGDOCHES GERIATRIC
000979
(903) 694-2525
Facility Information:
75633
WINKLER AID OPCO LLC
TOTAL Lic Capacity: 36
County
(903) 690-0556
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
PANOLA
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 14
WINKLER PLACE
513 NORTH ADAMS
CARTHAGE
CARTHAGE
(903) 690-0526
TITLE 18: 0
Cert Alzh Capacity: 14
Facility Information:
04 - TYLER
Owner Information
MARIAN PLACE INC
TOTAL Lic Capacity: 14
County
Region
NACOGDOCHES GERIATRIC
101654
73069
FAX:
(405) 360-3301
SERVICE TYPE TYPE A
02/27/2016
Region
TEAM 3
03 - ARLINGTON
Owner Information
000611
AUTUMN H MANOR INC
TX
1240 STANHOPE CT
76086
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SOUTHLAKE
(817) 598-1696
0
ICF/IID: 0
PHONE:
TX
(817) 329-2739
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76092
FAX:
(817) 598-1696
SERVICE TYPE TYPE B
01/20/2018
Page 244 of 311
County
Reg Svcs:
PARKER
Facility Information:
AUTUMN HILL MANOR
228 W RENTZ ST
WEATHERFORD
Phone
Facility ID:
TX
1240 STANHOPE CT
76086
Fax
(817) 596-4159
TITLE 18/19:
TX
MILWAUKEE
(817) 341-4101
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
Facility ID:
Fax
TOTAL Lic Capacity: 40
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
FRIONA HERITAGE ESTATES
201 E15TH STREET
FRIONA
Phone
TX
PRIVATE Beds: 7
Sunday, October 09, 2016
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
09/10/2016
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
1307 CLEVELAND ST
FRIONA
(806) 250-2132
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(806) 250-2754
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79035
FAX:
(806) 250-2801
SERVICE TYPE TYPE A
07/28/2018
Region
BEAUMONT GERIATRIC
05 - BEAUMONT
Owner Information
102678
GOOD SHEPHERD ASSISTED LIVING HOME
703 N. HOUSTON ST
TX
LIVINGSTON
77351
Cert Alzh Capacity: 0
(972) 308-8366
75254
Owner Information
POLK
TOTAL Lic Capacity: 7
PHONE:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
(936) 327-9956
03 - ARLINGTON
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
79035
Fax
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
DALLAS
100379
(806) 250-5599
Facility Information:
(817) 599-3823
PARMER COUNTY HOSPITAL DISTRICT
TOTAL Lic Capacity: 16
County
FAX:
08/13/2017
14160 DALLAS PARKWAY
ICF/IID: 0
Reg Svcs:
Facility ID:
(817) 596-9001
76086
CSL S WEATHERFORD LLC
(817) 598-0926
PARMER
Facility Information:
TX
TEAM 2
TITLE19: 0
PRIVATE Beds: 70
03 - ARLINGTON
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 16
PHONE:
License Exp Dt:
MARTIN CREST ASSISTED LIVING AND MEMORY CARE COMMUNITY
1818 MARTIN DR
TX
WEATHERFORD
76086
TOTAL Lic Capacity: 70
Region
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Fax
SERVICE TYPE TYPE B
12/01/2016
WEATHERFORD
(817) 599-3823
102928
(817) 341-1169
(414) 918-6076
970 HILLTOP DR
PARKER
Facility ID:
FAX:
HOLLAND LAKE OHANA LLC
TITLE19: 0
PRIVATE Beds: 40
53214
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(414) 918-5441
TEAM 2
000755
(817) 596-9001
PHONE:
License Exp Dt:
HILLTOP PARK REHABILITATION AND CARE CENTER
970 HILLTOP DR
TX
WEATHERFORD
76086
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
PARKER
Facility Information:
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 60
County
(817) 598-1696
Owner Information
76086
Fax
Cert Alzh Capacity: 0
Phone
FAX:
01/20/2017
TEAM 3
000808
(817) 341-4100
Facility Information:
76092
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 60
County
(817) 329-2739
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
PARKER
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
BROOKDALE WEATHERFORD
904 S LAMAR ST
WEATHERFORD
SOUTHLAKE
(817) 598-1696
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
AUTUMN H MANOR INC
TOTAL Lic Capacity: 16
County
Region
TEAM 3
100164
GOOD SHEPHERD ASSISTED LIVING
703 N HOUSTON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
LIVINGSTON
(936) 327-9957
0
ICF/IID: 0
PHONE:
TX
(936) 327-9956
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77351
FAX:
SERVICE TYPE TYPE A
05/23/2018
Page 245 of 311
County
Reg Svcs:
POLK
Facility Information:
Facility ID:
PROVIDENT MEMORY CARE CENTER
1810 N. WASHINGTON AVE.
TX
LIVINGSTON
Phone
TX
TX
Cert Alzh Capacity: 0
TITLE 18/19:
LIVINGSTON
(936) 327-0038
ICF/IID: 0
TX
Region
05 - BEAUMONT
601 GARDEN RIDGE DR
LIVINGSTON
(936) 327-0038
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 327-3141
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
77351
FAX:
(936) 327-0038
SERVICE TYPE TYPE B
11/01/2016
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
050721
EMERITUS CORPORATION
TX
6737 W. WASHINGTON STREET
79106
Fax
TOTAL Lic Capacity: 80
MILWAUKEE
(806) 355-7043
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 80
TITLE 18/19:
FAX:
(414) 918-5054
SERVICE TYPE TYPE A
Region
01 - LUBBOCK
Owner Information
DR WINFRED AND ELIZABETH MOORE ASSISTED LIVING CENTER
400 SW 14TH ST
TX
AMARILLO
79101
BAPTIST COMMUNITY SERVICES
701 PARK PLACE
AMARILLO
(806) 337-5075
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
53214
07/31/2018
HIGH PLAINS GERI 1
103028
Fax
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
POTTER
Sunday, October 09, 2016
SERVICE TYPE TYPE A
11/01/2016
BEAUMONT GERIATRIC
77351
TITLE 18: 0
(806) 356-8346
PRIVATE Beds: 34
(936) 327-0038
Owner Information
POTTER
Cert Alzh Capacity: 0
FAX:
(903) 327-3141
License Exp Dt:
100408
Fax
PRIVATE Beds: 16
TOTAL Lic Capacity: 34
PHONE:
77351
CARROLL PARTNERS INVESTMENT NO 2 INC
Cert Alzh Capacity: 0
(806) 337-5176
05 - BEAUMONT
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
Region
601 GARDEN RIDGE DR
77351
(936) 327-3141
Facility Information:
SERVICE TYPE TYPE A
Owner Information
POLK
County
(936) 967-3635
06/23/2018
BEAUMONT GERIATRIC
TITLE19: 0
PRIVATE Beds: 16
Phone
FAX:
(936) 967-3636
License Exp Dt:
TITLE 18: 0
BROOKDALE MEDI PARK WEST
7404 WALLACE BLVD
AMARILLO
77351
CARROLL PARTNERS INVESTMENT NO 2 INC
Fax
THE GARDENS AT LIVINGSTON
601 GARDEN RIDGE DR
LIVINGSTON
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
100218
(936) 327-3141
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
County
LIVINGSTON
(936) 967-3635
TITLE19: 0
TITLE 18/19:
THE GARDENS AT LIVINGSTON
501 GARDEN RIDGE DR
LIVINGSTON
Phone
05 - BEAUMONT
1437 SOUTH FM 1988
POLK
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
County
SERVICE TYPE TYPE B
05/02/2017
BEAUMONT GERIATRIC
77351
Fax
Cert Alzh Capacity: 0
Phone
FAX:
(512) 630-4550
License Exp Dt:
104411
(936) 967-3636
Facility Information:
78759
TALL PINES ASSISTED LIVING
TOTAL Lic Capacity: 16
County
PHONE:
,BLDG 7 STE 200-B
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TALL PINES ASSISTED LIVING
1437 SOUTH FM 1988
LIVINGSTON
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
POLK
Facility Information:
AUSTIN
(866) 245-6709
TITLE 18: 0
PRIVATE Beds: 44
County
12515 RESEARCH BLVD
77351
Fax
Cert Alzh Capacity: 44
05 - BEAUMONT
Owner Information
PROVIDENT MEMORY CARE GROUP LLC
(936) 327-8195
TOTAL Lic Capacity: 44
Region
BEAUMONT GERIATRIC
105331
0
ICF/IID: 0
PHONE:
,SECOND FL
TX
(806) 337-5292
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79101
FAX:
(806) 337-5075
SERVICE TYPE TYPE B
08/22/2017
Page 246 of 311
County
Reg Svcs:
POTTER
Facility Information:
Facility ID:
GOOD LIFE ASSISTED LIVING
928 WESTWOOD DR
AMARILLO
Phone
TX
21211 FM 179
79124
Fax
(806) 418-4320
WOLFFORTH
(806) 418-4323
TITLE 18: 0
Cert Alzh Capacity: 16
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
TOTAL Lic Capacity: 120
County
TITLE 18/19:
HEARTIS AMARILLO
1610 RESEARCH
AMARILLO
Phone
TX
DALLAS
TX
FORT WORTH
(806) 353-6912
ICF/IID: 0
TITLE19: 0
01 - LUBBOCK
PHONE:
,STE 3300
TX
(817) 871-4000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
76102
FAX:
(817) 871-4001
SERVICE TYPE TYPE B
07/11/2017
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
000393
ER OPCO CRAIG LLC
TX
P O BOX 2107
79106
Fax
TOTAL Lic Capacity: 52
BRENTWOOD
(806) 467-7473
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 52
TITLE 18/19:
THE COTTAGES AT QUAIL CREEK I
6811 PLUM CREEK DR
TX
AMARILLO
PHONE:
30924-2107
FAX:
License Exp Dt:
Reg Svcs:
Facility ID:
TN
PROGRAM TYPE: ASSISTED LIVING
0
POTTER
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
301 COMMERCE STREET
TITLE 18/19:
(806) 352-7244
PRIVATE Beds: 16
(469) 547-5422
12/02/2017
HIGH PLAINS GERI 1
79124
TITLE 18: 0
SAGECREEK ASSISTED LIVING
5500 WEST 9TH AVE
AMARILLO
Cert Alzh Capacity: 16
FAX:
Owner Information
POTTER
TOTAL Lic Capacity: 16
(214) 916-5750
License Exp Dt:
000505
Fax
PRIVATE Beds: 58
(806) 351-2271
PHONE:
75206
POTTER AID OPCO LLC
Cert Alzh Capacity: 0
Phone
01 - LUBBOCK
,SUITE 200
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(806) 353-5185
Facility Information:
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 58
County
(806) 337-5075
SERVICE TYPE TYPE A
Region
5910 N CENTRAL EXPRESSWAY
TITLE 18/19:
PLUM CREEK PLACE
6800 PLUM CREEK DR
AMARILLO
Phone
FAX:
10/21/2017
HIGH PLAINS GERI 1
79106
POTTER
Facility Information:
79101
Owner Information
TITLE 18: 0
PRIVATE Beds: 96
County
License Exp Dt:
Fax
Cert Alzh Capacity: 35
Phone
(806) 337-5292
PROGRAM TYPE: ASSISTED LIVING
0
106345
(806) 353-1900
Facility Information:
PHONE:
TX
HEARTIS AMARILLO PARTNERS, LP
TOTAL Lic Capacity: 96
County
ICF/IID: 0
Reg Svcs:
Facility ID:
01 - LUBBOCK
,SECOND FL
AMARILLO
(806) 337-5075
POTTER
Facility Information:
SERVICE TYPE TYPE B
Region
701 PARK PLACE
TITLE19: 0
PRIVATE Beds: 120
(806) 855-4092
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
BAPTIST COMMUNITY SERVICES
Fax
(806) 337-5191
79382
02/06/2017
HIGH PLAINS GERI 1
000895
HARRINGTON ASSISTED LIVING CENTER
401 S W 12TH
TX
AMARILLO
79101
Phone
(806) 855-6464
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
POTTER
Facility Information:
01 - LUBBOCK
Owner Information
WESTWOOD DRIVE ENTERPRISES LLC
TOTAL Lic Capacity: 16
County
Region
HIGH PLAINS GERI 1
103381
SERVICE TYPE TYPE B
02/28/2017
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
010318
QUAIL CREEK COTTAGES LTD
4514 TRAVIS ST
79124
Fax
(806) 351-1310
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 211
TX
(214) 526-0021
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75205
FAX:
(214) 526-7965
SERVICE TYPE TYPE B
10/08/2016
Page 247 of 311
County
Reg Svcs:
POTTER
Facility Information:
Facility ID:
THE COTTAGES AT QUAIL CREEK I I
6811 PLUM CRK DR
TX
AMARILLO
Phone
AUTUMN LEAVES OF AMARILLO
7480 HILLSIDE ROAD
AMARILLO
Phone
TX
(806) 731-8712
TITLE 18/19:
TX
(806) 351-0143
ICF/IID: 0
License Exp Dt:
TX
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
01 - LUBBOCK
SERVICE TYPE TYPE C
Region
01 - LUBBOCK
LONNIE W SHAW
2623 12TH AVE
CANYON
(806) 467-1359
ICF/IID: 0
PHONE:
TX
(806) 655-2911
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
RANDALL
Facility ID:
FAX:
02/16/2018
HIGH PLAINS GERI 1
TITLE19: 0
TITLE 18/19:
79110
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
(806) 358-7996
License Exp Dt:
010218
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
Region
AMARILLO
Fax
TOTAL Lic Capacity: 11
PRIVATE Beds: 36
SERVICE TYPE TYPE B
5230 ROYCE DRIVE
79110
(806) 351-0686
Cert Alzh Capacity: 0
(414) 918-5054
Owner Information
SKYWEST ASSISTED LIVING CENTER BY SHAW-AMARILLO
6301 BLAKE AVE
TX
AMARILLO
79119
TOTAL Lic Capacity: 36
FAX:
09/30/2017
HIGH PLAINS GERI 1
104152
RANDALL
(806) 655-5965
(414) 918-5441
37027
HILLSIDE HAVEN CARE LLC
PRIVATE Beds: 4
Phone
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
CONNER PLACE
2 COTTONWOOD LN
CANYON
01 - LUBBOCK
,STE 400
BRENTWOOD
TITLE19: 0
(806) 358-7996
Facility Information:
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
TITLE 18/19:
TOTAL Lic Capacity: 4
County
(214) 845-4501
08/11/2018
HIGH PLAINS GERI 1
79121
RANDALL
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 65
Facility Information:
(214) 845-4500
License Exp Dt:
000327
Fax
Cert Alzh Capacity: 26
County
PHONE:
75062
ESC IV LP
TOTAL Lic Capacity: 65
Phone
01 - LUBBOCK
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
(806) 351-2105
HILLSIDE HAVEN CAREHOME
5230 ROYCE DR
AMARILLO
ICF/IID: 0
0
RANDALL
Facility Information:
IRVING
TITLE19: 0
PRIVATE Beds: 56
County
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER FREEWAY
TITLE 18: 0
Cert Alzh Capacity: 56
Phone
(214) 526-7965
Owner Information
79119
Fax
BROOKDALE SLEEPY HOLLOW
7401 SEVILLE DR
AMARILLO
FAX:
10/08/2016
HIGH PLAINS GERI 1
106578
(806) 731-8713
Facility Information:
75205
AMARILLO MEMORY CARE, LLC
TOTAL Lic Capacity: 56
County
(214) 526-0021
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
RANDALL
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,STE 211
DALLAS
(806) 351-1310
TITLE 18: 0
PRIVATE Beds: 16
County
4514 TRAVIS ST
79124
Fax
Cert Alzh Capacity: 16
01 - LUBBOCK
Owner Information
QUAIL CREEK COTTAGES LTD
(806) 351-2271
TOTAL Lic Capacity: 16
Region
HIGH PLAINS GERI 1
010324
79015
FAX:
(806) 655-1007
SERVICE TYPE TYPE B
11/01/2018
Region
HIGH PLAINS GERI 1
01 - LUBBOCK
Owner Information
000497
CONNER AID OPCO LLC
TX
330 N. WABASH
79015
Fax
(806) 655-8213
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CHICAGO
0
ICF/IID: 0
PHONE:
,SUITE 3700
IL
(312) 725-7000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Page 248 of 311
County
Reg Svcs:
RANDALL
Facility Information:
Facility ID:
HUDSON HOUSE CANYON INC
3210 RUSSELL LONG BLVD
CANYON
Phone
TX
3210 RUSSELL LONG BLVD
79015
Fax
(806) 655-4244
CANYON
(806) 655-7001
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 33
TITLE 18/19:
TOTAL Lic Capacity: 16
County
TITLE 18/19:
ARBOR HOUSE OF ROCKWALL
5250 MEDICAL DRIVE
ROCKWALL
Phone
TX
IRVING
PHONE:
(214) 845-4500
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
03/07/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
030301
EMERITUS CORPORATION
TX
6737 W. WASHINGTON STREET
75032
Fax
MILWAUKEE
(972) 771-0340
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ESSENTIAL LIVING RESIDENTIAL CARE
489 BENDING OAKS TR
TX
ROCKWALL
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
ROCKWALL
Sunday, October 09, 2016
03 - ARLINGTON
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 140
PRIVATE Beds: 5
ICF/IID: 0
TITLE19: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
(405) 360-3301
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER HWY
TITLE 18/19:
TOTAL Lic Capacity: 140
TOTAL Lic Capacity: 5
FAX:
07/20/2017
TEAM 1
75032
(972) 771-2800
(972) 722-2958
75032
ROCKWALL MEMORY CARE LLC
ROCKWALL
Phone
03 - ARLINGTON
Owner Information
TITLE 18: 0
Facility ID:
(405) 801-2879
License Exp Dt:
Fax
PRIVATE Beds: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104957
(469) 402-1883
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 50
County
SERVICE TYPE TYPE A
Region
ROCKWALL
TITLE19: 0
TOTAL Lic Capacity: 50
Phone
(806) 655-1007
5250 MEDICAL DRIVE
TITLE 18/19:
AUTUMN LEAVES OF ROCKWALL
225 E RALPH HALL PARKWAY
TX
ROCKWALL
BROOKDALE SUMMER RIDGE
3020 RIDGE ROAD
ROCKWALL
FAX:
02/01/2017
TEAM 1
75032
ROCKWALL
Facility Information:
79015
Owner Information
TITLE 18: 0
PRIVATE Beds: 86
County
(806) 655-2911
License Exp Dt:
Fax
Cert Alzh Capacity: 30
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103958
(214) 678-9959
Facility Information:
01 - LUBBOCK
ROCKWALL TX ARBOR HOUSE, LP
TOTAL Lic Capacity: 86
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
CANYON
(806) 655-1077
ROCKWALL
Facility Information:
SERVICE TYPE TYPE B
2623 12TH AVE
TITLE19: 0
PRIVATE Beds: 16
(806) 655-7001
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
LONNIE W SHAW
Fax
(806) 655-2911
79015
10/09/2017
HIGH PLAINS GERI 1
000762
SKYWEST ASSISTED LIVING CENTER BY SHAW
2623 12TH AVE
TX
CANYON
79015
Phone
(806) 655-4244
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
RANDALL
Facility Information:
01 - LUBBOCK
Owner Information
HUDCO PROPERTIES LP
TOTAL Lic Capacity: 33
County
Region
HIGH PLAINS GERI 1
101051
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
07/31/2018
Region
TEAM 1
03 - ARLINGTON
Owner Information
104757
GOLD STAR PROS, LLC
5967 FM 36 SOUTH
75087
QUINLAN
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 371-5566
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75474
FAX:
SERVICE TYPE TYPE B
12/22/2017
Page 249 of 311
County
Reg Svcs:
ROCKWALL
Facility Information:
Facility ID:
TOTAL Lic Capacity: 85
8415 EAST 21ST STREET NORTH
WICHITA
TITLE 18: 0
Cert Alzh Capacity: 24
TITLE 18/19:
ASHWOOD MANOR
1502 HWY 158
BALLINGER
Phone
TX
BALLINGER
TX
ICF/IID: 0
PHONE:
TX
(903) 657-8969
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
75654
FAX:
(903) 657-8960
SERVICE TYPE TYPE B
01/08/2018
Region
TYLER SE TEAM
04 - TYLER
Owner Information
000708
TX
330 N WABASH
75654
Fax
CHICAGO
(903) 657-4693
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(312) 725-7000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
RUSK
Sunday, October 09, 2016
04 - TYLER
AZALEA AID OPCO LLC
PRIVATE Beds: 36
PRIVATE Beds: 80
HENDERSON
(903) 657-8625
Reg Svcs:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 21
Region
712 FAIR PARK DR
TITLE19: 0
TOTAL Lic Capacity: 36
TOTAL Lic Capacity: 80
SERVICE TYPE TYPE B
04/01/2018
TYLER SE TEAM
75652
(903) 657-1563
(903) 655-1198
(214) 396-3482
WCG ARBOR PLACE ASSISTED LIVING LLC
TITLE 18/19:
Facility ID:
FAX:
Owner Information
RUSK
Phone
02 - ABILENE
75230
(214) 396-3462
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104191
Fax
Cert Alzh Capacity: 0
BROOKDALE HENDERSON
1000 RICHARDSON DR
HENDERSON
ICF/IID: 0
Reg Svcs:
Facility ID:
(903) 657-8620
Facility Information:
DALLAS
(325) 754-4570
TITLE19: 0
TOTAL Lic Capacity: 16
County
Region
6203 TURNER WAY
TITLE 18/19:
ARBOR PLACE ASSISTED LIVING
1200 HIGHWAY 259 NORTH
TX
HENDERSON
Phone
SERVICE TYPE TYPE A
11/21/2016
SAN ANGLEO GERIATRIC
79567
RUSK
AZALEA PLACE
1905 OLD NACOGDOCHES RD
HENDERSON
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
76821
(325) 365-2959
License Exp Dt:
000388
Fax
Cert Alzh Capacity: 0
County
02 - ABILENE
WINTERS AL OPERATOR LLC
TOTAL Lic Capacity: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(325) 754-5083
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
RUNNELS
County
Region
1502 HWY 158
76821
TITLE 18: 0
PRIVATE Beds: 8
Phone
SERVICE TYPE TYPE B
Owner Information
Fax
Cert Alzh Capacity: 0
WINTERS ASSISTED LIVING
616 E TRUETT
WINTERS
(316) 616-6255
06/16/2017
SAN ANGLEO GERIATRIC
100396
(325) 365-2959
Facility Information:
FAX:
NIKKI G LOWE
TOTAL Lic Capacity: 8
County
67206
(316) 616-6288
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 100
KS
PROGRAM TYPE: ASSISTED LIVING
0
RUNNELS
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 85
County
ROCKWALL ALF, LLC
Fax
(469) 757-8300
03 - ARLINGTON
Owner Information
ROCK RIDGE ASSISTED LIVING AND MEMORY CARE
720 E. RALPH HALL PARKWAY
TX
ROCKWALL
75032
Phone
Region
TEAM 1
105757
60611
FAX:
(312) 332-5300
SERVICE TYPE TYPE B
07/11/2017
Region
TYLER SE TEAM
04 - TYLER
Owner Information
030004
ESC IV LP
TX
111 WESTWOOD PL
75654
Fax
(903) 656-2259
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
01/01/2017
Page 250 of 311
County
Reg Svcs:
RUSK
Facility Information:
MIRIAM L KING
4660 FM 2867 E
HENDERSON
Phone
Facility ID:
TX
4660 FM RD 2867 E
75654
HENDERSON
Fax
(903) 889-2344
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
TITLE 18/19:
TOTAL Lic Capacity: 4
County
EL CAMINO HOUSE
1997 DAVIDSON DR
SAN AUGUSTINE
Phone
TITLE 18/19:
TX
TX
(936) 275-1479
SERVICE TYPE TYPE B
12/11/2016
Region
BEAUMONT GERIATRIC
CLEVELAND
(936) 767-4367
ICF/IID: 0
TITLE19: 0
(936) 767-4047
License Exp Dt:
05 - BEAUMONT
77328
FAX:
(936) 767-4367
SERVICE TYPE TYPE A
08/08/2018
Region
CORPUS CHRISTI 11
11 - CORPUS CHRISTI
Owner Information
010345
PM MANAGEMENT-PORTLAND AL LLC
1717 W FIFTH ST
78374
Fax
AUSTIN
(361) 777-2892
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 450
TX
(512) 340-7829
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
SCURRY
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 40
Sunday, October 09, 2016
FAX:
900 HWY 945 RD S
TITLE 18/19:
Cert Alzh Capacity: 0
PRIVATE Beds: 16
75972
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 40
Cert Alzh Capacity: 0
(936) 275-2900
License Exp Dt:
77328
(361) 777-4250
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
102759
Fax
TRISUN ASSISTED LIVING-PAVILION
211 CEDAR DR
TX
PORTLAND
Phone
ICF/IID: 0
0
SAN PATRICIO
GOOD LIFE SENIOR LIVING 1
1904 MARTHA ANN BLVD
SNYDER
05 - BEAUMONT
CELEST K WATSON
PRIVATE Beds: 6
Facility Information:
Region
SAN AUGUSTINE
(936) 275-5978
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE C
04/15/2017
NACOGDOCHES GERIATRIC
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
Phone
(903) 657-4304
451 SOUTH EL CAMINO CROSSING
TITLE 18: 0
(936) 767-4047
Facility Information:
FAX:
Owner Information
SAN JACINTO
County
License Exp Dt:
75972
Fax
PRIVATE Beds: 55
Phone
(903) 657-4304
75654
D & H ENTERPRISES INC
Cert Alzh Capacity: 0
CELESTIAL CARE
900 FM 945 RD S
CLEVELAND
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030024
(936) 275-0222
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 55
County
HENDERSON
(903) 657-4304
SAN AUGUSTINE
Facility Information:
04 - TYLER
4285 US HWY 259 S
TITLE19: 0
PRIVATE Beds: 4
Region
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
SERVICE TYPE TYPE C
MERELINE STARLING ADULT FOSTER CARE
Fax
(903) 657-4304
FAX:
10/31/2017
TYLER SE TEAM
001276
STARLING'S ADULT FOSTER CARE HOME
4285 U S HWY 259 S
TX
HENDERSON
75654
Phone
75654
(903) 889-2344
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
RUSK
Facility Information:
04 - TYLER
Owner Information
MIRIAM L KING
TOTAL Lic Capacity: 4
County
Region
TYLER SE TEAM
001167
78703
FAX:
(877) 639-9530
SERVICE TYPE TYPE B
07/01/2018
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
104894
WESTWOOD DRIVE ENTERPRISES LLC
TX
21211 FM 179
79549
WOLFFORTH
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(806) 855-6464
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79382
FAX:
(806) 855-4092
SERVICE TYPE TYPE B
10/21/2017
Page 251 of 311
County
Reg Svcs:
SCURRY
Facility Information:
Facility ID:
Fax
(325) 436-0228
TOTAL Lic Capacity: 16
21211 FM 179
TITLE 18/19:
County
WESLEY HOUSE
13923 FM 2710
LINDALE
Phone
TX
ICF/IID: 0
TX
LOUISVILLE
(903) 509-9890
ICF/IID: 0
TITLE19: 0
Reg Svcs:
Facility ID:
PHONE:
(502) 779-4700
License Exp Dt:
40223
FAX:
(502) 779-4749
SERVICE TYPE TYPE B
05/12/2017
Region
TYLER SW TEAM
04 - TYLER
Owner Information
000947
WG WILLOW PARK SH, LLC
TX
10350 ORMSBY PARK PLACE
75701
Fax
LOUISVILLE
(903) 561-2581
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(502) 779-4749
SERVICE TYPE TYPE A
Region
04 - TYLER
Owner Information
CSL S TYLER LLC
14160 DALLAS PARKWAY
DALLAS
(903) 561-4603
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
40223
05/12/2017
TYLER SW TEAM
102945
Fax
(502) 779-4700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
AZALEA TRAILS ASSISTED LIVING AND MEMORY CARE COMMUNITY
5550 OLD JACKSONVILLE HWY
TX
TYLER
75703
Sunday, October 09, 2016
04 - TYLER
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
PRIVATE Beds: 54
(903) 270-6227
SERVICE TYPE TYPE B
Region
10350 ORMSBY PARK PLACE
75703
TITLE 18/19:
PRIVATE Beds: 82
Cert Alzh Capacity: 16
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 54
75457
12/31/2016
TYLER SW TEAM
000331
Fax
(903) 561-4302
(903) 561-4307
04 - TYLER
WG COPELAND SH LLC
TOTAL Lic Capacity: 82
Phone
(903) 537-4116
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
Facility Information:
SERVICE TYPE TYPE B
Region
MT. VERNON
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 80
County
(936) 590-9315
12/15/2016
TYLER SW TEAM
(903) 881-9802
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
FAX:
110 DALLAS ST
Fax
TOTAL Lic Capacity: 80
ATRIA WILLOW PARK
3500 S VINE AVE
TYLER
License Exp Dt:
75771
(903) 509-9575
Facility Information:
(936) 590-9300
75935
Owner Information
SMITH
County
05 - BEAUMONT
WESLEY PARTNERS SENIOR LIVING, LLC
PRIVATE Beds: 54
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
ATRIA COPELAND
5317 NEW COPELAND RD
TYLER
ICF/IID: 0
104878
(903) 882-9296
Facility Information:
Region
CENTER
(936) 590-9315
TITLE19: 0
TOTAL Lic Capacity: 54
County
SERVICE TYPE TYPE B
1468 LOOP 500 EAST
TITLE 18/19:
Facility ID:
(806) 855-4092
10/21/2015
NACOGDOCHES GERIATRIC
75935
SMITH
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
79382
TENAHA CREEK, LLC
Fax
Cert Alzh Capacity: 0
(806) 855-6464
License Exp Dt:
104343
(936) 590-9300
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
LAKESIDE VILLAGE ASSISTED LIVING
1468 LOOP 500
TX
CENTER
Phone
ICF/IID: 0
0
SHELBY
Facility Information:
WOLFFORTH
(325) 436-0229
TITLE19: 0
PRIVATE Beds: 16
County
WESTWOOD DRIVE ENTERPRISES LLC
TITLE 18: 0
Cert Alzh Capacity: 0
02 - ABILENE
Owner Information
GOOD LIFE SENIOR LIVING AND MEMORY CARE B
1904 MARTHA ANN BLVD
TX
SNYDER
79549
Phone
Region
ABILENE GERIATRIC
104895
0
ICF/IID: 0
PHONE:
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
09/10/2018
Page 252 of 311
County
Reg Svcs:
SMITH
Facility Information:
Facility ID:
Fax
(903) 596-8100
TOTAL Lic Capacity: 8
15062 CR 1145
TITLE 18/19:
BROOKDALE TYLER EAST
3505 UNIVERSITY BLVD
TYLER
Phone
TX
(903) 565-0802
TX
BRENTWOOD
(903) 534-1311
ICF/IID: 0
TITLE19: 0
ICF/IID: 0
75503
FAX:
(903) 255-0385
SERVICE TYPE TYPE B
05/01/2018
Region
TYLER SW TEAM
04 - TYLER
EAST TEXAS ALF WATERTON INN LLC
1901 RICKETY LANE
75703
TYLER
(903) 939-0334
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
75703
FAX:
(903) 534-4705
SERVICE TYPE TYPE B
05/01/2016
Region
TYLER SW TEAM
04 - TYLER
Owner Information
LSREF GOLDEN OPS 26 (TX) III, LLC
3500 LENOX ROAD NE
ATLANTA
(903) 534-0462
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
(903) 534-6221
License Exp Dt:
030387
Fax
PHONE:
,STE 208
TX
PROGRAM TYPE: ASSISTED LIVING
0
GARDEN ESTATES OF TYLER ASSISTED LIVING COMMUNITY
2055 GRANDE BLVD
TX
TYLER
75703
Sunday, October 09, 2016
04 - TYLER
Owner Information
SMITH
PRIVATE Beds: 70
(903) 832-0429
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103676
Fax
PRIVATE Beds: 39
Region
TEXARKANA
(903) 581-1119
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE B
4939 ELIZABETH
TITLE19: 0
TOTAL Lic Capacity: 39
(414) 918-5054
03/31/2017
TYLER SW TEAM
75703
TITLE 18/19:
(903) 939-9664
FAX:
Owner Information
TITLE 18: 0
EAST TEXAS ALF WATERTON INN LLC
2885 SHILOH ROAD
TX
TYLER
(414) 918-5441
37027
EAST TEXAS ALF REUNION INN LLC
Fax
Facility ID:
PHONE:
License Exp Dt:
000308
SMITH
Cert Alzh Capacity: 0
04 - TYLER
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 51
TOTAL Lic Capacity: 70
(414) 918-6076
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
TITLE 18/19:
Cert Alzh Capacity: 0
(903) 534-0449
FAX:
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 51
Phone
53214
12/01/2016
TYLER SW TEAM
75703
(903) 581-6100
Facility Information:
(414) 918-5441
License Exp Dt:
010226
Fax
EAST TEXAS ALF REUNION INN LLC
1515 RICE RD
TX
TYLER
County
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
Phone
04 - TYLER
ESC IV LP
PRIVATE Beds: 56
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 56
County
MILWAUKEE
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 56
Phone
SERVICE TYPE TYPE A
Region
6737 W WASHINGTON ST
TITLE 18: 0
(903) 534-4955
Facility Information:
(903) 596-8104
Owner Information
SMITH
County
FAX:
04/24/2017
TYLER SW TEAM
75701
Fax
PRIVATE Beds: 50
Phone
75704
BROOKDALE SENIOR LIVING COMMUNITIES INC
Cert Alzh Capacity: 0
BROOKDALE TYLER SOUTH
5403 PLANTATION DR
TYLER
(903) 596-8100
License Exp Dt:
000800
(903) 565-0800
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 50
County
ICF/IID: 0
0
SMITH
Facility Information:
TYLER
(903) 596-8104
TITLE19: 0
PRIVATE Beds: 8
County
BAPTIST CARE FACILITIES FOR PERSONS WITH MENTAL DISABILITIES INC
TITLE 18: 0
Cert Alzh Capacity: 0
04 - TYLER
Owner Information
BRECKENRIDGE VILLAGE OF TYLER ROSE HOUSE
15062 CR 1145
TX
TYLER
75704
Phone
Region
TYLER SW TEAM
100910
0
ICF/IID: 0
PHONE:
,SUITE 510
GA
(770) 754-9660
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
30326
FAX:
(770) 754-3085
SERVICE TYPE TYPE A
04/01/2018
Page 253 of 311
County
Reg Svcs:
SMITH
Facility Information:
Facility ID:
TOTAL Lic Capacity: 54
PO BOX 2107
TITLE 18/19:
Phone
TX
(903) 939-9937
TX
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(903) 526-4094
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
04 - TYLER
75704
FAX:
(903) 526-4094
SERVICE TYPE TYPE C
06/09/2018
Region
TYLER SW TEAM
04 - TYLER
Owner Information
103159
PRESTIGE ESTATES, LLC
TX
10165 QUAIL RUN
75703
Fax
TYLER
(903) 561-6541
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 593-1908
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
THE HAMPTONS AT PINE FOREST, LP
4250 OLD OMEN RD
TX
TYLER
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
TYLER
(903) 526-4094
SMITH
PRIVATE Beds: 100
(503) 443-1919
220 MCARTHUR ST
TITLE 18/19:
PRIVATE Beds: 104
Cert Alzh Capacity: 38
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 32
TOTAL Lic Capacity: 100
97224
09/03/2018
TYLER SW TEAM
75704
(903) 561-6102
(903) 566-8931
License Exp Dt:
104335
Fax
TOTAL Lic Capacity: 104
Phone
(503) 443-1818
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
Facility Information:
PHONE:
OR
LUCILLE HAYTER
PRIVATE Beds: 4
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
04 - TYLER
,SUITE 105
PORTLAND
TITLE19: 0
TOTAL Lic Capacity: 4
PRESTIGE ESTATES LLC
6928 PALUXY DR
TYLER
SERVICE TYPE TYPE B
Region
7420 BRIDGEPORT RD.
TITLE 18/19:
(903) 705-2374
Facility Information:
(617) 790-4271
02/22/2018
TYLER SW TEAM
75703
SMITH
County
FAX:
Owner Information
TITLE 18: 0
Facility ID:
02210
FM OAK HILLS TYLER INVESTORS, LLC
Fax
PRIVATE Beds: 48
(617) 790-4800
License Exp Dt:
105019
(903) 747-3927
Cert Alzh Capacity: 48
PHONE:
MA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 48
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
OAK HILLS TERRACE MEMORY CARE
2651 ELKTON TRAIL
TX
TYLER
PENNY RELLA HOME CARE
220 MAC ARTHUR ST
TYLER
04 - TYLER
,5TH FLR
BOSTON
(903) 877-8707
SMITH
Facility Information:
SERVICE TYPE TYPE B
Region
313 CONGRESS ST
TITLE 18: 0
PRIVATE Beds: 20
County
(615) 915-2938
Owner Information
75708
Fax
Cert Alzh Capacity: 0
Phone
FAX:
02/28/2017
TYLER SW TEAM
101997
(903) 877-8700
Facility Information:
37024
MENTOR ABI, LLC
TOTAL Lic Capacity: 20
County
(615) 915-2932
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
NEURORESTORATIVE TEXAS
11937 US HWY 271
TYLER
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 54
Facility Information:
BRENTWOOD
(903) 526-3717
TITLE 18: 0
Cert Alzh Capacity: 34
County
ER OPCO ML LLC
Fax
(903) 526-5599
04 - TYLER
Owner Information
MEADOW LAKE ASSISTED LIVING COMMUNITY
16044 COUNTY ROAD 165
TX
TYLER
75703
Phone
Region
TYLER SW TEAM
104686
75709
FAX:
SERVICE TYPE TYPE B
10/04/2017
Region
TYLER SW TEAM
04 - TYLER
Owner Information
103375
THE HAMPTONS AT PINE FOREST, LP
1014 PRUITT PLACE
75707
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
TYLER
(903) 566-8506
0
ICF/IID: 0
PHONE:
TX
(903) 566-8500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75703
FAX:
SERVICE TYPE TYPE B
05/14/2016
Page 254 of 311
County
Reg Svcs:
SMITH
Facility Information:
VILLA OF TYLER BUILDING 1
3323 GARDEN VALLEY RD
TYLER
Phone
Facility ID:
TX
4150 INTERNATIONAL PLAZA
75702
Fax
(903) 592-8852
TITLE 18/19:
TX
TX
(903) 533-1565
TX
SERVICE TYPE TYPE A
Region
4150 INTERNATIONAL PLAZA
FORT WORTH
(903) 533-1565
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
04 - TYLER
(817) 348-8959
License Exp Dt:
76109
FAX:
(817) 348-0466
SERVICE TYPE TYPE A
09/01/2018
Region
TYLER SW TEAM
04 - TYLER
Owner Information
102114
DIANNE M FARRELL
14830 CR 2333
75791
Fax
WHITEHOUSE
(903) 534-7173
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 534-3676
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
SMITH
Facility ID:
PHONE:
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 4
Sunday, October 09, 2016
(817) 348-0466
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 4
FAX:
09/01/2018
TYLER SW TEAM
75702
Fax
TOTAL Lic Capacity: 4
Cert Alzh Capacity: 0
(817) 348-8959
License Exp Dt:
000560
(903) 534-3676
TOTAL Lic Capacity: 4
PHONE:
76109
TYLER I ENTERPRISES, LLC
TENDER LOVING ELDERLY CARE
14830 CR 2333
TX
WHITEHOUSE
(903) 877-9444
04 - TYLER
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
NEURORESTORATIVE TEXAS
15717 N MOUNTAIN VIEW RD
WINONA
FORT WORTH
TITLE19: 0
(903) 592-8852
Facility Information:
SERVICE TYPE TYPE A
Region
4150 INTERNATIONAL PLAZA
TITLE 18/19:
Cert Alzh Capacity: 0
County
(817) 348-0466
09/01/2018
TYLER SW TEAM
75702
TITLE 18: 0
TOTAL Lic Capacity: 16
Phone
FAX:
Owner Information
SMITH
Facility Information:
(817) 348-8959
License Exp Dt:
000559
Fax
PRIVATE Beds: 16
County
PHONE:
76109
TYLER I ENTERPRISES, LLC
Cert Alzh Capacity: 0
Phone
04 - TYLER
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
VILLA OF TYLER BUILDING 4
3323 GARDEN VALLEY RD
TYLER
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 592-8852
Facility Information:
FORT WORTH
(903) 533-1565
SMITH
County
SERVICE TYPE TYPE A
Region
4150 INTERNATIONAL PLAZA
TITLE 18: 0
PRIVATE Beds: 16
Phone
(817) 348-0466
Owner Information
75702
Fax
Cert Alzh Capacity: 0
VILLA OF TYLER BUILDING 3
3323 GARDEN VALLEY RD
TYLER
FAX:
09/01/2018
TYLER SW TEAM
000558
(903) 592-8852
Facility Information:
76109
TYLER I ENTERPRISES, LLC
TOTAL Lic Capacity: 16
County
(817) 348-8959
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 600
TX
PROGRAM TYPE: ASSISTED LIVING
0
SMITH
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 27
VILLA OF TYLER BUILDING 2
3323 GARDEN VALLEY RD
TYLER
FORT WORTH
(903) 533-1565
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
04 - TYLER
Owner Information
TYLER I ENTERPRISES, LLC
TOTAL Lic Capacity: 27
County
Region
TYLER SW TEAM
000316
75791
FAX:
(903) 534-0124
SERVICE TYPE TYPE C
11/29/2016
Region
TYLER SW TEAM
04 - TYLER
Owner Information
103583
MENTOR ABI, LLC
TX
313 CONGRESS ST
75708
Fax
(903) 877-8707
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BOSTON
0
ICF/IID: 0
PHONE:
,5TH FLR
MA
(617) 790-4800
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
02210
FAX:
(617) 790-4271
SERVICE TYPE TYPE B
02/23/2018
Page 255 of 311
County
Reg Svcs:
SWISHER
Facility Information:
Facility ID:
Fax
(806) 995-3581
TOTAL Lic Capacity: 9
24 HOURS HOME CARE INC
2133 POSTWOOD LN
ARLINGTON
Phone
TITLE 18/19:
TX
(817) 563-0714
TOTAL Lic Capacity: 25
Cert Alzh Capacity: 25
PRIVATE Beds: 25
Sunday, October 09, 2016
Region
ARLINGTON
(817) 457-4592
ICF/IID: 0
PHONE:
TX
(817) 457-8600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
76016
FAX:
SERVICE TYPE TYPE B
06/02/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
010360
ARLINGTON AUTUMN LEAVES L P
545 E. JOHN CARPENTER FWY
76014
IRVING
(817) 419-6779
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
(214) 845-4500
License Exp Dt:
Reg Svcs:
,STE. 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Phone
SERVICE TYPE TYPE A
2300 PARK RUN DR
Fax
Facility ID:
FAX:
08/05/2018
TEAM 3
76016
(817) 419-6700
PRIVATE Beds: 46
76014
Owner Information
Reg Svcs:
Cert Alzh Capacity: 46
(817) 455-2484
License Exp Dt:
TITLE19: 0
TOTAL Lic Capacity: 46
03 - ARLINGTON
BRENDA MYERS
TITLE 18/19:
ARLINGTON AUTUMN LEAVES, LP
514 CENTRAL PARK DR
TX
ARLINGTON
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
AVALON CARE GROUP LLC
7200 HWY 287
ARLINGTON
ICF/IID: 0
TITLE 18: 0
Facility ID:
SERVICE TYPE TYPE C
Region
ARLINGTON
050452
Fax
PRIVATE Beds: 5
(817) 419-6501
903 CYPRESS CT
76014
(817) 457-8600
Cert Alzh Capacity: 0
FAX:
A GENTLE TOUCH HOME CARE LLC
Reg Svcs:
TOTAL Lic Capacity: 5
76018
Owner Information
TARRANT
Facility Information:
03 - ARLINGTON
01/10/2018
TEAM 3
TITLE19: 0
ANGELIC PLACE ELDERCARE HOME
2300 PARK RUN DR
TX
ARLINGTON
(817) 903-7564
License Exp Dt:
105163
TITLE 18/19:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 5
County
ICF/IID: 0
Fax
Cert Alzh Capacity: 0
Phone
Region
ARLINGTON
(817) 419-6501
Reg Svcs:
Facility ID:
(817) 642-5335
Facility Information:
SERVICE TYPE TYPE B
06/01/2018
TEAM 2
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 5
County
(806) 995-8283
2133 POSTWOOD LN
TITLE 18: 0
A GENTLE TOUCH HOME CARE LLC
903 CYPRESS COURT
TX
ARLINGTON
Phone
FAX:
Owner Information
TARRANT
Facility Information:
License Exp Dt:
76018
Fax
PRIVATE Beds: 4
County
(806) 995-3581
79088
24 HOUR HOME CARE INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101771
(817) 903-7564
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
County
TULIA
(806) 995-8283
TARRANT
Facility Information:
539 SE 2ND
TITLE19: 0
PRIVATE Beds: 9
County
SWISHER MEMORIAL HEALTHCARE SYSTEM
TITLE 18: 0
Cert Alzh Capacity: 0
01 - LUBBOCK
Owner Information
SWISHER MEMORIAL HOSPITAL RESIDENTIAL LIVING CENTER
539 S E 2ND ST
TX
TULIA
79088
Phone
Region
HIGH PLAINS GERI 1
101627
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
03/24/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
100656
AVALON CARE GROUP LLC
TX
1625 N STEMMONS FREEWAY
76001
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(817) 563-6152
0
ICF/IID: 0
PHONE:
TX
(214) 752-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75207
FAX:
(214) 752-7054
SERVICE TYPE TYPE B
08/15/2018
Page 256 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
AVALON CARE GROUP LLC
7140 HWY 287 S
ARLINGTON
Phone
TX
1625 N STEMMONS FREEWAY
76001
Fax
(214) 752-7050
TITLE 18/19:
AVALON CARE GROUP, LLC
7204 HWY 287
ARLINGTON
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TOTAL Lic Capacity: 75
TITLE 18/19:
TX
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
09/01/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
100159
TX
111 WESTWOOD PL
76012
Fax
BRENTWOOD
(817) 265-6906
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(615) 221-2250
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 400
TN
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
PRIVATE Beds: 160
03 - ARLINGTON
ARC PECAN PARK LP
PRIVATE Beds: 31
Cert Alzh Capacity: 0
MILWAUKEE
(817) 492-4330
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 31
TOTAL Lic Capacity: 160
(719) 481-6080
SERVICE TYPE TYPE A
Region
TEAM 2
TITLE19: 0
(817) 265-6900
(817) 265-6900
FAX:
07/31/2017
6737 W WASHINGTON ST
TITLE 18/19:
TOTAL Lic Capacity: 31
Phone
80921
Owner Information
TARRANT
BROOKDALE PECAN PARK
915 NORTH FIELDER RD
ARLINGTON
(719) 481-0100
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 101
Facility Information:
PHONE:
CO
PROGRAM TYPE: ASSISTED LIVING
0
76016
Fax
Cert Alzh Capacity: 30
County
03 - ARLINGTON
HBP LEASECO LLC
TOTAL Lic Capacity: 101
Phone
ICF/IID: 0
100100
(817) 457-9710
BROOKDALE PECAN PARK
915 NORTH FIELDER RD
ARLINGTON
SERVICE TYPE TYPE B
Region
COLORADO SPRINGS
(817) 861-4669
Reg Svcs:
BROOKDALE LAKE ARLINGTON
2517 LITTLE RD
ARLINGTON
(214) 752-7054
15475 GLENEAGLE DR
TARRANT
Facility ID:
FAX:
BETHESDA FOUNDATION
TITLE19: 0
PRIVATE Beds: 75
75207
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
08/15/2018
TEAM 2
000616
(817) 861-4644
(214) 752-7050
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
BETHESDA FOUNDATION DBA BETHESDA GARDENS
1103 W ARKANSAS LN
TX
ARLINGTON
76013
County
Region
DALLAS
(214) 752-7054
TARRANT
Phone
SERVICE TYPE TYPE B
1625 N STEMMONS FREEWAY
TITLE 18: 0
PRIVATE Beds: 25
Facility Information:
(214) 752-7054
Owner Information
76001
Fax
Cert Alzh Capacity: 25
County
FAX:
AVALON CARE GROUP LLC
TOTAL Lic Capacity: 25
Phone
75207
08/15/2018
TEAM 2
100660
(214) 752-7050
Facility Information:
(214) 752-7050
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 25
Phone
DALLAS
(214) 752-7054
TITLE 18: 0
Cert Alzh Capacity: 25
Facility Information:
03 - ARLINGTON
Owner Information
AVALON CARE GROUP LLC
TOTAL Lic Capacity: 25
County
Region
TEAM 2
105379
37027
FAX:
(615) 221-2284
SERVICE TYPE TYPE B
07/25/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
050686
ARC PECAN PARK LP
TX
111 WESTWOOD PL
76012
Fax
(817) 265-6906
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(615) 221-2284
SERVICE TYPE TYPE A
07/25/2017
Page 257 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
CASTLEROCK ASSISTED LIVING LP
5519 S COLLINS ST.
TX
ARLINGTON
Phone
COMPASSION OF FAITH
2501/03 OAK HILL DR
ARLINGTON
Phone
TX
ICF/IID: 0
TX
FAX:
(817) 784-0385
SERVICE TYPE TYPE A
Region
03 - ARLINGTON
Owner Information
700 N HURSTBOURNE PKWY
LOUISVILLE
(817) 469-1423
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Region
TEAM 2
03 - ARLINGTON
GRACE & MERCY ASSISTED LIVING LLC
3405 WOODSIDE DRIVE
76016
ARLINGTON
(817) 451-4338
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(817) 451-4336
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
TARRANT
Facility ID:
40222
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
(502) 753-6004
License Exp Dt:
105648
Fax
Cert Alzh Capacity: 0
PHONE:
,STE 200
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
76016
FAX:
(817) 451-4338
SERVICE TYPE TYPE A
04/19/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
102995
HIBISCUS RESIDENTIAL CARE HOME LLC
341 MCMURTRY DR
TX
ARLINGTON
76002
Sunday, October 09, 2016
76002
04/01/2018
TEAM 2
76016
(817) 451-4336
PRIVATE Beds: 6
(817) 798-1991
License Exp Dt:
030053
Fax
GRACE & MERCY ASSISTED LIVING LLC
3405 WOODSIDE DR.
TX
ARLINGTON
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
TOTAL Lic Capacity: 6
03 - ARLINGTON
ARLINGTON OPERATIONS, LLC
PRIVATE Beds: 119
(817) 719-3022
SERVICE TYPE TYPE B
Region
ARLINGTON
(817) 419-8146
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(817) 649-4016
519 RED COAT LN
TITLE19: 0
(817) 469-7671
Facility Information:
FAX:
12/05/2017
TEAM 3
76002
TITLE 18/19:
TOTAL Lic Capacity: 119
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(817) 905-7190
76006
Owner Information
TARRANT
Phone
03 - ARLINGTON
PATIENCE O EGUAE
Fax
PRIVATE Beds: 6
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
102989
(817) 375-1059
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
County
Region
ARLINGTON
(817) 649-4016
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
Phone
SERVICE TYPE TYPE B
2503 OAK HILL DR
TITLE 18: 0
COURAGE ASSISTED LIVING FACILITY
519 RED COAT LN
TX
ARLINGTON
ELMCROFT OF ARLINGTON
4101 W ARKANSAS LN
ARLINGTON
(817) 557-2215
Owner Information
TARRANT
Facility Information:
FAX:
02/01/2018
TEAM 6
76006
Fax
PRIVATE Beds: 9
County
76018
LINDA'S ALTERNATIVE CARE, INC
Cert Alzh Capacity: 0
Phone
(817) 557-2221
License Exp Dt:
050057
(817) 649-4048
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TARRANT
Facility Information:
ARLINGTON
(817) 557-2215
TITLE 18: 0
PRIVATE Beds: 70
County
5519 S COLLINS ST
76018
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
CASTLEROCK ASSISTED LIVING, LP
(817) 557-2221
TOTAL Lic Capacity: 70
Region
TEAM 3
100222
HIBISCUS RESIDENTIAL CARE HOME LLC
341 MCMURTRY DR
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ARLINGTON
(817) 719-4128
0
ICF/IID: 0
PHONE:
TX
(817) 449-9278
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76002
FAX:
SERVICE TYPE TYPE A
04/01/2018
Page 258 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
L & A CARE, LLC
308 DAKOTA DR.
ARLINGTON
Phone
TX
308 DAKOTA DR
76002
Fax
(817) 538-5200
TITLE 18/19:
LEGACY LIVING AT ARLINGTON
1501 NE GREEN OAKS BLVD
ARLINGTON
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ICF/IID: 0
Phone
(817) 451-9701
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
03 - ARLINGTON
PHONE:
,SUITE 200
WA
(360) 867-1900
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
98501
FAX:
(360) 867-1954
SERVICE TYPE TYPE B
01/31/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
050565
SUMAINA S IBRAHIM
TX
7903 TINCUP DR
76017
Fax
ARLINGTON
(817) 468-5005
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 477-5775
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
(817) 477-5775
ICF/IID: 0
Reg Svcs:
PRIVATE Beds: 6
Phone
OLYMPIA
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
NEW ERA ASSISTED LIVING
7903 TINCUP DRIVE
ARLINGTON
Region
111 MARKET STREET N.E.
TITLE 18: 0
(817) 784-3827
Facility Information:
SERVICE TYPE TYPE A
JACK HENRY ARLINGTON LLC
Fax
TOTAL Lic Capacity: 6
County
FAX:
Owner Information
TARRANT
METRO HOME CARE
802 LEVELLAND DR
ARLINGTON
75034
07/01/2018
TEAM 3
MEADOWBROOK MEMORY CARE COMMUNITY
2300 LITTLE RD
TX
ARLINGTON
76016
Facility ID:
(469) 916-6100
License Exp Dt:
105353
(817) 451-9700
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 69
03 - ARLINGTON
,STE 110
FRISCO
(817) 465-4026
TARRANT
Cert Alzh Capacity: 69
(516) 775-3299
SERVICE TYPE TYPE B
Region
1518 LEGACY DR
TITLE19: 0
TOTAL Lic Capacity: 69
FAX:
12/07/2017
TEAM 3
76015
TITLE 18/19:
Facility ID:
76006
Owner Information
TITLE 18: 0
PRIVATE Beds: 80
Facility Information:
03 - ARLINGTON
SOUTHWEST LTC-MEADOW VIEW LTD
Fax
Cert Alzh Capacity: 0
(516) 596-5222
License Exp Dt:
000847
(817) 465-9596
TOTAL Lic Capacity: 80
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MEADOW VIEW ASSISTED LIVING
2815 MEDLIN DR
TX
ARLINGTON
County
Region
ARLINGTON
(817) 795-1709
TARRANT
Phone
SERVICE TYPE TYPE A
1501 NE GREEN OAKS BLVD
TITLE 18: 0
PRIVATE Beds: 60
Facility Information:
(817) 642-7018
Owner Information
76006
Fax
Cert Alzh Capacity: 60
County
FAX:
ARLINGTON MC MANAGEMENT LLC
TOTAL Lic Capacity: 60
Phone
76002
12/04/2016
TEAM 2
030336
(817) 795-1700
Facility Information:
(817) 538-5200
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Phone
ARLINGTON
(817) 642-7018
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
L & A CARE, LLC
TOTAL Lic Capacity: 6
County
Region
TEAM 2
105636
76001
FAX:
(817) 557-4701
SERVICE TYPE TYPE A
11/20/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
103189
SUMAINA S IBRAHIM
TX
7903 TINCUP DR
76001
ARLINGTON
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 477-5775
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76001
FAX:
(817) 557-4701
SERVICE TYPE TYPE A
08/07/2018
Page 259 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
SATORI SENIOR CARE AT SAINT CLAIRE
2305 SAINT CLAIRE DR
TX
ARLINGTON
Phone
ARLINGTON
TITLE 18: 0
TITLE 18/19:
SEASONS ASSISTED LIVING
2424 VENTURA
ARLINGTON
Phone
TX
Sunday, October 09, 2016
03 - ARLINGTON
(817) 800-9948
License Exp Dt:
76002
FAX:
(817) 557-5434
SERVICE TYPE TYPE A
01/14/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
103205
MARIE HART
TX
1804 MARTINIQUE DR
76012
Fax
ARLINGTON
(817) 274-0328
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(817) 986-4534
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
THE WATERFORD ON COOPER
1860 N COOPER ST
ARLINGTON
PRIVATE Beds: 124
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Cert Alzh Capacity: 27
ICF/IID: 0
Reg Svcs:
PRIVATE Beds: 6
TOTAL Lic Capacity: 124
SERVICE TYPE TYPE B
Region
ARLINGTON
(817) 557-5434
TITLE19: 0
Cert Alzh Capacity: 0
(817) 261-3601
(817) 557-5434
7200 GEORGE FINGER RD
TITLE 18/19:
TOTAL Lic Capacity: 6
Phone
FAX:
01/28/2017
TEAM 3
76002
(817) 986-4534
Facility Information:
76002
Owner Information
TARRANT
County
(817) 800-9948
License Exp Dt:
TITLE 18: 0
THE GUARDIAN
1804 MARTINIQUE DR
ARLINGTON
03 - ARLINGTON
TENDER ELDERLY CARE INC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104085
(817) 800-9948
PRIVATE Beds: 6
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
SERVICE TYPE TYPE A
Region
ARLINGTON
(817) 557-5434
TITLE19: 0
TOTAL Lic Capacity: 6
(817) 299-0334
7200 GEORGE FINGER RD
TITLE 18/19:
TENDERCARE HOME FOR ADULTS #2
7200 GEORGE FINGER RD
TX
ARLINGTON
FAX:
08/22/2017
TEAM 3
76014
TITLE 18: 0
Facility ID:
76015
Owner Information
TARRANT
Facility Information:
03 - ARLINGTON
TENDER ELDERLY CARE INC
Fax
PRIVATE Beds: 6
(817) 528-7575
License Exp Dt:
101918
(817) 800-9948
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 6
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TENDER CARE HOME FOR ADULTS
3600 CHAMBERLAND DR
TX
ARLINGTON
Phone
ARLINGTON
(817) 299-0334
TARRANT
Facility Information:
Region
2424 VENTURA A
TITLE 18: 0
PRIVATE Beds: 10
County
SERVICE TYPE TYPE B
Owner Information
76015
Fax
Cert Alzh Capacity: 0
Phone
FAX:
10/02/2016
TEAM 2
103046
(817) 460-5889
Facility Information:
76012
MCCULLY HOMES LLC
TOTAL Lic Capacity: 10
County
(817) 224-2281
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
County
2305 SAINT CLAIRE DRIVE
76012
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
SATORI SENIOR CARE
(817) 224-2281
TOTAL Lic Capacity: 6
Region
TEAM 3
105709
76012
FAX:
(817) 274-0328
SERVICE TYPE TYPE A
05/05/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
000919
CSL CE ARLINGTON LLC
TX
14160 DALLAS PKWY
76011
Fax
(817) 261-2810
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 300
TX
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(972) 387-8216
SERVICE TYPE TYPE B
03/30/2018
Page 260 of 311
County
Reg Svcs:
TARRANT
Facility Information:
EAGLE CREST VILLA
113 DENVER TR
AZLE
Phone
Facility ID:
TX
7150 GANTT ACCESS ROAD
76020
Fax
(817) 444-3249
TITLE 18/19:
SILVER CREEK ASSISTED LIVING
1300 SILVER CREEK AZLE ROAD
TX
AZLE
BROOKDALE EDEN ESTATES
1997 FOREST RIDGE DR
BEDFORD
Phone
TX
TX
BRENTWOOD
ICF/IID: 0
TITLE19: 0
03 - ARLINGTON
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
03/24/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
030346
BEDFORD OPERATIONS, LLC
TX
9510 ORMSBY STATION RD
76021
Fax
LOUISVILLE
(817) 283-7425
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,SUITE 101
KY
(502) 753-6004
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
HEARTLAND HEALTH CARE CENTER
2001 FOREST RIDGE DR
TX
BEDFORD
Sunday, October 09, 2016
(414) 918-5054
SERVICE TYPE TYPE A
Region
TEAM 6
(817) 267-6455
TARRANT
PRIVATE Beds: 60
FAX:
07/31/2018
111 WESTWOOD PL
TITLE 18/19:
PRIVATE Beds: 118
Cert Alzh Capacity: 0
53214
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 24
TOTAL Lic Capacity: 60
(414) 918-5000
License Exp Dt:
76021
(817) 283-6604
(817) 571-6804
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
010265
Fax
TOTAL Lic Capacity: 118
Phone
ICF/IID: 0
0
TARRANT
Facility Information:
03 - ARLINGTON
ESC IV LP
PRIVATE Beds: 56
County
Region
MILWAUKEE
(817) 267-0406
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 56
Phone
SERVICE TYPE TYPE A
02/28/2017
TEAM 6
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 56
ELMCROFT OF BEDFORD
3800 CENTRAL DR
BEDFORD
FAX:
6737 W. WASHINGTON STREET
TITLE 18: 0
(817) 267-6200
Facility Information:
76020
Owner Information
TARRANT
County
PHONE:
License Exp Dt:
76021
Fax
PRIVATE Beds: 80
Phone
03 - ARLINGTON
EMERITUS CORPORATION
Cert Alzh Capacity: 0
BROOKDALE OAK HOLLOW
2016 L DON DODSON PKY
BEDFORD
TX
PROGRAM TYPE: ASSISTED LIVING
0
030035
(817) 267-2488
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 80
County
Region
AZLE
(817) 238-8784
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
1300 SILVER CREEK AZLE ROAD
76020
TARRANT
Facility Information:
(817) 444-3275
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
SILVER CREEK AL LLC
Fax
Cert Alzh Capacity: 0
76020
09/01/2017
TEAM 2
000643
(817) 238-8126
TOTAL Lic Capacity: 16
(817) 444-3249
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
Phone
AZLE
(817) 444-3275
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
EAGLE CREST HEALTH CARE LLLP
TOTAL Lic Capacity: 55
County
Region
TEAM 2
030096
40223
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/03/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
000729
HEARTLAND OF BEDFORD TX, LLC DBA HCR HEARTLAND OF BEDFORD TX LLC
333 NORTH SUMMIT ST
76021
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
TOLEDO
(817) 267-4176
0
ICF/IID: 0
PHONE:
OH
(419) 252-5500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
43604
FAX:
(419) 254-5494
SERVICE TYPE TYPE B
04/07/2017
Page 261 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
PARKWOOD HEALTHCARE COMMUNITY
2600 PARKVIEW LANE
TX
BEDFORD
Phone
PBH RESIDENTIAL CARE HOMES, L.P.
604 DONNA LANE
TX
BEDFORD
Phone
County
TCG BENBROOK AL LLC
4242 BRYANT IRVIN RD
BENBROOK
Phone
TX
(817) 447-4505
Sunday, October 09, 2016
75254
FAX:
(972) 770-5600
(972) 770-5666
SERVICE TYPE TYPE B
06/01/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
SFL ELK CREEK BURLESON LP
301 ELK DRIVE
76028
BURLESON
ICF/IID: 0
TITLE19: 0
PHONE:
TX
76028-5645
FAX:
(817) 386-8888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
SILVER RIDGE ASSISTED LIVING
5314 BRANSFORD RD STE B
TX
COLLEYVILLE
PHONE:
License Exp Dt:
106481
TITLE 18/19:
Facility ID:
03 - ARLINGTON
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
PRIVATE Beds: 16
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 90
Region
DALLAS
Fax
Cert Alzh Capacity: 21
SERVICE TYPE TYPE B
14160 DALLAS PKWY
Reg Svcs:
TOTAL Lic Capacity: 90
(817) 446-0923
03/31/2017
TEAM 3
76028
(817) 295-6555
Cert Alzh Capacity: 16
License Exp Dt:
TITLE19: 0
ELK CREEK SENIOR LIVING COMMUNITY
301 ELK DRIVE
TX
BURLESON
FAX:
(817) 446-4792
CSL LEASECO INC
TITLE 18/19:
Facility ID:
PHONE:
76102
Owner Information
TARRANT
TOTAL Lic Capacity: 16
03 - ARLINGTON
,SUTIE 444
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 80
(817) 514-3826
ICF/IID: 0
000384
Fax
Cert Alzh Capacity: 0
Phone
Region
FORT WORTH
(817) 763-8411
Reg Svcs:
Facility ID:
(817) 447-4477
Facility Information:
SERVICE TYPE TYPE B
TEAM 3
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 80
County
(972) 660-2204
11/05/2017
1200 SUMMIT AVE
TITLE 18: 0
COVENANT PLACE OF BURLESON
611 NE ALSBURY BLVD
TX
BURLESON
Phone
FAX:
Owner Information
TARRANT
Facility Information:
76022
(469) 682-6670
License Exp Dt:
76109
Fax
PRIVATE Beds: 170
County
03 - ARLINGTON
TCG BENBROOK AL, LLC
Cert Alzh Capacity: 26
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000619
(817) 763-0088
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 170
County
BEDFORD
(888) 397-1087
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
604 DONNA LANE
76022
TARRANT
Facility Information:
SERVICE TYPE TYPE B
06/30/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
(515) 875-4780
PBH RESIDENTIAL CARE HOMES LP
Fax
Cert Alzh Capacity: 0
FAX:
TEAM 3
105563
(817) 494-8488
TOTAL Lic Capacity: 6
50309
(515) 875-4590
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
IA
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,800 LOCUST ST STE 820
DES MOINES
(817) 354-1808
TITLE 18: 0
PRIVATE Beds: 84
County
CAPITAL SQUARE
76022
Fax
Cert Alzh Capacity: 30
03 - ARLINGTON
Owner Information
LCS-PHC LLC
(817) 354-6556
TOTAL Lic Capacity: 84
Region
TEAM 3
000567
(817) 386-8324
SERVICE TYPE TYPE B
04/28/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
104483
SIVA ASSISTED LIVING SERVICES LTD CO
412 TIMBERLINE DRIVE NORTH
76034
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
COLLEYVILLE
(817) 886-2620
0
ICF/IID: 0
PHONE:
TX
(817) 514-3826
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76034
FAX:
(817) 886-2620
SERVICE TYPE TYPE B
07/22/2017
Page 262 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
SILVER RIDGE ASSISTED LIVING
5314 BRANSFORD RD STE A
TX
COLLEYVILLE
Phone
County
Phone
JACK'S PLACE
519 ESSEX PL
EULESS
Phone
TOTAL Lic Capacity: 5
Cert Alzh Capacity: 0
PRIVATE Beds: 5
Sunday, October 09, 2016
Region
CROWLEY
(866) 323-0948
ICF/IID: 0
PHONE:
TX
(682) 240-8181
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
76036
FAX:
(866) 323-0948
SERVICE TYPE TYPE B
07/04/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
103746
TX
517 ESSEX PLACE
76039
Fax
EULESS
(817) 554-5291
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 313-6136
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
(817) 545-7644
SERVICE TYPE TYPE B
ELDER VILLAGE EULESS LLC
PRIVATE Beds: 8
Phone
(214) 782-9569
10805 W CLEBURNE RD
Reg Svcs:
Cert Alzh Capacity: 0
STARFISH SHELMAR HOME
606 SHELMAR DR
EULESS
FAX:
Owner Information
TITLE19: 0
(817) 685-7578
Facility Information:
75254
04/29/2017
TEAM 2
76036
TITLE 18/19:
TOTAL Lic Capacity: 8
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(214) 782-9994
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
PHONE:
TX
ANCHOR WAY SENIOR CARE LLC
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
103487
(682) 240-8181
Cert Alzh Capacity: 0
03 - ARLINGTON
,SUITE 250
PLANO
(214) 782-9569
Reg Svcs:
TOTAL Lic Capacity: 16
(817) 886-2620
SERVICE TYPE TYPE B
Region
14881 QUORUM DRIVE
TARRANT
Phone
FAX:
Owner Information
TITLE19: 0
ANCHOR WAY SENIOR CARE LLC
10805 W CLEBURNE RD
TX
CROWLEY
76034
07/22/2017
TEAM 3
76034
TITLE 18/19:
Facility ID:
(817) 514-3826
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 108
03 - ARLINGTON
USMC COLLEYVILLE, LLC
Fax
Cert Alzh Capacity: 75
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105473
(214) 782-9994
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 108
County
COLLEYVILLE
(817) 886-2620
TITLE19: 0
US MEMORY CARE- COLLEYVILLE
8100 PRECINCT LINE ROAD
TX
COLLEYVILLE
Region
412 TIMBERLINE DRIVE NORTH
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
07/22/2017
TEAM 3
76034
TARRANT
Facility Information:
(817) 886-2620
Owner Information
TITLE 18: 0
PRIVATE Beds: 20
FAX:
SIVA ASSISTED LIVING SERVICES LTD CO
Fax
Cert Alzh Capacity: 20
76034
(817) 514-3826
License Exp Dt:
105400
(817) 560-0901
TOTAL Lic Capacity: 20
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
SILVER RIDGE MEMORY CARE II
412 TIMBERLINE DRIVE NORTH
TX
COLLEYVILLE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TARRANT
Facility Information:
COLLEYVILLE
(817) 886-2620
TITLE 18: 0
PRIVATE Beds: 16
County
412 TIMBERLINE DRIVE NORTH
76034
Fax
Cert Alzh Capacity: 0
03 - ARLINGTON
Owner Information
SIVA ASSISTED LIVING SERVICES LTD CO
(817) 514-3826
TOTAL Lic Capacity: 16
Region
TEAM 3
104503
76039
FAX:
(817) 554-5281
SERVICE TYPE TYPE B
06/08/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
105670
STARFISH ENTERPRISES LLC
TX
606 SHELMAR DR
76039
EULESS
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 545-7644
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76039
FAX:
SERVICE TYPE TYPE A
11/18/2016
Page 263 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
ALBRIGHT FOSTER CARE
7636 RED WILLOW RD
FORT WORTH
Phone
TX
7636 RED WILLOW RD
76133
Fax
(817) 294-5915
TITLE 18/19:
AUTUMN LEAVES OF CITYVIEW
7100 DUTCH BRANCH ROAD
FORT WORTH
TX
545 E JOHN CARPENTER FRWY
TX
ICF/IID: 0
TX
(214) 752-7054
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
15475 GLENEAGLE DR
Fax
COLORADO SPRINGS
(817) 292-3128
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITLE 18/19:
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
15475 GLENEAGLE DR
COLORADO SPRINGS
(817) 292-3128
ICF/IID: 0
PHONE:
CO
(719) 481-0100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
BROOKDALE BROADWAY CITYVIEW
5301 BRYANT IRVIN RD
TX
FORT WORTH
(719) 488-6080
BSLC II
TARRANT
Facility ID:
FAX:
09/26/2017
TEAM 3
TITLE19: 0
PRIVATE Beds: 32
80921
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 62
(719) 481-0100
License Exp Dt:
103785
Fax
PHONE:
CO
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 32
Sunday, October 09, 2016
FAX:
Owner Information
76133
(817) 292-8886
PRIVATE Beds: 52
75207
08/15/2018
TEAM 6
BETHESDA GARDENS MEMORY CARE COMMUNITY
5349 ALTAMESA BLVD
TX
FORT WORTH
76123
Cert Alzh Capacity: 0
(214) 752-7050
License Exp Dt:
100339
TARRANT
TOTAL Lic Capacity: 52
03 - ARLINGTON
BSLC II
PRIVATE Beds: 124
(817) 346-9407
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
DALLAS
(214) 752-7054
TITLE19: 0
(817) 292-8886
Facility Information:
SERVICE TYPE TYPE B
1625 N STEMMONS FREEWAY
TITLE 18/19:
TOTAL Lic Capacity: 124
County
(214) 845-4501
07/24/2018
TEAM 2
76135
TARRANT
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 40
Facility Information:
(214) 845-4500
License Exp Dt:
000803
Fax
Cert Alzh Capacity: 40
County
PHONE:
75062
AVALON CARE GROUP LLC
TOTAL Lic Capacity: 40
Phone
03 - ARLINGTON
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(214) 752-7050
BETHESDA GARDENS
5417 ALTA MESA BLVD
FORT WORTH
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TARRANT
Facility Information:
IRVING
(817) 769-3801
TITLE 18: 0
PRIVATE Beds: 46
County
Region
Owner Information
76132
Fax
Cert Alzh Capacity: 46
Phone
SERVICE TYPE TYPE C
SOUTHWEST FT WORTH MEMORY CARE LLC
TOTAL Lic Capacity: 46
AVALON CARE GROUP, LLC
4551 BOAT CLUB RD
FORT WORTH
FAX:
02/21/2018
TEAM 2
104331
(817) 769-3800
Facility Information:
76133
(817) 294-5915
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 4
Phone
FORT WORTH
(817) 294-3742
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
BELINDA E ALBRIGHT
TOTAL Lic Capacity: 4
County
Region
TEAM 2
001027
80921
FAX:
(719) 488-6080
SERVICE TYPE TYPE B
09/26/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
000707
FORT AUSTIN LIMITED PARTNERSHIP
111 WESWOOD PLACE
76132
Fax
(817) 294-3235
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(312) 977-3742
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
SERVICE TYPE TYPE B
07/25/2016
Page 264 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
BROOKDALE TANGLEWOOD OAKS
2698 S HULEN ST
TX
FORT WORTH
Phone
BROOKDALE WESTOVER HILLS
6201 PLAZA PKWY
FORT WORTH
Phone
TX
(817) 989-1946
TITLE 18/19:
ICF/IID: 0
TX
MILWAUKE
(817) 989-1946
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 16
TITLE 18/19:
ICF/IID: 0
TX
FAX:
(469) 402-0906
SERVICE TYPE TYPE B
05/30/2017
Region
TEAM 2
03 - ARLINGTON
6405 GREENBRIAR LANE
FORT WORTH
(817) 534-5771
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 470-9193
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
76132
FAX:
(817) 534-5771
SERVICE TYPE TYPE B
11/12/2016
Region
TEAM 3
03 - ARLINGTON
Owner Information
030369
COLONIAL GARDENS OF FORT WORTH FW-1
6939 RIVER PARK CIRCLE
TX
FORT WORTH
76116
Sunday, October 09, 2016
76133
Owner Information
TARRANT
PRIVATE Beds: 20
(917) 224-1603
License Exp Dt:
76132
Fax
PRIVATE Beds: 8
Cert Alzh Capacity: 20
03 - ARLINGTON
CIRCLE OF HELPING HANDS LLC
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 20
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104433
(214) 470-9193
(817) 731-1440
Region
FORT WORTH
(817) 768-7843
Reg Svcs:
TOTAL Lic Capacity: 8
Phone
SERVICE TYPE TYPE B
07/25/2017
6617 DAN DANCIGER RD
TARRANT
Facility ID:
FAX:
CASABLANCA RETIREMENT HOME, INC.
TITLE19: 0
PRIVATE Beds: 16
53214
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 12
(414) 918-5000
TEAM 2
000671
Fax
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
(817) 292-0925
Facility Information:
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
CASABLANCA ASSISTED LIVING AND MEMORY CARE
6617 DAN DANCIGER RD
TX
FORT WORTH
76133
County
Region
6737 WEST WASHINGTON ST
TARRANT
Phone
SERVICE TYPE TYPE A
Owner Information
76116
Fax
PRIVATE Beds: 31
CIRCLE OF HELPING HANDS
6405 GREENBRIAR LN
FORT WORTH
FAX:
07/20/2017
TEAM 3
100302
(817) 989-1174
Facility Information:
(414) 918-5000
53214
ARC WESTOVER HILLS LP
Cert Alzh Capacity: 31
County
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 31
Phone
03 - ARLINGTON
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
MILWAUKE
TITLE19: 0
PRIVATE Beds: 144
County
SERVICE TYPE TYPE B
Region
6737 WEST WASHINGTON ST
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
(414) 918-5054
Owner Information
76116
Fax
BROOKDALE WESTOVER HILLS
6201 PLAZA PKWY
FORT WORTH
FAX:
10/01/2017
TEAM 3
100206
(817) 989-1174
Facility Information:
37027
ARC WESTOVER HILLS LP
TOTAL Lic Capacity: 144
County
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,STE 400
BRENTWOOD
(817) 922-0050
TITLE 18: 0
PRIVATE Beds: 116
County
111 WESTWOOD PL
76109
Fax
Cert Alzh Capacity: 24
03 - ARLINGTON
Owner Information
ESC-NGH, LP
(817) 922-9559
TOTAL Lic Capacity: 116
Region
TEAM 2
000301
ASF LIVING INC
P O BOX 3666
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SAN ANGELO
(817) 731-0535
0
ICF/IID: 0
PHONE:
TX
(325) 653-3180
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76902
FAX:
SERVICE TYPE TYPE B
07/01/2018
Page 265 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
TOTAL Lic Capacity: 20
P O BOX 3666
TITLE 18/19:
COURTYARDS AT RIVER PARK
3201 RIVER PARK DR
FORT WORTH
TX
(817) 732-2667
TITLE 18/19:
TX
(817) 732-2667
TX
(503) 684-2533
SERVICE TYPE TYPE B
Region
03 - ARLINGTON
5508 WAINWRIGHT DR
FORT WORTH
(817) 572-2539
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(817) 451-8168
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
76112
FAX:
(817) 572-2539
SERVICE TYPE TYPE A
07/11/2016
Region
TEAM 2
03 - ARLINGTON
Owner Information
050669
DR NENITA C SABATER
TX
6016 WEDGMONT CIR NO
76133
Fax
FORT WORTH
(817) 361-5717
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
TITLE 18/19:
FAIR HAVEN ADULT FOSTER CARE
5832 MONTERREY DR
TX
FORT WORTH
(817) 361-5717
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
PRIVATE Beds: 4
97201-5362
01/28/2017
TEAM 2
76119
Fax
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 0
License Exp Dt:
101467
(817) 361-5717
TOTAL Lic Capacity: 4
(503) 684-1123
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
(817) 429-5785
PHONE:
OR
BETTY K DRAKE
PRIVATE Beds: 8
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
(817) 536-1454
Facility Information:
03 - ARLINGTON
,STE 180
PORTLAND
TITLE19: 0
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
Region
1800 SW 1ST AVE
TITLE 18/19:
TOTAL Lic Capacity: 8
Phone
(503) 684-2533
01/28/2017
TEAM 2
76116
TARRANT
EMERALD VISTA LODGE
6016 WEDGMONT CIR N
FORT WORTH
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 71
Facility Information:
License Exp Dt:
104322
Fax
Cert Alzh Capacity: 22
County
(503) 684-1123
97201-5362
NIC COURTYARDS MANAGEMENT LLC
TOTAL Lic Capacity: 71
Phone
PHONE:
OR
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
(817) 732-4436
DRAKES ASSISTED LIVING
3229 COMANCHE ST
FORT WORTH
ICF/IID: 0
0
TARRANT
Facility Information:
03 - ARLINGTON
,STE 180
PORTLAND
TITLE19: 0
PRIVATE Beds: 72
County
Region
1800 SW 1ST AVE
TITLE 18: 0
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Owner Information
76116
Fax
COURTYARDS AT RIVER PARK
3201 RIVER PARK
FORT WORTH
FAX:
07/01/2016
TEAM 2
000675
(817) 732-4436
Facility Information:
76902
NIC COURTYARDS MANAGEMENT LLC
TOTAL Lic Capacity: 72
County
(325) 653-3180
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 20
Facility Information:
SAN ANGELO
(817) 731-4987
TITLE 18: 0
Cert Alzh Capacity: 20
County
ASF LIVING INC
Fax
(817) 731-9446
03 - ARLINGTON
Owner Information
COLONIAL GARDENS OF FORT WORTH FW-2
6931 RIVER PARK CIR
TX
FORT WORTH
76116
Phone
Region
TEAM 3
100325
76133
FAX:
(817) 361-5717
SERVICE TYPE TYPE A
05/02/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
001240
LOIS M SMITH
5832 MONTERREY DR
76112
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FORT WORTH
(817) 429-5785
0
ICF/IID: 0
PHONE:
TX
(817) 429-5785
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76112
FAX:
(817) 429-5785
SERVICE TYPE TYPE C
03/03/2017
Page 266 of 311
County
Reg Svcs:
TARRANT
Facility Information:
FLEURDLEYS INC
6104 RENDON NEW HOPE RD
FORT WORTH
Phone
Facility ID:
TX
6104 RENDON NEW HOPE RD
76140
Fax
(817) 483-2808
FORT WORTH
(817) 483-5651
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 13
TITLE 18/19:
Fax
(817) 568-1445
TOTAL Lic Capacity: 8
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
GREENBRIAR MANSION
7865 OAKMONT BLD
FORT WORTH
Phone
TX
TX
Sunday, October 09, 2016
PHONE:
TX
(817) 535-3827
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76118
FAX:
(817) 535-1362
SERVICE TYPE TYPE B
09/11/2016
Region
TEAM 3
03 - ARLINGTON
Owner Information
106183
5910 N CENTRAL EXPRESSWAY
76179
DALLAS
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 200
TX
(214) 916-5750
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
HERITAGE PLACE ASSISTED LIVING
621 OLD HIGHWAY 1187
TX
FORT WORTH
PRIVATE Beds: 138
ICF/IID: 0
0
TARRANT
Cert Alzh Capacity: 28
03 - ARLINGTON
EAGLE MOUNTAIN AL PARTNERS, LP
PRIVATE Beds: 95
TOTAL Lic Capacity: 138
SERVICE TYPE TYPE B
Region
FORT WORTH
(817) 292-6856
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 35
(817) 293-2300
(817) 921-5402
02/13/2016
TEAM 6
TITLE19: 0
TOTAL Lic Capacity: 95
Phone
FAX:
2423 GRAVEL DR
TITLE 18/19:
(817) 236-6116
Facility Information:
79382
Owner Information
TARRANT
County
(806) 535-6322
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
76132
Fax
Cert Alzh Capacity: 0
HEARTIS EAGLE MOUNTAIN
3141 DALHART DRIVE
FORT WORTH
ICF/IID: 0
000812
(817) 292-0792
Facility Information:
03 - ARLINGTON
GREENBRIAR PRIME MANAGEMENT LLC
TOTAL Lic Capacity: 16
County
SERVICE TYPE TYPE A
Region
FORT WORTH
(817) 921-5402
Reg Svcs:
Facility ID:
(817) 568-1445
812 W MORPHY ST
TARRANT
Facility Information:
FAX:
05/31/2017
TEAM 3
TITLE19: 0
PRIVATE Beds: 42
76134
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 42
03 - ARLINGTON
MAGNOLIA MEDICAL MANAGEMENT LLC
Fax
TOTAL Lic Capacity: 42
(817) 568-1445
License Exp Dt:
105743
(817) 805-0507
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
GOOD LIFE SENIOR LIVING AND MEMORY CARE
812 WEST MORPHY ST
TX
FORT WORTH
76104
Phone
Region
FORT WORTH
(817) 568-1445
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
7801 W MARLBOROUGH
TARRANT
Facility Information:
(817) 483-5651
VANZANELL EDWARDS
TITLE19: 0
PRIVATE Beds: 8
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
76140
07/03/2017
TEAM 2
105160
GODS REACHOUT RESIDENTIAL AND ASSISTED LIVING
7801 W MARLBOROUGH
TX
FORT WORTH
76134
Phone
(817) 483-2808
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
03 - ARLINGTON
Owner Information
FLEURDLEYS INC
TOTAL Lic Capacity: 13
County
Region
TEAM 2
100982
75206
FAX:
(469) 547-5422
SERVICE TYPE TYPE B
03/03/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
105915
TCG BURLESON AL, LLC
1200 SUMMIT AVE.
76028
FORT WORTH
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE. 444
TX
(817) 446-4792
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76102
FAX:
(817) 446-0923
SERVICE TYPE TYPE B
08/07/2016
Page 267 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
HERITAGE SQUARE
500 S BEACH ST
FORT WORTH
Phone
TX
2423 GRAVEL DR
76105
Fax
(817) 534-0013
FORT WORTH
(817) 534-0308
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 85
TITLE 18/19:
TOTAL Lic Capacity: 39
County
TITLE 18/19:
MORRIS FAMILY HOMES
1333 E RICHMOND AVE
FORT WORTH
Phone
TX
TX
SERVICE TYPE TYPE A
Region
FORT WORTH
(817) 810-0616
ICF/IID: 0
03 - ARLINGTON
76104
FAX:
(817) 810-0616
SERVICE TYPE TYPE A
06/05/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
DERA-MAAC CORP
15128 APPALOOSA DR
76132
FRISCO
(817) 263-2202
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 491-7434
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
TARRANT
Facility ID:
(817) 810-0606
License Exp Dt:
102849
Fax
PRIVATE Beds: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Sunday, October 09, 2016
(817) 926-7461
01/26/2017
TEAM 3
TITLE19: 0
TOTAL Lic Capacity: 8
PRIVATE Beds: 16
FAX:
921 WEST CANNON ST
TITLE 18/19:
(817) 263-2203
Cert Alzh Capacity: 0
License Exp Dt:
TITLE 18: 0
ROSE TERRACE ELDERLY CARE HOME
4704 WHISTLER DR
TX
FORT WORTH
TOTAL Lic Capacity: 16
(817) 926-7041
76104
Owner Information
TARRANT
(972) 241-9334
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
76104
Fax
PRIVATE Beds: 35
Phone
03 - ARLINGTON
PATHWAYS ADULT LIVING INC
Cert Alzh Capacity: 0
SAVANNA OAKS RANCH
232 BENS TRAIL
FORT WORTH
ICF/IID: 0
103283
(817) 810-0606
Facility Information:
Region
FORT WORTH
(817) 926-7461
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 35
County
SERVICE TYPE TYPE B
07/30/2018
TEAM 2
TITLE19: 0
TITLE 18/19:
PATHWAYS ADULT LIVING INC
921 W CANNON ST
FORT WORTH
Phone
FAX:
6901 REBEL RD
TARRANT
Facility Information:
75150
Owner Information
TITLE 18: 0
PRIVATE Beds: 8
County
(972) 686-2400
License Exp Dt:
76104
Fax
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030236
(817) 926-7041
Facility Information:
03 - ARLINGTON
JERRY B MORRIS JR
TOTAL Lic Capacity: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
MESQUITE
(866) 529-7014
TARRANT
Facility Information:
SERVICE TYPE TYPE B
900 WIGGINS PKWY
TITLE19: 0
PRIVATE Beds: 39
(817) 535-1362
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
CHRISTIAN CARE CENTERS INC
Fax
(817) 451-8001
76118
09/08/2017
TEAM 3
000813
LAKEWOOD VILLAGE PERSONAL CARE UNIT
5100 RANDOL MILL RD
TX
FORT WORTH
76112
Phone
(817) 535-3827
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
03 - ARLINGTON
Owner Information
GREENBRIAR PRIME MANAGEMENT LLC
TOTAL Lic Capacity: 85
County
Region
TEAM 2
000669
75035
FAX:
SERVICE TYPE TYPE B
06/30/2018
Region
TEAM 6
03 - ARLINGTON
Owner Information
105244
PATE REHABILITATION ENDEAVORS, INC
TX
2655 VILLA CREEK
76120
Fax
(972) 484-4739
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
0
ICF/IID: 0
PHONE:
,STE 140
TX
(972) 241-9334
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75234
FAX:
(972) 484-4739
SERVICE TYPE TYPE B
12/06/2016
Page 268 of 311
County
Reg Svcs:
TARRANT
Facility Information:
SILVERADO - FT. WORTH
7001 BRYANT IRVIN ROAD
FORT WORTH
Phone
Facility ID:
TX
3811 TURTLE CREEK BLVD
76132
Fax
(817) 292-2662
DALLAS
(817) 292-2621
TITLE 18: 0
Cert Alzh Capacity: 92
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 92
TITLE 18/19:
TOTAL Lic Capacity: 6
County
FORT WORTH
(817) 361-9244
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 6
County
FORT WORTH
(817) 361-9244
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 8
County
FORT WORTH
(817) 361-9244
TITLE 18/19:
ICF/IID: 0
TOTAL Lic Capacity: 6
County
TITLE 18/19:
ICF/IID: 0
(817) 717-5168
TOTAL Lic Capacity: 8
Cert Alzh Capacity: 0
PRIVATE Beds: 8
Sunday, October 09, 2016
(682) 554-8097
License Exp Dt:
03 - ARLINGTON
76123
FAX:
(682) 253-8019
SERVICE TYPE TYPE A
09/01/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
105561
ST. JOHN'S RESIDENTIAL CARE HOME INC
4816 TEAROSE TRAIL
TX
FORT WORTH
76123
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE A
Region
FORT WORTH
(682) 253-8019
TARRANT
Facility Information:
(817) 361-9244
7925 CONEFLOWER RD
TITLE19: 0
PRIVATE Beds: 6
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
76123
PASCUAL SENIOR CARE INC
Fax
(682) 554-8097
03 - ARLINGTON
11/21/2017
TEAM 2
102977
ST. JOHN'S RESIDENTIAL CARE HOME III INC.
7925 CONEFLOWER ROAD
TX
FORT WORTH
76123
Phone
(817) 680-5171
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
Region
4444 MALLOW OAK DRIVE
TITLE19: 0
PRIVATE Beds: 8
SERVICE TYPE TYPE B
01/22/2016
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(817) 361-9244
ST JOHN'S RESIDENTIAL CARE HOME, INC
Fax
(817) 297-1464
FAX:
TEAM 3
104442
ST JOHN'S RESIDENTIAL CARE HOME, INC
4444 MALLOW OAK DR
TX
FORT WORTH
76123
Phone
03 - ARLINGTON
76112
(817) 680-5171
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
Region
805 FIREWHELL TRAIL
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE B
05/19/2016
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(817) 361-9244
ST JOHN'S RESIDENTIAL CARE HOME INC
Fax
(817) 294-2674
FAX:
TEAM 3
101565
ST JOHN'S RESIDENTIAL CARE HOME INC
5801 RAYBURN DR
TX
FORT WORTH
76133
Phone
03 - ARLINGTON
76112
(817) 680-5171
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
Region
805 FIREWHELL TRAIL
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE B
05/13/2018
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 651-4001
ST JOHN'S RESIDENTIAL CARE HOME INC
Fax
(817) 680-5171
FAX:
TEAM 3
102163
ST JOHN'S RESIDENTIAL CARE HOME INC
4448 MALLOW OAK DR
TX
FORT WORTH
76123
Phone
75219
(214) 651-4000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 1050
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
03 - ARLINGTON
Owner Information
MERIDIAN FORT WORTH ALZ OE, LP
TOTAL Lic Capacity: 92
County
Region
TEAM 2
105780
PASCUAL SENIOR CARE INC
4816 TEAROSE TRL
FORT WORTH
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(682) 554-8097
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76123
FAX:
(682) 253-8019
SERVICE TYPE TYPE A
03/28/2018
Page 269 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
TOTAL Lic Capacity: 8
805 FIREWHELL TRAIL
TITLE 18/19:
Phone
TX
TX
03 - ARLINGTON
,STE 106
DALLAS
(817) 332-3340
ICF/IID: 0
PHONE:
TX
75230
FAX:
(469) 916-8958
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
(214) 623-6115
SERVICE TYPE TYPE B
12/22/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
106208
CRP CITY VIEW LLC
TX
6301 OVERTON RIDGE BLVD
76132
Fax
FORT WORTH
(817) 292-1955
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 88
TITLE 18/19:
76132
FAX:
(206) 436-7720
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Sunday, October 09, 2016
Region
12720 HILLCREST RD
TITLE19: 0
Cert Alzh Capacity: 30
PRIVATE Beds: 80
SERVICE TYPE TYPE B
09/15/2018
TEAM 3
76107-3507
TITLE 18/19:
TOTAL Lic Capacity: 88
Cert Alzh Capacity: 0
(817) 753-7808
TARRANT COUNTY SENIOR LIVING CENTER INC
(817) 292-5600
TOTAL Lic Capacity: 80
FAX:
Owner Information
TARRANT
(817) 247-8259
03 - ARLINGTON
76063
(817) 247-8259
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104969
Fax
PRIVATE Beds: 72
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 20
VINCENT VICTORIA VILLAGE
4607 E CALIFORNIA PKWY
FORT WORTH
MANSFIELD
(817) 536-0177
TITLE19: 0
(817) 332-3332
Facility Information:
Region
1312 LIVER POOL LANE
TITLE 18/19:
TOTAL Lic Capacity: 72
County
SERVICE TYPE TYPE B
05/01/2018
TEAM 2
76103
TITLE 18: 0
THE STAYTON AT MUSEUM WAY
2501 MUSEUM WAY
TX
FORT WORTH
Phone
(502) 357-9441
Owner Information
TARRANT
THE VANTAGE AT CITY VIEW
6251 OVERTON RIDGE BLVD.
FORT WORTH
FAX:
(502) 357-9000
License Exp Dt:
000964
Fax
PRIVATE Beds: 160
Facility Information:
PHONE:
40223
ROMANS HOUSE LLC
Cert Alzh Capacity: 0
County
03 - ARLINGTON
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 160
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 535-1253
Facility Information:
LOUISVILLE
(817) 292-4668
TARRANT
County
Region
10350 ORMSBY PARK PLACE
TITLE 18: 0
PRIVATE Beds: 105
Phone
SERVICE TYPE TYPE A
Owner Information
76132
Fax
Cert Alzh Capacity: 42
TANDY VILLAGE
2601 TANDY AVE
FORT WORTH
(817) 361-9244
06/22/2017
TEAM 2
102835
(817) 292-2288
Facility Information:
FAX:
MS FORT WORTH SH LLC
TOTAL Lic Capacity: 105
County
76112
(817) 680-5171
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
SUNRISE OF FORT WORTH
6151 BRYANT IRVIN ROAD
FORT WORTH
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
FORT WORTH
(817) 361-9244
TITLE 18: 0
Cert Alzh Capacity: 0
County
ST JOHN'S RESIDENTIAL CARE HOME INC
Fax
(817) 680-5171
03 - ARLINGTON
Owner Information
ST. JOHN'S RESIDENTIAL CARE HOME, INC.
805 FIRE WHEEL TRAIL
TX
FORT WORTH
76112
Phone
Region
TEAM 2
106067
(206) 287-3835
SERVICE TYPE TYPE B
10/13/2017
Region
TEAM 6
03 - ARLINGTON
Owner Information
106043
HEALTHCORE SYSTEM MANAGEMENT LLC
TX
4607 E CALIFORNIA PKWY
76119
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FOREST HILL
(682) 422-3644
0
ICF/IID: 0
PHONE:
TX
(817) 247-8259
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76119
FAX:
(682) 422-3644
SERVICE TYPE TYPE A
11/10/2017
Page 270 of 311
County
Reg Svcs:
TARRANT
Facility Information:
WESTCHESTER PLAZA
554 S SUMMIT
FORT WORTH
Phone
Facility ID:
TX
2423 GRAVEL DR
76104
Fax
(817) 336-2593
TITLE 18/19:
LAKE COUNTRY ASSISTED LIVING, LLC
7505 LOCHWOOD CT
TX
FT WORTH
402 DUNCAN PERRY
402 DUNCAN PERRY RD
GRAND PRAIRIE
Phone
TX
TX
SERVICE TYPE TYPE B
Region
GRAND PRAIRIE
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(972) 986-6806
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
03 - ARLINGTON
75052
FAX:
(866) 432-0262
SERVICE TYPE TYPE B
01/14/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
105663
IREKA HAMILTON
TX
2935 PALADIUM DR
75052
Fax
GRAND PRAIRIE
(214) 235-0279
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(786) 237-9470
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
HALO RESIDENTIAL CARE HOMES
2826 ROCHESTER COURT
TX
GRAND PRAIRIE
Sunday, October 09, 2016
(972) 263-2115
5819 SUMMERWOOD DRIVE
TARRANT
PRIVATE Beds: 6
FAX:
01/21/2017
TEAM 6
75052
TITLE 18/19:
PRIVATE Beds: 8
Cert Alzh Capacity: 0
75052-1239
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 6
(972) 263-2112
License Exp Dt:
105944
(786) 237-9470
(469) 964-2337
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Fax
TOTAL Lic Capacity: 8
Phone
ICF/IID: 0
0
TARRANT
Facility Information:
03 - ARLINGTON
ABBY'S PLACE LLC
PRIVATE Beds: 8
County
Region
GRAND PRAIRIE
(972) 206-0408
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
03/14/2017
TEAM 3
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
ACCESSIBLE LIVING
2935 PALADIUM DR
GRAND PRAIRIE
(682) 841-7576
3803 S ROBINSON RD
TITLE 18: 0
(972) 986-6806
Facility Information:
FAX:
Owner Information
TARRANT
County
(682) 841-7576
License Exp Dt:
75050
Fax
PRIVATE Beds: 16
Phone
PHONE:
76179
COMMUNITY ASSISTED LIVING OF GRAND PRAIRIE INC
Cert Alzh Capacity: 0
ABBY'S PLACE LLC
5819 SUMMERWOOD DRIVE
GRAND PRAIRIE
03 - ARLINGTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
000860
(972) 206-0402
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 16
County
Region
FT WORTH
(682) 841-7576
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
7505 LOCHWOOD CT
76179
TARRANT
Facility Information:
(817) 535-1362
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
FAX:
LAKE COUNTRY ASSISTED LIVING, LLC
Fax
Cert Alzh Capacity: 0
76118
09/11/2018
TEAM 3
105382
(682) 841-7576
TOTAL Lic Capacity: 6
(817) 535-3827
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 275
Phone
FORT WORTH
(817) 335-4403
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
03 - ARLINGTON
Owner Information
WESTCHESTER PRIME MANAGEMENT LLC
TOTAL Lic Capacity: 275
County
Region
TEAM 6
000846
75052
FAX:
(214) 235-0279
SERVICE TYPE TYPE B
07/09/2016
Region
TEAM 3
03 - ARLINGTON
Owner Information
105243
HALO HEALTHCARE CONCEPTS INC
2826 ROCHESTER CT
75052
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
GRAND PRAIRIE
(940) 239-0414
0
ICF/IID: 0
PHONE:
TX
(469) 964-2337
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75052
FAX:
(940) 239-0414
SERVICE TYPE TYPE A
02/08/2017
Page 271 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
OXFORD GLEN AT GRAND PRAIRIE
2424 GRAND PENINSULA DRIVE
TX
GRAND PRAIRIE
Phone
ATRIA GRAPEVINE
3975 WILLIAM D TATE AVE
GRAPEVINE
Phone
TX
LOUISVILLE
(817) 421-9792
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 488-9752
ICF/IID: 0
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
AUTUMN LEAVES OF FOSSIL CREEK
4501 SILVER SAGE DR
TX
HALTOM CITY
Phone
(817) 849-9000
TOTAL Lic Capacity: 46
Cert Alzh Capacity: 46
PRIVATE Beds: 46
Sunday, October 09, 2016
FAX:
(469) 331-8200
SERVICE TYPE TYPE B
12/23/2017
Region
8415 E 21ST ST N
WICHITA
ICF/IID: 0
03 - ARLINGTON
PHONE:
,STE 100
KS
(316) 615-6288
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
75024
MEADOWOOD ALF, LLC
TITLE19: 0
TITLE 18/19:
TARRANT
Facility Information:
03 - ARLINGTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 85
(469) 331-8200
TEAM 3
Fax
Cert Alzh Capacity: 18
PHONE:
TX
License Exp Dt:
Reg Svcs:
TOTAL Lic Capacity: 85
Region
PROGRAM TYPE: ASSISTED LIVING
0
105836
(817) 275-6100
SERVICE TYPE TYPE B
10/01/2018
PLANO
(817) 329-8501
MEADOWOOD ASSISTED LIVING & MEMORY CARE AT THE VINEYARDS
4545 MERLOT AVE
TX
GRAPEVINE
76051
Phone
(312) 673-4487
7708 SAN JACINTO #100
Fax
Facility ID:
FAX:
GRAPEVINE OPCO, LLC
TARRANT
Facility Information:
60601
Owner Information
GRAND BROOK MEMORY CARE OF GRAPEVINE
2501 HERITAGE AVENUE
TX
GRAPEVINE
76051
County
(312) 673-4387
TEAM 3
101961
(817) 329-8500
PHONE:
License Exp Dt:
Reg Svcs:
PRIVATE Beds: 48
03 - ARLINGTON
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Cert Alzh Capacity: 48
SERVICE TYPE TYPE B
Region
CHICAGO
TITLE19: 0
TOTAL Lic Capacity: 48
(502) 779-4701
05/12/2017
303 EAST WACKER DR
76051
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 106
40223
SLH 2014 MANAGER LLC
Fax
Cert Alzh Capacity: 19
(502) 779-4700
TEAM 3
104742
(817) 442-0505
TOTAL Lic Capacity: 106
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
DANCING RIVER ASSISTED LIVING
3735 IRA E WOODS
TX
GRAPEVINE
Phone
03 - ARLINGTON
,STE 300
KY
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
SERVICE TYPE TYPE B
Region
10350 ORMSBY PARK PL
TITLE 18: 0
PRIVATE Beds: 110
County
(316) 201-3219
Owner Information
76051
Fax
Cert Alzh Capacity: 25
Phone
FAX:
01/09/2017
TEAM 2
030384
(817) 416-8907
Facility Information:
67202
WG GRAPEVINE SH LLC
TOTAL Lic Capacity: 110
County
(316) 201-3210
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
KS
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,SUITE 1416
WICHITA
TITLE 18: 0
PRIVATE Beds: 42
County
125 N. MARKET
75054
Fax
Cert Alzh Capacity: 42
03 - ARLINGTON
Owner Information
OXFORD MEMORY CARE GP, LTD
(972) 841-2599
TOTAL Lic Capacity: 42
Region
TEAM 3
106040
67206
FAX:
(316) 616-6255
SERVICE TYPE TYPE B
06/15/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
103208
HSRE-LSGI I TRS, LLC
545 EAST JOHN CARPENTER FREEWAY
76137
Fax
(817) 849-9001
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
IRVING
0
ICF/IID: 0
PHONE:
,SUITE 500
TX
(214) 845-4500
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75062
FAX:
(214) 845-4501
SERVICE TYPE TYPE B
12/23/2017
Page 272 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
TOTAL Lic Capacity: 68
TITLE 18/19:
County
Phone
DE BERRY
LEGEND AT FORT WORTH
8708 OLD DENTON ROAD
KELLER
Phone
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
NY
(569) 304-5033
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
10105
FAX:
(972) 608-9716
SERVICE TYPE TYPE B
10/01/2017
Region
TEAM 3
03 - ARLINGTON
Owner Information
106140
TX
8708 OLD DENTON RD
76244
FT WORTH
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(316) 616-6288
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
(817) 337-5496
03 - ARLINGTON
DFW ALF 1 LLC
PRIVATE Beds: 94
Phone
Region
NEW YOURK
(817) 993-0748
Reg Svcs:
Cert Alzh Capacity: 18
MEADOWVIEW PLACE
2000 MEADOWVIEW DR
KELLER
SERVICE TYPE TYPE B
1345 AVENUE OF THE AMERICAS, 49TH F
TITLE19: 0
(817) 885-8800
Facility Information:
(903) 622-7565
12/01/2017
TEAM 6
76248
TITLE 18/19:
TOTAL Lic Capacity: 94
County
FAX:
(903) 622-7565
License Exp Dt:
TITLE 18: 0
Facility ID:
75639
Owner Information
TARRANT
Facility Information:
03 - ARLINGTON
SNR 25 LEGACY AT BEAR CREEK LEASING LLC
Fax
PRIVATE Beds: 90
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105555
(817) 993-0757
Cert Alzh Capacity: 26
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 90
Region
210 CR 3073
76248
TARRANT
Phone
SERVICE TYPE TYPE B
06/07/2018
TEAM 3
TITLE19: 0
LEGACY AT BEAR CREEK
200 KELLER SMITHFIELD RD.SOUTH
TX
KELLER
(214) 752-7054
HIDDEN OAKS ASSISTED LIVING LLC
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 14
03 - ARLINGTON
75207
(214) 752-7050
License Exp Dt:
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
050086
(817) 479-7021
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 14
County
DALLAS
(214) 752-7054
TITLE19: 0
HIDDEN OAKS ASSISTED LIVING
765 BANDIT TRAIL
TX
KELLER
Region
1625 N STEMMONS FRWY
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
08/20/2018
TEAM 3
76248
TARRANT
Facility Information:
(360) 867-1954
Owner Information
TITLE 18: 0
PRIVATE Beds: 24
FAX:
AVALON DEMENTIA CARE MANAGEMENT, LLC
Fax
Cert Alzh Capacity: 0
98501
(360) 867-1900
License Exp Dt:
106482
(214) 752-7050
TOTAL Lic Capacity: 24
PHONE:
WA
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
AVALON MEMORY CARE - KELLER
1137 RUFE SNOW DR
TX
KELLER
Phone
ICF/IID: 0
0
TARRANT
,STE 200
OLYMPIA
TITLE19: 0
PRIVATE Beds: 68
Facility Information:
111 MARKET ST NE
TITLE 18: 0
Cert Alzh Capacity: 68
County
RIVERSIDE MEMORY CARE, LLC
Fax
(817) 708-2234
03 - ARLINGTON
Owner Information
RIVERSIDE INN AT FOSSIL CREEK MEMORY CARE COMMUNITY
6621 N. RIVERSIDE DRIVE
TX
HALTOM CITY
76137
Phone
Region
TEAM 2
105869
76244
FAX:
(316) 616-6255
SERVICE TYPE TYPE B
06/10/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
105907
MEADOWVIEW PLACE, LLC
TX
2001 FAWKES LANE
76262
KELLER
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 337-5496
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76262
FAX:
SERVICE TYPE TYPE B
09/19/2018
Page 273 of 311
County
Reg Svcs:
TARRANT
Facility Information:
MUSTANG CREEK ESTATES
675 RAPP ROAD BLDG A
KELLER
Phone
Facility ID:
TX
701 RAPP RD
76248
KELLER
Fax
(817) 337-6800
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
ICF/IID: 0
ICF/IID: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
FAX:
(972) 623-2275
SERVICE TYPE TYPE B
10/25/2017
Region
TEAM 3
03 - ARLINGTON
701 RAPP RD
KELLER
(972) 623-2275
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 683-5111
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
76248
FAX:
(972) 623-2275
SERVICE TYPE TYPE B
12/17/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
106142
TENDER LOVING CARE ASSISTED LIVING HOME
1113 HILLSIDE DRIVE
TX
KELLER
76248
Cert Alzh Capacity: 0
76248
CLERMONT AVENUE II LTD
TARRANT
TOTAL Lic Capacity: 6
03 - ARLINGTON
Owner Information
TITLE 18: 0
Facility ID:
(214) 683-5111
License Exp Dt:
105550
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
MUSTANG CREEK ESTATES KELLER HOUSE G
701 RAPP RD
TX
KELLER
76248
Cert Alzh Capacity: 16
SERVICE TYPE TYPE B
Region
KELLER
(972) 623-2275
Reg Svcs:
TOTAL Lic Capacity: 16
(972) 623-2275
11/23/2017
TEAM 3
TITLE19: 0
(214) 683-5111
FAX:
701 RAPP RD
TITLE 18/19:
Facility ID:
76248
CLERMONT AVENUE II LTD
TARRANT
(817) 562-2388
03 - ARLINGTON
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(214) 683-5111
License Exp Dt:
105549
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
SERVICE TYPE TYPE A
Region
KELLER
TITLE19: 0
TITLE 18/19:
(214) 683-5111
Facility Information:
(972) 623-2275
701 RAPP RD
76248
MUSTANG CREEK ESTATES KELLER HOUSE F
701 RAPP ROAD, BLDG F
TX
KELLER
76248
County
FAX:
Owner Information
TARRANT
Phone
76248
02/22/2018
TEAM 6
104908
TITLE 18: 0
PRIVATE Beds: 14
Facility Information:
(214) 683-5111
License Exp Dt:
Fax
Cert Alzh Capacity: 0
County
03 - ARLINGTON
CLERMONT AVENUE II LTD
TOTAL Lic Capacity: 14
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(817) 337-6800
Facility Information:
Region
KELLER
TARRANT
County
SERVICE TYPE TYPE A
701 RAPP RD
76248
TITLE 18: 0
PRIVATE Beds: 30
Phone
(972) 623-2275
Owner Information
Fax
Cert Alzh Capacity: 0
MUSTANG CREEK ESTATES
675 RAPP ROAD BLDG E
KELLER
FAX:
10/12/2017
TEAM 6
104919
(817) 337-6800
Facility Information:
76248
CLERMONT AVENUE II LTD
TOTAL Lic Capacity: 30
County
(214) 683-5111
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
MUSTANG CREEK ESTATES
675 RAPP RD BLDG C
KELLER
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 30
Facility Information:
03 - ARLINGTON
Owner Information
CLERMONT AVENUE II LTD
TOTAL Lic Capacity: 30
County
Region
TEAM 6
104920
CESAM CARE LLC
1113 HILLSIDE DRIVE
KELLER
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(817) 562-2388
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76248
FAX:
SERVICE TYPE TYPE B
11/24/2017
Page 274 of 311
County
Reg Svcs:
TARRANT
Facility Information:
WHITLEY PLACE
800 WHITLEY RD
KELLER
Phone
Facility ID:
TX
14160 DALLAS PKWY
76248
Fax
(817) 379-0795
TITLE 18/19:
Phone
TX
MILWAUKEE
(817) 477-2223
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Reg Svcs:
Facility ID:
TITLE 18/19:
Phone
TX
License Exp Dt:
FAX:
(682) 518-1093
SERVICE TYPE TYPE A
07/06/2018
Region
TEAM 3
03 - ARLINGTON
200 EAST DEBBIE LANE
76063
MANSFIELD
(817) 453-3909
ICF/IID: 0
TITLE19: 0
PHONE:
TX
(817) 453-3900
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
IVY LEAVES PLACE
7199 RENDON BLOOKWORTH ROAD
TX
MANSFIELD
(682) 518-1070
CHP ISLE AT WATERCREST-MANSFIELD TENANT CORP
TITLE 18/19:
Facility ID:
PHONE:
76063
Owner Information
TARRANT
Sunday, October 09, 2016
03 - ARLINGTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITLE 18: 0
PRIVATE Beds: 130
PRIVATE Beds: 7
ICF/IID: 0
104688
Fax
Cert Alzh Capacity: 43
Cert Alzh Capacity: 0
Region
MANSFIELD
(682) 518-1093
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 130
TOTAL Lic Capacity: 7
SERVICE TYPE TYPE B
02/23/2018
TEAM 5
TITLE19: 0
TITLE 18/19:
(817) 453-3900
(817) 808-7172
FAX:
140 N MITCHELL
TITLE 18: 0
ISLE AT WATERCREST - MANSFIELD
200 E. DEBBIE LANE
TX
MANSFIELD
Phone
(817) 632-6364
76102
Owner Information
TARRANT
Facility Information:
PHONE:
License Exp Dt:
76063
Fax
PRIVATE Beds: 16
County
,STE 101
ECHELON PLACE LP
Cert Alzh Capacity: 0
Phone
03 - ARLINGTON
TX
PROGRAM TYPE: ASSISTED LIVING
0
106137
(682) 518-1070
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 16
County
SERVICE TYPE TYPE B
Region
FOR WORTH
TARRANT
Facility ID:
(414) 918-6076
12/01/2017
505 PECAN ST
TITLE19: 0
PRIVATE Beds: 112
FAX:
MTAL OPERATOR LLC
TITLE 18: 0
Cert Alzh Capacity: 52
(414) 918-5441
53214
Owner Information
Fax
TOTAL Lic Capacity: 112
,STE 2300
TEAM 6
106384
(817) 473-2200
PHONE:
License Exp Dt:
CEDAR BLUFF ASSISTED LIVING AND MEMORY CARE
354 MATLOCK ROAD
TX
MANSFIELD
76063
ECHELON PLACE
140 N. MITCHELL
MANSFIELD
03 - ARLINGTON
WI
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Facility Information:
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 58
County
(972) 770-5666
Owner Information
76063
Fax
Cert Alzh Capacity: 0
Phone
FAX:
02/01/2017
TEAM 6
000807
(817) 477-0600
Facility Information:
75254
BROOKDALE SENIOR LIVING COMMUNITIES INC
TOTAL Lic Capacity: 58
County
(972) 770-5600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
BROOKDALE MANSFIELD
1771 COUNTRY CLUB
MANSFIELD
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 65
,STE 300
DALLAS
(817) 337-1032
TITLE 18: 0
Cert Alzh Capacity: 20
Facility Information:
03 - ARLINGTON
Owner Information
CAPITAL SENIOR MANAGEMENT 2 INC
TOTAL Lic Capacity: 65
County
Region
TEAM 2
030244
76063
FAX:
SERVICE TYPE TYPE B
05/05/2016
Region
TEAM 3
03 - ARLINGTON
Owner Information
105236
IVY LEAVES PLACE LLC
7199 RENDON BLOODWORTH RD
76063
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MANSFIELD
(817) 483-1294
0
ICF/IID: 0
PHONE:
TX
(817) 808-7172
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76063
FAX:
(817) 483-1294
SERVICE TYPE TYPE A
03/27/2017
Page 275 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
Fax
(817) 473-3018
TOTAL Lic Capacity: 70
TITLE 18/19:
TX
(817) 656-4227
Sunday, October 09, 2016
MILWAUKEE
(817) 427-1973
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE A
04/30/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
TX
14160 DALLAS PKWY
76180
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(972) 770-5600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE 300
DALLAS
(817) 581-0608
TARRANT
PRIVATE Beds: 50
03 - ARLINGTON
CSL LEASECO INC
PRIVATE Beds: 80
Cert Alzh Capacity: 0
(414) 918-5054
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
Reg Svcs:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 50
FAX:
Owner Information
000304
(817) 581-6310
(817) 589-8600
53214
07/31/2018
TEAM 2
TITLE19: 0
TOTAL Lic Capacity: 80
Phone
(414) 918-5000
License Exp Dt:
76180
TITLE 18/19:
GOOD PLACE ASSISTED LIVING
7801 N RICHLAND BLVD
NORTH RICHLAND HILLS
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
BROOKDALE RICHLAND HILLS
7520 GLENVIEW DR
RICHLAND
ICF/IID: 0
TITLE 18: 0
Facility ID:
03 - ARLINGTON
CSH NORTH RICHLAND HILLS LLC
Fax
PRIVATE Beds: 110
Facility Information:
MILWAUKEE
010232
(817) 577-3337
Cert Alzh Capacity: 0
(903) 215-8581
SERVICE TYPE TYPE B
Region
6737 W. WASHINGTON STREET
76180
Reg Svcs:
TOTAL Lic Capacity: 110
FAX:
03/01/2018
TEAM 3
TITLE19: 0
BROOKDALE NORTH RICHLAND HILLS
8500 EMERALD HILLS WAY
TX
NORTH RICHLAND HILLS
75013
Owner Information
TARRANT
County
03 - ARLINGTON
EMERITUS CORPORATION
TITLE 18/19:
Facility ID:
(817) 984-4404
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 60
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030174
Fax
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
(817) 427-0275
Facility Information:
Region
ALLEN
TITLE19: 0
TOTAL Lic Capacity: 60
County
SERVICE TYPE TYPE B
117 WEST MAIN
TITLE 18/19:
BROOKDALE HOLIDAY LANE ESTATES
6155 HOLIDAY LN
TX
NORTH RICHLAND HILLS
Phone
(972) 387-8216
09/01/2016
TEAM 2
76180
TARRANT
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 120
County
License Exp Dt:
Fax
Cert Alzh Capacity: 0
Phone
75254
(972) 308-8366
PROGRAM TYPE: ASSISTED LIVING
100285
(817) 804-3100
Facility Information:
PHONE:
,STE 300
TX
NORTH RICHLAND HILLS SENIOR LIVING, LLC
TOTAL Lic Capacity: 120
County
ICF/IID: 0
Reg Svcs:
Facility ID:
ASHWOOD COURT
7501 GLENVIEW DR
NORTH RICHLAND HILLS
Phone
DALLAS
0
TARRANT
Facility Information:
14160 DALLAS PARKWAY
TITLE19: 0
PRIVATE Beds: 70
County
CSL S MANSFIELD LLC
(817) 453-1652
TITLE 18: 0
Cert Alzh Capacity: 16
03 - ARLINGTON
Owner Information
WALNUT CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY
2281 COUNTRY CLUB DR
TX
MANSFIELD
76063
Phone
Region
TEAM 2
102915
75254
FAX:
(972) 770-5666
SERVICE TYPE TYPE A
06/01/2017
Region
TEAM 2
03 - ARLINGTON
Owner Information
000804
AHC RICHLAND HILLS LLC
TX
111 WESTWOOD PLACE
76180
Fax
(817) 589-7603
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,SUITE 400
TN
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(615) 221-2280
SERVICE TYPE TYPE B
09/20/2016
Page 276 of 311
County
Reg Svcs:
TARRANT
Facility Information:
Facility ID:
BROOKDALE RICHLAND HILLS 2
7520 B GLENVIEW DR
RICHLAND HILLS
Phone
TX
7520 B GLENVIEW DRIVE
76180
Fax
(817) 589-9688
TITLE 18/19:
SILVERADO - SOUTHLAKE
2001 E. KIRKWOOD BLVD.
SOUTHLAKE
TX
TX
(817) 748-4001
TX
FAX:
(214) 370-2623
License Exp Dt:
(817) 431-2699
SERVICE TYPE TYPE B
08/27/2016
Region
TEAM 2
5307 E. MOCKINGBIRD LANE
76092
DALLAS
(817) 431-1314
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
03 - ARLINGTON
PHONE:
,STE 1010
TX
75206
FAX:
(214) 370-2600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
(214) 370-2699
SERVICE TYPE TYPE B
02/06/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
030018
BROOKDALE SENIOR LIVING COMMUNITIES INC
TX
6737 W WASHINGTON ST
76148
Fax
(817) 498-2222
TOTAL Lic Capacity: 50
MILWAUKEE
(817) 498-5777
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 50
TITLE 18/19:
53214
FAX:
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
Sunday, October 09, 2016
75206
Owner Information
TARRANT
PRIVATE Beds: 140
PHONE:
,STE 1010
TX
PROGRAM TYPE: ASSISTED LIVING
0
105649
Fax
PRIVATE Beds: 83
Cert Alzh Capacity: 23
03 - ARLINGTON
NORTH TOWER CARE GROUP LP
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 140
ICF/IID: 0
Reg Svcs:
Facility ID:
(817) 482-1340
(817) 731-7600
DALLAS
TITLE19: 0
TOTAL Lic Capacity: 83
Phone
Region
5307 E MOCKINGBIRD LANE
TITLE 18/19:
THE LANDING AT WATERMERE
201 WATERMERE DRIVE
SOUTHLAKE
THE WESTMORE
25 LEONARD TRAIL
WESTWORTH VILLAGE
SERVICE TYPE TYPE B
06/01/2017
TEAM 2
76092
TARRANT
Facility Information:
(949) 240-7270
Owner Information
TITLE 18: 0
PRIVATE Beds: 120
County
FAX:
(949) 240-7200
License Exp Dt:
103303
Fax
Cert Alzh Capacity: 40
Phone
92618
SOUTHLAKE CARE GROUP LP
TOTAL Lic Capacity: 120
BROOKDALE WATAUGA
5800 N PARK RD
WATAUGA
PHONE:
CA
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(817) 748-4000
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
THE ISLE AT WATERMERE
101 WATERMERE DR
SOUTHLAKE
County
03 - ARLINGTON
,SUITE 200
IRVINE
(817) 886-2620
TARRANT
Phone
Region
6400 OAK CANYON
TITLE 18: 0
PRIVATE Beds: 65
Facility Information:
SERVICE TYPE TYPE B
09/20/2016
Owner Information
76092
Fax
Cert Alzh Capacity: 65
County
(414) 918-6076
SILVERADO SOUTHLAKE LLC
TOTAL Lic Capacity: 65
Phone
FAX:
TEAM 3
105902
(817) 756-8600
Facility Information:
76180
(414) 518-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TARRANT
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 50
Phone
RICHLAND HILLS
(817) 590-2881
TITLE 18: 0
Cert Alzh Capacity: 50
Facility Information:
03 - ARLINGTON
Owner Information
AHC RICHLAND HILLS, LLC
TOTAL Lic Capacity: 50
County
Region
TEAM 3
030263
(414) 918-6076
SERVICE TYPE TYPE B
11/01/2018
Region
TEAM 2
03 - ARLINGTON
Owner Information
106056
TCG WESTWORTH VILLAGE CAMPUS LLC
TX
1200 SUMMIT AVE
76114
FORT WORTH
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 444
TX
(817) 446-4792
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76102
FAX:
(817) 446-0923
SERVICE TYPE TYPE B
11/25/2016
Page 277 of 311
County
Reg Svcs:
TAYLOR
Facility Information:
Facility ID:
AMBERS HOUSE
3264 VARNER LN
ABILENE
Phone
TX
PO BOX 1880
79601
Fax
(325) 232-6926
TITLE 18/19:
ANDRESS HOUSE
3257 VARNER LN
ABILENE
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
CHICAGO
(325) 670-0780
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(325) 676-7667
License Exp Dt:
79601
FAX:
SERVICE TYPE TYPE C
04/11/2017
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
14160 DALLAS PKWY
79606
Fax
DALLAS
(325) 793-1422
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 55
TITLE 18/19:
(972) 770-5600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 300
TX
PROGRAM TYPE: ASSISTED LIVING
0
TAYLOR
Sunday, October 09, 2016
02 - ABILENE
CSL LEASECO INC
Cert Alzh Capacity: 0
PRIVATE Beds: 8
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 55
Cert Alzh Capacity: 0
ICF/IID: 0
030108
(325) 793-1144
TOTAL Lic Capacity: 8
SERVICE TYPE TYPE B
07/11/2017
Region
ABILENE
TAYLOR
COVENANT PLACE OF ABILENE
3234 BUFFALO GAP RD
ABILENE
(312) 332-5300
1610 ORANGE ST
TITLE 18/19:
Facility ID:
FAX:
JUDY LYNN HANCOCK
TITLE19: 0
PRIVATE Beds: 4
60611
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(312) 725-7000
ABILENE GERIATRIC
102042
Fax
TOTAL Lic Capacity: 4
PHONE:
License Exp Dt:
Reg Svcs:
Facility ID:
(325) 676-7667
(325) 691-5953
02 - ABILENE
,STE 3700
IL
PROGRAM TYPE: ASSISTED LIVING
0
CHOICES RESIDENTIAL ASSISTED LIVING
1610 ORANGE STREET
TX
ABILENE
79601
Phone
(325) 673-7829
SERVICE TYPE TYPE A
Region
330 N WABASH
TAYLOR
FULWILER HOUSE
1551 FULWILER RD
ABILENE
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 44
Facility Information:
79604
11/25/2016
ABILENE GERIATRIC
79601
Fax
Cert Alzh Capacity: 0
County
02 - ABILENE
CHISHOLM AID OPCO LLC
TOTAL Lic Capacity: 44
Phone
(325) 677-6815
License Exp Dt:
000626
(325) 670-0961
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
CHISHOLM PLACE
1450 E N 10TH ST
ABILENE
County
Region
ABILENE
TAYLOR
Phone
SERVICE TYPE TYPE A
PO BOX 1880
79601
TITLE 18: 0
PRIVATE Beds: 7
Facility Information:
(325) 673-7829
Owner Information
Fax
Cert Alzh Capacity: 0
County
FAX:
DISABILITY RESOURCES INC
TOTAL Lic Capacity: 7
Phone
79604
08/01/2017
ABILENE GERIATRIC
101202
(325) 677-3106
Facility Information:
(325) 677-6815
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TAYLOR
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
ABILENE
(325) 673-7829
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
02 - ABILENE
Owner Information
DISABILITY RESOURCES INC
TOTAL Lic Capacity: 7
County
Region
ABILENE GERIATRIC
101090
75254
FAX:
(972) 770-5666
SERVICE TYPE TYPE B
06/01/2017
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
000836
DISABILITY RESOURCES INC
TX
PO BOX 1880
79603
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ABILENE
(325) 673-7829
0
ICF/IID: 0
PHONE:
TX
(325) 677-6815
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79604
FAX:
(325) 673-7829
SERVICE TYPE TYPE A
11/30/2016
Page 278 of 311
County
Reg Svcs:
TAYLOR
Facility Information:
Facility ID:
HIGHLAND ASSISTED LIVING LLC
2310 S SEVENTH
TX
ABILENE
Phone
KENNETH HART
1742 SAYLES BLVD
ABILENE
Phone
TX
TX
TX
Sunday, October 09, 2016
79604
FAX:
(325) 673-7829
SERVICE TYPE TYPE A
01/09/2018
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
PO BOX 1880
79601
ABILENE
(325) 673-7829
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(325) 677-6815
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
79604
FAX:
(325) 673-7829
SERVICE TYPE TYPE A
09/23/2017
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
030102
SENIOR LIFESTYLE TEXAS ABILENE LP
TX
303 E WACKER DR
79606
Fax
CHICAGO
(915) 690-9212
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(312) 673-4333
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
0
TAYLOR
PRIVATE Beds: 4
(325) 677-6815
License Exp Dt:
101167
Fax
PRIVATE Beds: 120
Cert Alzh Capacity: 0
02 - ABILENE
DISABILITY RESOURCES INC
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 4
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(325) 690-9210
(325) 695-7949
ICF/IID: 0
TITLE19: 0
TOTAL Lic Capacity: 120
Phone
Region
ABILENE
TAYLOR
THE COZY COTTAGE
714 S SAN JOSE
ABILENE
SERVICE TYPE TYPE C
PO BOX 1880
79601
TITLE 18/19:
PRIVATE Beds: 6
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
79605
07/19/2017
ABILENE GERIATRIC
Fax
TOTAL Lic Capacity: 6
Phone
(325) 690-6123
License Exp Dt:
000995
(325) 677-3104
ROYAL ESTATES OF ABILENE
6565 CENTRAL PARK BLVD
ABILENE
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TAYLOR
Facility Information:
02 - ABILENE
DISABILITY RESOURCES INC
PRIVATE Beds: 8
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
ABILENE
(325) 701-4044
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 8
ORSBURN HOUSE
3258 VARNER LANE
ABILENE
SERVICE TYPE TYPE A
1742 SAYLES BLVD
TITLE 18: 0
(325) 672-1482
Facility Information:
(325) 675-5300
Owner Information
TAYLOR
County
FAX:
01/01/2018
ABILENE GERIATRIC
79605
Fax
PRIVATE Beds: 4
Phone
79604
KENNETH HART
Cert Alzh Capacity: 0
KENWOOD HOUSE
951 KENWOOD
ABILENE
(915) 675-5100
License Exp Dt:
001014
(325) 701-4044
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 4
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TAYLOR
Facility Information:
ABILENE
(325) 675-5300
TITLE 18: 0
PRIVATE Beds: 39
County
PO BOX 3395
79605
Fax
Cert Alzh Capacity: 0
02 - ABILENE
Owner Information
HIGHLAND ASSISTED LIVING L L C
(325) 675-5100
TOTAL Lic Capacity: 39
Region
ABILENE GERIATRIC
000665
60601
FAX:
(312) 673-4430
SERVICE TYPE TYPE A
10/01/2016
Region
ABILENE GERIATRIC
02 - ABILENE
Owner Information
101004
BRENDA MCDONALD COOK
TX
714 S SAN JOSE
79605
ABILENE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(915) 695-7949
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
79605
FAX:
SERVICE TYPE TYPE C
04/26/2017
Page 279 of 311
County
Reg Svcs:
TAYLOR
Facility Information:
THE WOOD GROUP
858 FORMOSA ST
ABILENE
Phone
Facility ID:
TX
3610 BARNETT RD
79602
Fax
(940) 767-0463
WICHITA FALLS
(940) 767-0466
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
TITLE 18/19:
TOTAL Lic Capacity: 29
County
TITLE 18/19:
ICF/IID: 0
County
TITLE 18/19:
COTTAGE VILLAGE
1202 CHERYL DR
BROWNFIELD
Phone
TX
TX
Cert Alzh Capacity: 0
PRIVATE Beds: 51
Sunday, October 09, 2016
PHONE:
TX
(806) 637-9066
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
79316
FAX:
(806) 637-6305
SERVICE TYPE TYPE B
06/01/2018
Region
TYLER NW TEAM
04 - TYLER
Owner Information
117 W MAIN ST
75455
ALLEN
(903) 215-8581
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(817) 984-4404
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITUS
TOTAL Lic Capacity: 51
ICF/IID: 0
000748
Fax
PRIVATE Beds: 34
(903) 577-0759
01 - LUBBOCK
MOUNT PLEASANT SENIOR LIVING LLC
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
BROWNFIELD
(806) 637-6305
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 34
HERITAGE PARK VILLAGE
1714 N EDWARDS ST
MOUNT PLEASANT
(325) 695-2629
01/01/2017
HIGH PLAINS GERI 2
TITLE19: 0
TITLE 18/19:
(903) 577-1170
Facility Information:
FAX:
1202 CHERYL DR
TITUS
County
79605
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
Phone
(325) 695-6145
License Exp Dt:
79316
Fax
Cert Alzh Capacity: 0
HERITAGE PARK VILLAGE
1712 NORTH EDWARDS ST
MOUNT PLEASANT
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030026
(806) 637-9066
Facility Information:
02 - ABILENE
COTTAGE VILLAGE LIVING II LLC
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
ABILENE
(325) 695-2629
TERRY
Facility Information:
(615) 915-2938
3202 SOUTH WILLIS STREET
TITLE19: 0
PRIVATE Beds: 82
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 38
37024-2107
SOUTHERN OAKS HEALTHCARE INC
Fax
TOTAL Lic Capacity: 82
02 - ABILENE
02/28/2017
ABILENE GERIATRIC
000414
(325) 692-6145
(615) 915-2932
License Exp Dt:
WISTERIA PLACE ASSISTED LIVING CENTER
3202 S WILLIS ST
TX
ABILENE
79605
Phone
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Region
BRENTWOOD
(325) 437-1185
TAYLOR
Facility Information:
SERVICE TYPE TYPE A
PO BOX 2107
TITLE19: 0
PRIVATE Beds: 29
(940) 767-0466
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
ER OPCO WC, LLC
Fax
(325) 437-1184
76310
02/17/2017
ABILENE GERIATRIC
102002
WESLEY COURT ASSISTED LIVING CENTER
2617 ANTILLEY ROAD
TX
ABILENE
79606
Phone
(940) 767-0463
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TAYLOR
Facility Information:
02 - ABILENE
Owner Information
TWG INVESTMENTS LTD
TOTAL Lic Capacity: 12
County
Region
ABILENE GERIATRIC
103249
75013
FAX:
(903) 215-8581
SERVICE TYPE TYPE B
02/01/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
000428
MOUNT PLEASANT SENIOR LIVING LLC
TX
117 W MAIN ST
75455
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ALLEN
(903) 577-8777
0
ICF/IID: 0
PHONE:
TX
(817) 984-4404
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75013
FAX:
(903) 215-8581
SERVICE TYPE TYPE B
04/29/2017
Page 280 of 311
County
Reg Svcs:
TITUS
Facility Information:
Facility ID:
MOUNT PLEASANT ASSISTED LIVING
2009 N EDWARDS
TX
MOUNT PLEASANT
Phone
County
Phone
County
County
ICF/IID: 0
Fax
(325) 947-7194
TOTAL Lic Capacity: 133
Cert Alzh Capacity: 38
PRIVATE Beds: 133
Sunday, October 09, 2016
75455
FAX:
(903) 577-1599
SERVICE TYPE TYPE B
Region
04 - TYLER
Owner Information
THE LODGE AT MT PLEASANT LLC
1880 W 16TH STREET
MOUNT PLEASANT
(903) 575-9064
ICF/IID: 0
PHONE:
TX
(903) 575-9896
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
TOM GREEN
Phone
04 - TYLER
01/01/2018
TYLER NW TEAM
TITLE19: 0
BROOKDALE SOUTH SAN ANGELO
2695 VALLEY VIEW BLVD
TX
SAN ANGELO
(903) 572-8123
License Exp Dt:
TITLE 18: 0
TITLE 18/19:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE B
Region
MOUNT PLEASANT
(903) 577-1559
106133
(903) 575-9896
Facility Information:
(903) 572-8873
2009 N EDWARDS
TITLE19: 0
PRIVATE Beds: 66
FAX:
01/23/2018
TYLER NW TEAM
75455
TITLE 18/19:
Cert Alzh Capacity: 36
75455
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 66
(903) 572-9893
License Exp Dt:
THE LODGE ASSISTED LIVING AND MEMORY CARE
1880 W 16TH STREET
TX
MOUNT PLEASANT
75455
Phone
04 - TYLER
MOUNT PLEASANT ALF OPERATING COMPANY LLC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TITUS
Facility Information:
ICF/IID: 0
000709
(903) 572-8123
PRIVATE Beds: 12
SERVICE TYPE TYPE B
Region
MT PLEASANT
(903) 572-8873
Reg Svcs:
Cert Alzh Capacity: 0
(903) 577-1599
804 W 16TH STREET
TITLE19: 0
TOTAL Lic Capacity: 12
FAX:
01/01/2018
TYLER NW TEAM
75455
TITLE 18/19:
MT PLEASANT ASSISTED LIVING
2011 N EDWARDS
TX
MOUNT PLEASANT
Phone
License Exp Dt:
TITLE 18: 0
Facility ID:
(903) 572-8123
Owner Information
TITUS
Facility Information:
PHONE:
75455
ORGANIZATIONAL CONSULTANTS OF AMERICA: ORCA, INC
Fax
PRIVATE Beds: 65
04 - TYLER
TX
PROGRAM TYPE: ASSISTED LIVING
0
105033
(903) 572-9893
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 65
Region
MOUNT PLEASANT
(903) 577-1559
TITLE19: 0
MOUNT PLEASANT HOSPITALITY HOUSE
804 WEST 16TH ST
TX
MOUNT PLEASANT
SERVICE TYPE TYPE A
2009 N EDWARDS
TITLE 18/19:
Facility ID:
(903) 577-1599
01/01/2018
TYLER NW TEAM
75455
TITUS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 12
75455
MOUNT PLEASANT ALF OPERATING COMPANY LLC
Fax
Cert Alzh Capacity: 0
(903) 572-8123
License Exp Dt:
000580
(903) 572-8123
TOTAL Lic Capacity: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MOUNT PLEASANT ASSISTED LIVING
2013 N EDWARDS
TX
MOUNT PLEASANT
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TITUS
Facility Information:
MOUNT PLEASANT
(903) 577-1559
TITLE 18: 0
PRIVATE Beds: 25
County
2009 N EDWARDS
75455
Fax
Cert Alzh Capacity: 0
04 - TYLER
Owner Information
MOUNT PLEASANT ALF OPERATING COMPANY LLC
(903) 572-8123
TOTAL Lic Capacity: 25
Region
TYLER NW TEAM
000782
75455
FAX:
(903) 575-9064
SERVICE TYPE TYPE B
03/27/2017
Region
SAN ANGLEO GERIATRIC
09 - ABILENE
Owner Information
000387
ESC IV LP
111 WESTWOOD PL
76904
Fax
(325) 223-8144
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
09/30/2017
Page 281 of 311
County
Reg Svcs:
TOM GREEN
Facility Information:
Facility ID:
TOTAL Lic Capacity: 7
516 SPAULDING
TITLE 18/19:
BRYANT MANOR II ASSISTED LIVING
521 SPAULDING
TX
SAN ANGELO
County
SAN ANGELO
(325) 227-6232
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
County
TITLE 18/19:
NEW BRAUNFELS
ICF/IID: 0
TOTAL Lic Capacity: 16
County
TITLE 18/19:
NEW BRAUNFELS
TOTAL Lic Capacity: 78
County
CHICAGO
(325) 947-1992
ICF/IID: 0
TOTAL Lic Capacity: 15
Cert Alzh Capacity: 15
PRIVATE Beds: 15
Sunday, October 09, 2016
09 - ABILENE
(312) 673-4333
License Exp Dt:
Reg Svcs:
60601
FAX:
(312) 673-4387
SERVICE TYPE TYPE A
10/01/2016
Region
SAN ANGLEO GERIATRIC
09 - ABILENE
Owner Information
106541
BAPTIST MEMORIALS MINISTRIES
902 N MAIN
SAN ANGELO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 2400
IL
PROGRAM TYPE: ASSISTED LIVING
0
THE CREST AT BAPTIST RETIREMENT COMMUNITY-MERRILL HOUSE
430 E. 8TH STREET
TX
SAN ANGELO
76903
Phone
Region
303 EAST WACKER DR
76901
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
SENIOR LIFESTYLE TEXAS SAN ANGELO, LP
TOM GREEN
Facility Information:
(801) 606-2793
01/29/2018
SAN ANGLEO GERIATRIC
TITLE19: 0
PRIVATE Beds: 78
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
09 - ABILENE
78130
(847) 975-1609
License Exp Dt:
030100
Fax
(325) 947-0043
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
ROYAL ESTATES OF SAN ANGELO
6101 GRAND COURT RD
TX
SAN ANGELO
Phone
ICF/IID: 0
0
TOM GREEN
Facility Information:
Region
1919 SHIELD DR
TITLE19: 0
PRIVATE Beds: 16
SERVICE TYPE TYPE B
NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC
TITLE 18: 0
Cert Alzh Capacity: 0
(801) 606-2793
Owner Information
Fax
(325) 267-2316
FAX:
01/29/2018
SAN ANGLEO GERIATRIC
105266
NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC
2501 SAWGRASS DR
TX
SAN ANGELO
76904
Phone
78130
(847) 975-1609
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TOM GREEN
Facility Information:
09 - ABILENE
1919 SHIELD DR
TITLE19: 0
PRIVATE Beds: 16
Region
NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC
TITLE 18: 0
Cert Alzh Capacity: 16
SERVICE TYPE TYPE A
Owner Information
Fax
TOTAL Lic Capacity: 16
FAX:
09/03/2018
SAN ANGLEO GERIATRIC
105267
(325) 267-2316
76903
(325) 227-6232
License Exp Dt:
NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC
2501 SAWGRASS DR.
TX
SAN ANGELO
76904
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
09 - ABILENE
516 SPAULDING
76903
TOM GREEN
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE A
GLORIA SOLIS
Fax
Cert Alzh Capacity: 0
FAX:
08/30/2017
SAN ANGLEO GERIATRIC
103484
(325) 227-6232
TOTAL Lic Capacity: 6
76903
(325) 227-6232
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TOM GREEN
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Facility Information:
SAN ANGELO
(325) 617-2035
TITLE 18: 0
Cert Alzh Capacity: 0
County
GLORIA SOLIS
Fax
(325) 227-6232
09 - ABILENE
Owner Information
BRYANT MANOR ASSISTED LIVING FACILITY
516 SPAULDING
TX
SAN ANGELO
76903
Phone
Region
SAN ANGLEO GERIATRIC
102526
0
ICF/IID: 0
PHONE:
TX
(325) 655-7391
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76902
FAX:
(325) 653-1413
SERVICE TYPE TYPE B
08/11/2018
Page 282 of 311
County
Reg Svcs:
TOM GREEN
Facility Information:
THE SPRINGS
6102 GRAND COURT RD
SAN ANGELO
Phone
Facility ID:
TX
5310 HARVEST HILL RD
76901
DALLAS
Fax
(325) 224-3040
TITLE 18: 0
Cert Alzh Capacity: 66
TITLE 18/19:
Phone
TX
TX
TX
(512) 916-8623
SERVICE TYPE TYPE B
Region
07 - AUSTIN
7107 LUNAR DR
AUSTIN
(512) 916-8623
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 750-2222
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78745
FAX:
(512) 916-8623
SERVICE TYPE TYPE B
11/03/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
100262
ARDEN COURTS OF AUSTIN TX LLC
TX
333 N SUMMIT ST
78750
Fax
TOLEDO
(512) 918-2862
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
AUSTIN NORTH ASSISTED LIVING
11206 POWDER MILL
TX
AUSTIN
(419) 252-5500
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
PRIVATE Beds: 15
78745
10/07/2016
SOUTH AUSTIN
78748
Fax
Cert Alzh Capacity: 60
Cert Alzh Capacity: 0
07 - AUSTIN
CHERYL'S ANGEL PLACE INC
TOTAL Lic Capacity: 60
TOTAL Lic Capacity: 15
(512) 750-2222
License Exp Dt:
104789
(512) 918-2800
(512) 465-2157
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 9
Facility Information:
Region
AUSTIN
(512) 373-8838
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
SERVICE TYPE TYPE A
7107 LUNAR DR
TITLE 18: 0
TOTAL Lic Capacity: 9
Phone
FAX:
09/01/2017
SOUTH AUSTIN
78748
(512) 351-9446
ARDEN COURTS OF AUSTIN
11630 FOUR IRON DR
AUSTIN
76901
Owner Information
TRAVIS
Facility Information:
(325) 659-4581
License Exp Dt:
103390
Fax
PRIVATE Beds: 9
County
09 - ABILENE
CHERYL'S ANGEL PLACE INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
ANGELS OF SUNLAND
3123 SUNLAND DR
AUSTIN
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 906-0377
Facility Information:
Region
SAN ANGELO
TRAVIS
County
SERVICE TYPE TYPE B
15 N VAN BUREN
76901
TITLE 18: 0
PRIVATE Beds: 16
Phone
(214) 368-7341
Owner Information
Fax
Cert Alzh Capacity: 0
AN ANGEL'S PLACE
11611 CIRCLE DR
AUSTIN
FAX:
04/02/2018
SAN ANGLEO GERIATRIC
030009
(325) 659-4581
Facility Information:
75230
COMFORT SENIOR LIVING, LLC
TOTAL Lic Capacity: 16
County
(214) 871-2155
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,SUITE 280
TX
PROGRAM TYPE: ASSISTED LIVING
0
TOM GREEN
THE ST ANGELUS
15 N VAN BUREN
SAN ANGELO
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 66
Facility Information:
09 - ABILENE
Owner Information
CHP SPRINGS TX TENANT CORP
TOTAL Lic Capacity: 66
County
Region
SAN ANGLEO GERIATRIC
105285
43604
FAX:
(877) 385-9446
SERVICE TYPE TYPE B
04/07/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
103582
AUSTIN NORTH ASSISTED LIVING LLC
2103 OLD MILL RD
78750
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
CEDAR PARK
(512) 465-2157
0
ICF/IID: 0
PHONE:
TX
(512) 249-6760
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78613
FAX:
(512) 465-2157
SERVICE TYPE TYPE B
12/22/2016
Page 283 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
AUSTIN SENIOR CARE
1414 CARDINAL HILL DR
AUSTIN
Phone
Facility ID:
TX
1414 CARDINAL HILL DR
78758
Fax
(512) 853-9503
AUSTIN
(512) 692-7648
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
TITLE 18/19:
TOTAL Lic Capacity: 50
County
TITLE 18/19:
Phone
BROOKDALE GAINES RANCH
4409 GAINES RANCH LOOP
AUSTIN
Phone
TX
PRIVATE Beds: 75
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TN
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
37027
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
03/31/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
030416
111 WESTWOOD PLACE
78735
Fax
BRENTWOOD
(512) 899-1711
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 400
TN
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
BROOKDALE LOHMANS CROSSING
1604 LOHMANS CROSSING
TX
AUSTIN
Cert Alzh Capacity: 0
,STE 400
BRENTWOOD
(512) 899-2736
TRAVIS
TOTAL Lic Capacity: 75
07 - AUSTIN
BKD GAINES RANCH, LLC
PRIVATE Beds: 58
(512) 261-6653
(512) 441-2205
SERVICE TYPE TYPE B
Region
111 WESTWOOD PL
Reg Svcs:
Cert Alzh Capacity: 0
Phone
FAX:
Owner Information
TITLE19: 0
(512) 899-8400
Facility Information:
78704
10/15/2018
SOUTH AUSTIN
78749
TITLE 18/19:
TOTAL Lic Capacity: 58
County
(512) 441-6000
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
07 - AUSTIN
ESC IV LP
Fax
PRIVATE Beds: 95
County
ICF/IID: 0
010282
(512) 891-9544
Cert Alzh Capacity: 23
Region
AUSTIN
(512) 441-2205
Reg Svcs:
TOTAL Lic Capacity: 95
SERVICE TYPE TYPE B
1606 NASH AVE.
TITLE19: 0
BROOKDALE BECKETT MEADOWS
7709 BECKETT RD
TX
AUSTIN
(214) 845-4501
07/20/2017
SOUTH AUSTIN
78704
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TRAVIS
Facility Information:
(214) 845-4500
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 35
PHONE:
75062
BHAL LLC
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
000389
(512) 441-6000
TOTAL Lic Capacity: 35
County
ICF/IID: 0
Reg Svcs:
Facility ID:
BARTON HILLS ASSISTED LIVING
1606 NASH AVE
TX
AUSTIN
Phone
IRVING
(512) 487-5972
TRAVIS
Facility Information:
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER FREEWAY
TITLE19: 0
PRIVATE Beds: 50
(512) 692-7648
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 50
FAX:
NORTH AUSTIN MEMORY CARE, LLC
Fax
(512) 487-5243
78758
08/04/2018
NORTH AUSTIN
106074
AUTUMN LEAVES OF NORTHWEST AUSTIN
10025 ANDERSON MILL ROAD
TX
AUSTIN
78750
Phone
(512) 853-9503
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
07 - AUSTIN
Owner Information
CYUSHIKA L BROOKS-HARPER
TOTAL Lic Capacity: 7
County
Region
NORTH AUSTIN
010257
37027
FAX:
(615) 564-8204
SERVICE TYPE TYPE A
06/10/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
030267
EMERITUS CORPORATION
6737 W. WASHINGTON STREET
78734
Fax
(512) 261-2699
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,SUITE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-5054
SERVICE TYPE TYPE B
07/31/2018
Page 284 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
BROOKDALE NORTH AUSTIN
5310 DUVAL RD
AUSTIN
Phone
TX
111 WESTWOOD PL
78727
Fax
(512) 418-8228
TITLE 18/19:
BROOKDALE NORTHWEST HILLS
5715 MESA DR
TX
AUSTIN
County
(512) 652-0004
TX
TX
(414) 918-5054
SERVICE TYPE TYPE B
Region
NORTH AUSTIN
MILWAUKEE
(512) 835-1316
ICF/IID: 0
TITLE19: 0
07 - AUSTIN
(414) 918-5054
SERVICE TYPE TYPE A
07/31/2016
Region
SOUTH AUSTIN
6737 W WASHINGTON ST
78759
MILWAUKEE
(512) 418-8825
ICF/IID: 0
TITLE19: 0
07 - AUSTIN
PHONE:
,#2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
TRAVIS
BROOKDALE WESTLAKE HILLS
1034 LIBERTY PARK DR
AUSTIN
FAX:
S-H OPCO SPICEWOOD SPRINGS LLC
TITLE 18/19:
Facility ID:
53214
Owner Information
TITLE 18: 0
PRIVATE Beds: 109
(414) 918-5000
License Exp Dt:
000958
Fax
Cert Alzh Capacity: 0
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 109
Sunday, October 09, 2016
FAX:
07/31/2018
6737 W. WASHINGTON STREET
TITLE 18/19:
(512) 418-8822
PRIVATE Beds: 36
License Exp Dt:
TITLE 18: 0
BROOKDALE SPICEWOOD SPRINGS
4401 SPICEWOOD SPRINGS RD
TX
AUSTIN
Cert Alzh Capacity: 0
(414) 918-5000
53214
Owner Information
TRAVIS
TOTAL Lic Capacity: 36
PHONE:
,SUITE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
78758
Fax
PRIVATE Beds: 112
(512) 328-3775
07 - AUSTIN
EMERITUS CORPORATION
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
030175
(512) 410-2688
Facility Information:
MILWAUKEE
(512) 835-1316
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 112
County
(414) 918-5054
SERVICE TYPE TYPE B
Region
NORTH AUSTIN
TITLE19: 0
TITLE 18/19:
BROOKDALE PARMER LANE
12429 SCOFIELD FARMS DR
AUSTIN
Phone
FAX:
07/29/2017
6737 W. WASHINGTON STREET
TRAVIS
Facility Information:
53214
Owner Information
TITLE 18: 0
PRIVATE Beds: 36
County
(414) 918-5000
License Exp Dt:
78758
Fax
Cert Alzh Capacity: 36
Phone
PHONE:
,#2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
030176
(512) 410-2688
Facility Information:
07 - AUSTIN
EMERITUS CORPORATION
TOTAL Lic Capacity: 36
County
ICF/IID: 0
Reg Svcs:
BROOKDALE PARMER LANE
12429 SCOFIELD FARMS DR
AUSTIN
Phone
MILWAUKEE
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
78731
TRAVIS
Facility Information:
(414) 918-5054
Owner Information
TITLE 18: 0
PRIVATE Beds: 240
FAX:
BROOKDALE NORTHWEST HILLS LLC
Fax
Cert Alzh Capacity: 28
37027
10/01/2018
SOUTH AUSTIN
050750
(512) 454-5900
TOTAL Lic Capacity: 240
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 112
,STE 400
BRENTWOOD
(512) 418-9211
TITLE 18: 0
Cert Alzh Capacity: 30
Facility Information:
07 - AUSTIN
Owner Information
ESC-NGH, LP
TOTAL Lic Capacity: 112
County
Region
NORTH AUSTIN
000948
92614
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
08/29/2018
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
000745
FORT AUSTIN LIMITED PARTNERSHIP
TX
111 WESWOOD PLACE
78746
Fax
(512) 329-6533
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BRENTWOOD
0
ICF/IID: 0
PHONE:
,STE 400
TN
(312) 977-3742
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
37027
FAX:
SERVICE TYPE TYPE B
07/25/2016
Page 285 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
COLLINFIELD 9205 LLC
9205 COLLINFIELD DR
AUSTIN
Phone
Facility ID:
TX
4713 MIRADOR DRIVE
78758
Fax
(512) 358-4851
TITLE 18/19:
COLONIAL GARDENS OF AUSTIN A-1
3700 ADELPHI LN
TX
AUSTIN
Phone
ELMCROFT OF AUSTIN
7017 MANCHACA RD
AUSTIN
Phone
TX
ICF/IID: 0
07 - AUSTIN
40222
FAX:
(502) 753-6104
SERVICE TYPE TYPE B
08/01/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
GRACE SENIOR SERVICES INC
11825 BEE CAVE ROAD
78738
AUSTIN
(512) 402-0950
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(512) 402-0968
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
GRACE HOUSE OF LAKE TRAVIS-WEST
11825 BEE CAVE RD
TX
AUSTIN
(502) 753-6004
License Exp Dt:
100113
Fax
Facility ID:
PHONE:
,STE. 200
KY
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
LOUISVILLE
(512) 916-9239
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
PRIVATE Beds: 16
SERVICE TYPE TYPE B
Region
SOUTH AUSTIN
TITLE19: 0
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
FAX:
07/01/2017
700 N. HURSTBOURNE PKWY.
TITLE 18/19:
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 16
76902
Owner Information
TITLE 18: 0
(512) 402-0968
(512) 402-0968
(325) 653-3180
License Exp Dt:
78745
Fax
GRACE HOUSE OF LAKE TRAVIS EAST
11825 BEE CAVE RD
TX
AUSTIN
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
07 - AUSTIN
ESL AUSTIN OPERATIONS
PRIVATE Beds: 133
County
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 20
Phone
Region
SAN ANGELO
(512) 833-5916
100114
(512) 916-4095
Facility Information:
SERVICE TYPE TYPE B
P O BOX 3666
TITLE19: 0
TOTAL Lic Capacity: 133
County
FAX:
07/01/2017
NORTH AUSTIN
78727
TITLE 18/19:
Facility ID:
76902
Owner Information
TRAVIS
Facility Information:
(325) 653-3180
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
07 - AUSTIN
ASF LIVING INC
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030112
(512) 833-9253
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
COLONIAL GARDENS OF AUSTIN A-2
3706 ADELPHI LN
TX
AUSTIN
Region
SAN ANGELO
(512) 833-0060
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
P O BOX 3666
78727
TRAVIS
Facility Information:
(512) 346-1134
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
FAX:
ASF LIVING INC
Fax
Cert Alzh Capacity: 16
78735
07/06/2018
NORTH AUSTIN
000482
(512) 833-0009
TOTAL Lic Capacity: 16
(512) 879-7509
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 7
Phone
AUSTIN
(512) 821-1224
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
COLLINFIELD 9205 LLC
TOTAL Lic Capacity: 7
County
Region
NORTH AUSTIN
010266
78738
FAX:
(512) 402-0950
SERVICE TYPE TYPE B
09/08/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
100279
GRACE SENIOR SERVICES INC
11825 BEE CAVE ROAD
78738
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
AUSTIN
(512) 402-0950
0
ICF/IID: 0
PHONE:
TX
(512) 402-0968
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78738
FAX:
(512) 402-0950
SERVICE TYPE TYPE B
05/10/2018
Page 286 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
TOTAL Lic Capacity: 6
2201 GREENWOOD AVE
TITLE 18/19:
HEARTLAND HEALTH CARE CENTER
11406 RUSTIC ROCK DR
TX
AUSTIN
County
Phone
HORTON'S HELPING HANDS
603 THELMA DR
AUSTIN
Phone
ICF/IID: 0
License Exp Dt:
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 9
Sunday, October 09, 2016
(512) 804-5303
SERVICE TYPE TYPE A
Region
07 - AUSTIN
7501 WEST HWY 290
AUSTIN
(817) 386-8324
ICF/IID: 0
PHONE:
TX
(512) 288-8300
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
FAX:
01/04/2018
SOUTH AUSTIN
TITLE19: 0
TITLE 18/19:
78745
SW AUSTIN ASSISTED LIVING LLC
TRAVIS
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
TITLE 18: 0
PRIVATE Beds: 122
(512) 804-0462
License Exp Dt:
106219
Fax
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 32
TOTAL Lic Capacity: 9
SERVICE TYPE TYPE B
Region
AUSTIN
(512) 804-5303
TITLE 18: 0
(512) 288-8300
(512) 551-9331
(512) 451-7972
603 THELMA DR
78745
Fax
TOTAL Lic Capacity: 122
Phone
FAX:
04/02/2018
SOUTH AUSTIN
LEGACY OAKS ASISTED LIVING AND MEMORY CARE
7501 WEST HWY 290
TX
AUSTIN
78736
LIVE OAK ESTATES
10212 ENGLISH OAK DR.
AUSTIN
(512) 451-8400
78756
Owner Information
TRAVIS
Facility Information:
07 - AUSTIN
RALPH HORTON JR
PRIVATE Beds: 10
County
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
Region
AUSTIN
(512) 451-7972
104271
(512) 804-0462
Facility Information:
(877) 385-9446
5000 SHOALWOOD AVENUE
TITLE19: 0
TOTAL Lic Capacity: 10
County
FAX:
04/07/2017
SOUTH AUSTIN
78756
TITLE 18/19:
Facility ID:
43604
Owner Information
TRAVIS
Facility Information:
(419) 252-5500
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 15
07 - AUSTIN
HOME OF SOUTHERN HOSPITALITY LLC
Fax
Cert Alzh Capacity: 0
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
050404
(512) 451-8400
TOTAL Lic Capacity: 15
County
ICF/IID: 0
Reg Svcs:
HOME OF SOUTHERN HOSPITALITY, LLC
5000 SHOALWOOD AVE
TX
AUSTIN
Region
TOLEDO
(512) 335-0709
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE A
333 N SUMMIT ST
78750
TRAVIS
Facility Information:
(512) 532-6068
Owner Information
TITLE 18: 0
PRIVATE Beds: 60
FAX:
HEARTLAND OF AUSTIN TX LLC DBA HCR HEARTLAND OF AUSTIN TX LLC
Fax
Cert Alzh Capacity: 0
78723
02/08/2016
NORTH AUSTIN
000730
(512) 355-5028
TOTAL Lic Capacity: 60
(512) 708-8489
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 6
Facility Information:
AUSTIN
(512) 532-6068
TITLE 18: 0
Cert Alzh Capacity: 0
County
HARPER HOUSE PCF, INC
Fax
(512) 708-8489
07 - AUSTIN
Owner Information
HARPER HOUSE PERSONAL CARE FACILITY, INC
2201 GREENWOOD AVE
TX
AUSTIN
78723
Phone
Region
SOUTH AUSTIN
000455
78736
FAX:
(817) 386-8324
SERVICE TYPE TYPE B
08/28/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
106179
LIVE OAK ESTATES LLC
TX
10212 ENGLISH OAK DR
78748
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
AUSTIN
(512) 861-5799
0
ICF/IID: 0
PHONE:
TX
(512) 551-9331
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78748
FAX:
(512) 861-5799
SERVICE TYPE TYPE B
03/27/2017
Page 287 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
LONGHORN VILLAGE
12001 LONGHORN PARKWAY
AUSTIN
Phone
TX
12001 LONGHORN PKWY
78732
Fax
(561) 266-5600
TITLE 18/19:
LONGHORN VILLAGE
12001 LONGHORN PARKWAY
AUSTIN
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(512) 836-1951
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Fax
TITLE 18/19:
TX
PHONE:
TX
(512) 443-5777
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78704
FAX:
(512) 443-5807
SERVICE TYPE TYPE A
04/02/2018
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
7302 LAKE CHARLES DR
AUSTIN
(512) 291-0844
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 280-5742
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
ICF/IID: 0
78744
Fax
PRIVATE Beds: 4
PRIVATE Beds: 120
07 - AUSTIN
HERLINDA MOLINA
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
Region
AUSTIN
(512) 443-1758
Reg Svcs:
TOTAL Lic Capacity: 4
TOTAL Lic Capacity: 120
SERVICE TYPE TYPE B
1339 LAMAR SQUARE DR
001243
(512) 280-5742
(512) 454-0524
(214) 758-8153
MARY LEE FOUNDATION
TRAVIS
Facility ID:
FAX:
12/27/2017
SOUTH AUSTIN
TITLE19: 0
PRIVATE Beds: 16
75201
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(214) 758-8000
License Exp Dt:
030071
(512) 443-1360
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
Phone
07 - AUSTIN
,STE 1200
DALLAS
MARY LEE FOUNDATION REHABILITATION CENTER
1328 LAMAR SQUARE DR
TX
AUSTIN
78704
PARSONS HOUSE AUSTIN
1130 CAMINO LA COSTA
AUSTIN
(512) 628-6170
SERVICE TYPE TYPE B
Region
700 N PEARL ST
TRAVIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 80
County
78732
03/24/2018
NORTH AUSTIN
78753-3301
Fax
Cert Alzh Capacity: 40
Phone
07 - AUSTIN
BUCKNER RETIREMENT SERVICES INC
TOTAL Lic Capacity: 80
ONION CREEK PLANTATION
7302 LAKE CHARLES DR
AUSTIN
(512) 382-4664
License Exp Dt:
000417
(512) 836-1515
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MARILYN M CAMPBELL CENTER
11110 TOM ADAMS DR
AUSTIN
County
Region
AUSTIN
(512) 628-6170
TRAVIS
Phone
SERVICE TYPE TYPE B
12001 LONGHORN PKWY
TITLE 18: 0
PRIVATE Beds: 16
Facility Information:
(512) 628-6170
Owner Information
78732
Fax
Cert Alzh Capacity: 16
County
FAX:
LONGHORN VILLAGE
TOTAL Lic Capacity: 16
Phone
78732
10/25/2016
SOUTH AUSTIN
104169
(512) 382-4664
Facility Information:
(512) 382-4664
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 20
Phone
AUSTIN
(512) 628-6170
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
LONGHORN VILLAGE
TOTAL Lic Capacity: 20
County
Region
SOUTH AUSTIN
103952
78744
FAX:
(512) 291-0844
SERVICE TYPE TYPE C
10/07/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
000785
PARSONS HOUSE AUSTIN LP
TX
1 NORTH CALLE CESAR CHAVEZ
78752
Fax
(512) 454-5502
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
SANTA BARBARA
0
ICF/IID: 0
PHONE:
(805) 564-3341
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
,STE 200
CA
93103
FAX:
(805) 966-2009
SERVICE TYPE TYPE A
11/05/2017
Page 288 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
PAVILION AT GREAT HILLS
11819 PAVILION BLVD
AUSTIN
Phone
TX
450 S ORANGE AVE
78759
Fax
(512) 249-0500
TITLE 18/19:
PROVIDENT MEMORY CARE CENTER
11013 SIGNAL HILL DR
TX
AUSTIN
(512) 637-5404
12720 HILLCREST DR
Phone
(512) 610-9427
TX
TX
PHONE:
,STE 500
OR
(503) 586-7309
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
97035
FAX:
(503) 431-2320
SERVICE TYPE TYPE B
02/28/2018
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
PO BOX 705
78749
SAN MARCOS
(512) 892-1400
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
SHADY HOLLOW ASSISTED LIVING
11315 MENODORA DR
TX
AUSTIN
(512) 567-1704
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
ICF/IID: 0
000624
Fax
PRIVATE Beds: 16
PRIVATE Beds: 5
07 - AUSTIN
THERAPEUTIC COMMUNITIES LLC
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
LAKE OSWEGO
(512) 794-8687
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 5
SERVICE TYPE TYPE B
Region
NORTH AUSTIN
TITLE19: 0
TITLE 18/19:
(512) 892-1711
(512) 280-8861
(214) 623-6115
01/30/2017
5885 MEADOWS RD
TITLE 18: 0
RIDGE OAK LIVING COMMUNITY
6404 RIDGE OAK RD
AUSTIN
Phone
FAX:
Owner Information
TRAVIS
Facility Information:
(469) 916-8958
License Exp Dt:
78759-3953
Fax
PRIVATE Beds: 44
County
PHONE:
75230
HARVEST RENAISSANCE - AUSTIN LLC
Cert Alzh Capacity: 0
Phone
07 - AUSTIN
,STE 106
TX
PROGRAM TYPE: ASSISTED LIVING
0
000733
(512) 338-0995
Facility Information:
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 44
County
DALLAS
TITLE19: 0
RENAISSANCE - AUSTIN
11279 TAYLOR DRAPER LN
AUSTIN
Region
SOUTH AUSTIN
78735
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
07/11/2017
Owner Information
TRAVIS
Facility Information:
FAX:
(512) 630-4550
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 73
PHONE:
78759
BARTON CREEK SENIOR LIVING CENTER, INC
Fax
Cert Alzh Capacity: 23
07 - AUSTIN
,BLDG 7 STE 200-B
TX
PROGRAM TYPE: ASSISTED LIVING
0
103118
(512) 610-9400
TOTAL Lic Capacity: 73
County
ICF/IID: 0
Reg Svcs:
QUERENCIA AT BARTON CREEK
2500 BARTON CREEK BOULEVARD
TX
AUSTIN
Phone
AUSTIN
TITLE19: 0
TITLE 18/19:
Facility ID:
Region
12515 RESEARCH BLVD
78737
TRAVIS
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 22
(407) 540-2576
PROVIDENT MEMORY CARE GROUP LLC
Fax
Cert Alzh Capacity: 22
FAX:
07/30/2017
SOUTH AUSTIN
103685
(512) 637-5400
TOTAL Lic Capacity: 22
32801
(407) 650-1000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 35
Phone
ORLANDO
(512) 249-0567
TITLE 18: 0
Cert Alzh Capacity: 35
Facility Information:
07 - AUSTIN
Owner Information
CHP AUSTIN TX TENANT CORP
TOTAL Lic Capacity: 35
County
Region
NORTH AUSTIN
104336
78667
FAX:
(512) 357-4025
SERVICE TYPE TYPE A
03/22/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
101766
SHADY HOLLOW ASSISTED LIVING CORPORATION
11315 MENODORA DR
78748
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
AUSTIN
(512) 295-1125
0
ICF/IID: 0
PHONE:
TX
(512) 560-7695
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78748
FAX:
(512) 292-4796
SERVICE TYPE TYPE B
06/15/2017
Page 289 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
SHADY HOLLOW II ASSISTED LIVING
11303 ALOYSIA DR
TX
AUSTIN
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 92
County
TITLE 18/19:
SOUTH AUSTIN ASSISTED LIVING INC
4601 CHESNEY RIDGE DR
TX
AUSTIN
Phone
Phone
County
ICF/IID: 0
Fax
Phone
(512) 249-0500
TOTAL Lic Capacity: 130
Cert Alzh Capacity: 0
PRIVATE Beds: 130
Sunday, October 09, 2016
78749
FAX:
(512) 436-8004
SERVICE TYPE TYPE B
Region
07 - AUSTIN
Owner Information
BENNY RAY HOWARD ESTATE
6702 BREEZY PASS
AUSTIN
(512) 928-2473
ICF/IID: 0
PHONE:
TX
(512) 928-2498
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
TRAVIS
THE PAVILION AT GREAT HILLS
11819 PAVILION BLVD
AUSTIN
07 - AUSTIN
06/14/2018
NORTH AUSTIN
TITLE19: 0
Facility ID:
(512) 436-8004
License Exp Dt:
TITLE 18: 0
TITLE 18/19:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
050182
(512) 928-2498
Facility Information:
SERVICE TYPE TYPE B
Region
AUSTIN
(512) 436-8004
Reg Svcs:
PRIVATE Beds: 16
(512) 436-8004
4601 CHESNEY RIDGE DRIVE
TITLE19: 0
Cert Alzh Capacity: 0
FAX:
Owner Information
78749
TITLE 18/19:
TOTAL Lic Capacity: 16
78749
07/08/2017
SOUTH AUSTIN
TEXAS RESIDENTIAL AND VOCATIONAL SERVICES
2107 BRUNSWICK
TX
AUSTIN
78723
Phone
(512) 436-8004
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
07 - AUSTIN
SOUTH AUSTIN ASSISTED LIVING ,INC
Fax
PRIVATE Beds: 6
County
ICF/IID: 0
105080
(512) 243-8476
Cert Alzh Capacity: 0
Region
AUSTIN
(512) 436-8004
Reg Svcs:
TOTAL Lic Capacity: 6
SERVICE TYPE TYPE B
4601 CHESNEY RIDGE DRIVE
TITLE19: 0
SOUTH AUSTIN ASSISTED LIVING, INC
4816 CHESNEY RIDGE DR
TX
AUSTIN
FAX:
11/30/2016
SOUTH AUSTIN
78749
TITLE 18/19:
Facility ID:
43615
Owner Information
TRAVIS
Facility Information:
(419) 247-2800
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 6
07 - AUSTIN
SOUTH AUSTIN ASSISTED LIVING ,INC
Fax
Cert Alzh Capacity: 0
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
103370
(512) 436-8004
TOTAL Lic Capacity: 6
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
TOLEDO
TRAVIS
Facility Information:
SERVICE TYPE TYPE B
4500 DORR STREET
TITLE19: 0
PRIVATE Beds: 92
(512) 292-4796
SUBTENANT 11330 FARAH LANE LLC
TITLE 18: 0
Cert Alzh Capacity: 92
FAX:
Owner Information
Fax
(512) 280-2030
78748
05/25/2017
SOUTH AUSTIN
105478
SILVERADO SENIOR LIVING-ONION CREEK
11330 FARRAH LANE
TX
AUSTIN
78748
Phone
(512) 560-7695
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
AUSTIN
(512) 292-4796
TITLE 18: 0
PRIVATE Beds: 5
County
11315 MENODORA DR
78748
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
SHADY HOLLOW ASSISTED LIVING CORPORATION
(512) 292-4796
TOTAL Lic Capacity: 5
Region
SOUTH AUSTIN
102254
78749
FAX:
(512) 928-2473
SERVICE TYPE TYPE A
09/24/2016
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
104337
CHP AUSTIN TX TENANT CORP
TX
450 S ORANGE AVE
78759
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ORLANDO
(512) 249-0567
0
ICF/IID: 0
PHONE:
FL
(407) 650-1000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
32801
FAX:
(407) 540-2576
SERVICE TYPE TYPE A
07/30/2017
Page 290 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
VILLAGE ON THE PARK-ONION CREEK
11300 FARRAH LANE BLDG 6
TX
AUSTIN
Phone
TOTAL Lic Capacity: 37
County
TITLE 18/19:
TX
TX
07 - AUSTIN
ICF/IID: 0
PHONE:
,#400
TN
FAX:
(615) 221-2250
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
37027
(615) 221-2280
SERVICE TYPE TYPE A
07/29/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
030273
BROOKDALE LAKEWAY LLC
TX
111 WESTWOOD PLACE
78734
Fax
BRENTWOOD
(512) 261-7149
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
(615) 221-2250
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,#400
TN
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
BRENTWOOD
(512) 261-7149
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 16
PRIVATE Beds: 226
Region
SOUTH AUSTIN
TITLE19: 0
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 43
SERVICE TYPE TYPE B
03/01/2018
111 WESTWOOD PLACE
TITLE 18/19:
(512) 261-7146
TOTAL Lic Capacity: 226
FAX:
Owner Information
TRAVIS
(512) 402-1222
43615
(419) 247-2800
License Exp Dt:
TITLE 18: 0
BROOKDALE LAKEWAY I
1915 LOHMANS CROSSING RD
LAKEWAY
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
0
78734
Fax
PRIVATE Beds: 132
Phone
07 - AUSTIN
BROOKDALE LAKEWAY LLC
Cert Alzh Capacity: 0
THE HARBOR AT LAKEWAY
300 MEDICAL PARKWAY
LAKEWAY
ICF/IID: 0
030272
(512) 261-7146
Facility Information:
Region
TOLEDO
(512) 263-2944
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 132
County
SERVICE TYPE TYPE B
05/18/2018
SOUTH AUSTIN
TITLE19: 0
TITLE 18/19:
BROOKDALE LAKEWAY
1915 LOHMANS CROSSING RD
LAKEWAY
Phone
(512) 454-8350
4500 DORR ST
TRAVIS
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 92
County
78731
(512) 454-4711
License Exp Dt:
78738
Fax
Cert Alzh Capacity: 92
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105945
(512) 263-2544
Facility Information:
07 - AUSTIN
SUBTENANT 14058 A BEE CAVE PARKWAY LLC
TOTAL Lic Capacity: 92
County
ICF/IID: 0
Reg Svcs:
Facility ID:
SILVERADO - BEE CAVE
14058 A BEE CAVE PARKWAY
BEE CAVE
Phone
AUSTIN
(512) 454-5713
TRAVIS
Facility Information:
Region
4200 JACKSON
TITLE19: 0
PRIVATE Beds: 37
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
(713) 623-6772
WESTMINSTER MANOR
Fax
(512) 454-2140
FAX:
07/11/2018
SOUTH AUSTIN
105071
WESTMINSTER MANOR ASSISTED LIVING
4200 JACKSON AVENUE
TX
AUSTIN
78731
Phone
77057
(713) 623-6767
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
,SUITE 410
HOUSTON
(281) 996-1141
TITLE 18: 0
PRIVATE Beds: 38
County
6363 WOODWAY
78748
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
BRIDGEWOOD SOUTH AUSTIN LLC
(512) 280-5500
TOTAL Lic Capacity: 38
Region
SOUTH AUSTIN
106216
37027
FAX:
(615) 221-2280
SERVICE TYPE TYPE B
07/29/2017
Region
SOUTH AUSTIN
07 - AUSTIN
Owner Information
106031
LMV-AL VENTURES LLC
TX
8310-1 CAPITAL OF TX HIGHWAY NORTH ,STE 275
78738
AUSTIN
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(512) 335-0600
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78731
FAX:
(512) 342-0600
SERVICE TYPE TYPE B
04/08/2017
Page 291 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
MABEE VILLAGE AT MARBRIDGE
2310 BLISS SPILLAR RD
TX
MANCHACA
Phone
MARBRIDGE RANCH
2310 BLISS SPILLAR RD
MANCHACA
Phone
TX
TX
TX
78708
FAX:
(512) 251-7003
SERVICE TYPE TYPE A
06/30/2018
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
12349 JOHNSON RD
78653
MANOR
(512) 278-0354
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 278-0354
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78653
FAX:
(512) 278-0354
SERVICE TYPE TYPE C
01/02/2018
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
105020
CLARE HEALTHCARE CORP
TX
2209 TERRADYNE DR
78660
Fax
PFLUGERVILLE
(512) 761-4751
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
FAMILY TREE ASSISTED LIVING ,LLC
15309 DELAHUNTY
TX
PFLUGERVILLE
(512) 852-1254
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Sunday, October 09, 2016
(512) 251-1211
License Exp Dt:
001055
Fax
PRIVATE Beds: 8
PRIVATE Beds: 8
07 - AUSTIN
EDDIE M GLOVER
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 8
TOTAL Lic Capacity: 8
ICF/IID: 0
TITLE19: 0
(512) 852-1254
(512) 721-5352
SERVICE TYPE TYPE A
Region
AUSTIN
(512) 251-7003
TRAVIS
Phone
(512) 282-3723
PO BOX 82214
TITLE 18/19:
PRIVATE Beds: 4
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
County
78652
05/01/2017
NORTH AUSTIN
78653
Fax
TOTAL Lic Capacity: 4
Phone
(512) 282-1144
License Exp Dt:
000377
(512) 278-1990
CLARE CREEK SENIOR LIVING
2209 TERRANDYNE DRIVE
PFLUGERVILLE
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Facility Information:
07 - AUSTIN
SCHOLEY-MORRISON COMMUNITY OPTIONS INC
PRIVATE Beds: 10
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
Region
MANCHACA
(512) 282-3723
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 10
GLOVERS FOSTER HOME
12349 JOHNSON RD
MANOR
SERVICE TYPE TYPE A
PO BOX 2250
TITLE 18: 0
(512) 251-6997
Facility Information:
(512) 282-3723
Owner Information
TRAVIS
County
FAX:
01/14/2017
SOUTH AUSTIN
78652
Fax
PRIVATE Beds: 99
Phone
78652
MARBRIDGE FOUNDATION INC
Cert Alzh Capacity: 0
BROOKSIDE FARM
2213 E HOWARD LN
MANOR
(512) 282-1144
License Exp Dt:
000520
(512) 282-1144
Facility Information:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 99
County
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TRAVIS
Facility Information:
MANCHACA
(512) 282-5279
TITLE 18: 0
PRIVATE Beds: 90
County
PO BOX 2250
78652
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
MARBRIDGE FOUNDATION INC
(512) 282-3163
TOTAL Lic Capacity: 90
Region
SOUTH AUSTIN
000706
78660
FAX:
(512) 761-4751
SERVICE TYPE TYPE B
06/11/2016
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
104144
FAMILY TREE ASSISTED LIVING, LLC
400-B TOPEKA COURT
78660
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
NOLANVILLE
(512) 251-1811
0
ICF/IID: 0
TX
PHONE:
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76559
SERVICE TYPE TYPE B
07/01/2018
Page 292 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
GRACELAND SENIOR LIVING
17228 SANDWICK DRIVE
PFLUGERVILLE
Phone
Facility ID:
TX
17228 SANDWICK DRIVE
78660
PFLUGERVILLE
Fax
(512) 736-6206
TITLE 18: 0
Cert Alzh Capacity: 0
TITLE 18/19:
HEATHERWILDE ASSISTED LIVING
401 S HEATHERWILDE BLVD
TX
PFLUGERVILLE
County
1703 W 5TH ST
78660
County
Phone
(512) 251-1642
MALLARD HOME CARE
19705 MALLARD POND TRAIL
PFLUGERVILLE
Phone
TOTAL Lic Capacity: 11
Cert Alzh Capacity: 0
PRIVATE Beds: 11
Sunday, October 09, 2016
PHONE:
TX
(512) 788-6834
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
78666
FAX:
(512) 721-5018
SERVICE TYPE TYPE B
07/20/2016
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
105781
TX
1225 TOWN CENTER DR.
78660
PFLUGERVILLE
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(940) 736-0532
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,APT. #1101
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
(512) 989-5816
07 - AUSTIN
MALLARD HOME CARE, LLC
PRIVATE Beds: 8
Phone
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
SERENITY SENIOR LIVING
900 RAMBLE CREEK DR.
PFLUGERVILLE
Region
PFLUGERVILLE
(512) 721-5018
TITLE19: 0
(512) 202-3320
Facility Information:
SERVICE TYPE TYPE A
20816 WINDMILL RIDGE
TITLE 18/19:
Facility ID:
(877) 639-9530
11/01/2016
NORTH AUSTIN
78660
TITLE 18: 0
TOTAL Lic Capacity: 8
County
License Exp Dt:
FAX:
Owner Information
TRAVIS
Facility Information:
(512) 634-4941
78703
KNIGHT'S ASSISTED LIVING LLC
Fax
PRIVATE Beds: 9
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
105183
(512) 721-5865
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 9
07 - AUSTIN
,STE 800
AUSTIN
TITLE19: 0
KNIGHT'S ASSISTED LIVING, LLC
20816 WINDMILL RIDGE ST
TX
PFLUGERVILLE
Region
1703 W 5TH ST
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
11/01/2016
NORTH AUSTIN
78660
TRAVIS
Facility Information:
(877) 639-9530
Owner Information
TITLE 18: 0
PRIVATE Beds: 20
FAX:
PM MANAGEMENT - PFLUGERVILLE AL LLC
Fax
Cert Alzh Capacity: 0
78703
(512) 634-4941
License Exp Dt:
000896
(512) 251-1640
TOTAL Lic Capacity: 20
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
HEATHERWILDE ASSISTED LIVING
401 S HEATHERWILDE BLVD
TX
PFLUGERVILLE
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
Facility ID:
07 - AUSTIN
,STE 800
AUSTIN
(512) 251-1642
TRAVIS
Facility Information:
Region
Owner Information
TITLE 18: 0
PRIVATE Beds: 40
SERVICE TYPE TYPE B
07/02/2017
PM MANAGEMENT - PFLUGERVILLE AL LLC
Fax
Cert Alzh Capacity: 0
FAX:
NORTH AUSTIN
100306
(512) 251-1640
TOTAL Lic Capacity: 40
78660
(361) 542-1588
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
TRAVIS
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 8
Facility Information:
07 - AUSTIN
Owner Information
JEFFREY MILLER, A SOLE PROPRIETOR
TOTAL Lic Capacity: 8
County
Region
NORTH AUSTIN
105483
78660
FAX:
(512) 721-5018
SERVICE TYPE TYPE B
05/12/2018
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
105497
CHRISTOPHER G WILLIS
TX
900 RAMBLE CREEK DR
78660
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
PFLUGERVILLE
(512) 989-5816
0
ICF/IID: 0
PHONE:
TX
(512) 814-6323
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78660
FAX:
SERVICE TYPE TYPE B
07/01/2017
Page 293 of 311
County
Reg Svcs:
TRAVIS
Facility Information:
Facility ID:
Fax
(512) 347-1700
TOTAL Lic Capacity: 183
4500 DORR STREET
TITLE 18/19:
THE ORCHARD
805 W DOGWOOD ST
WOODVILLE
Phone
TX
(409) 283-2044
TX
TX
75644
FAX:
(903) 843-4871
SERVICE TYPE TYPE B
06/05/2018
Region
TYLER SE TEAM
04 - TYLER
Owner Information
PO BOX 612
75644
MOUNT VERNON
(903) 734-1752
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(903) 537-4116
License Exp Dt:
75457
FAX:
(903) 270-6227
SERVICE TYPE TYPE B
12/20/2017
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
000862
214 MARTIN LLC
214 MARTIN ST
78801
Fax
UVALDE
(830) 279-0956
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(210) 826-8548
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
UVALDE
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
PRIVATE Beds: 16
Sunday, October 09, 2016
(903) 725-7660
License Exp Dt:
102729
Fax
Cert Alzh Capacity: 0
PRIVATE Beds: 60
04 - TYLER
WESLEY PARTNERS LTD
TOTAL Lic Capacity: 16
Cert Alzh Capacity: 17
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(830) 278-1134
TOTAL Lic Capacity: 60
ICF/IID: 0
TITLE19: 0
214 MARTIN AN ASSISTED RESIDENCE
214 MARTIN ST
TX
UVALDE
(830) 278-8220
SERVICE TYPE TYPE B
Region
GILMER
(903) 843-4871
UVALDE
Phone
(817) 348-0466
387 NECTARINE RD
TITLE 18/19:
PRIVATE Beds: 86
THE VERANDA
201 HAM
UVALDE
FAX:
09/01/2016
TYLER SE TEAM
75644
(903) 734-1784
Facility Information:
76107
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 26
County
License Exp Dt:
100559
Fax
TOTAL Lic Capacity: 86
Phone
(817) 348-8959
PROGRAM TYPE: ASSISTED LIVING
0
UPSHUR
Facility Information:
PHONE:
TX
THE MADERA CORPORATION
PRIVATE Beds: 50
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 0
Phone
05 - BEAUMONT
,STE 304
FORT WORTH
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 50
WESLEY HOUSE
231 QUAIL DRIVE
GILMER
SERVICE TYPE TYPE B
Region
1701 RIVER RUN
TITLE 18: 0
(903) 843-7601
Facility Information:
(419) 247-2826
Owner Information
UPSHUR
County
FAX:
04/01/2017
BEAUMONT GERIATRIC
75979-4743
Fax
PRIVATE Beds: 55
Phone
43615
WOODVILLE I ENTERPRISES LLC
Cert Alzh Capacity: 0
THE BRADFORD HOUSE
1704 N BRADFORD ST
GILMER
(419) 247-2800
License Exp Dt:
030269
(409) 283-5678
Facility Information:
PHONE:
OH
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 55
County
ICF/IID: 0
0
TYLER
Facility Information:
TOLEDO
(512) 347-1701
TITLE19: 0
PRIVATE Beds: 183
County
BELMONT VILLAGE WEST LAKE HILLS TENANT, LLC
TITLE 18: 0
Cert Alzh Capacity: 34
07 - AUSTIN
Owner Information
BELMONT VILLAGE WEST LAKE HILLS TENANT, LLC
4310 BEE CAVE ROAD
TX
WEST LAKE HILLS
78746
Phone
Region
SOUTH AUSTIN
105870
78801
FAX:
SERVICE TYPE TYPE A
08/12/2017
Region
TEAM Y
08 - SAN ANTONIO
Owner Information
103846
UALC LLC
TX
18843 REDLAND ROAD
78801
SAN ANTONIO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
TX
(210) 499-5627
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78259
FAX:
(210) 499-5327
SERVICE TYPE TYPE B
12/18/2016
Page 294 of 311
County
Reg Svcs:
VAL VERDE
Facility Information:
Facility ID:
SOUTHWEST ASSISTED LIVING
1088 AMISTAD BOULEVARD
DEL RIO
Phone
TX
710 GIBBS STREET
78840
DEL RIO
Fax
(830) 775-6400
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 26
TITLE 18/19:
TOTAL Lic Capacity: 12
County
DEL RIO
TITLE 18/19:
County
DALLAS
Phone
FREE STATE CRESTWOOD
1448 HOUSTON ST
WILLS POINT
Phone
ICF/IID: 0
PRIVATE Beds: 109
Sunday, October 09, 2016
75103
FAX:
SERVICE TYPE TYPE B
06/02/2018
Region
TYLER SW TEAM
04 - TYLER
Owner Information
TX
600 N PEARL ST
75169
Fax
DALLAS
(903) 873-4404
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(214) 252-7600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 1100
TX
PROGRAM TYPE: ASSISTED LIVING
0
75201
FAX:
(214) 252-7599
SERVICE TYPE TYPE B
05/01/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
106070
BRIGHTWATER SENIOR LIVING OF VICTORIA
1303 N JOHN STOCKBAUER DRIVE
TX
VICTORIA
77904
Cert Alzh Capacity: 28
PHONE:
License Exp Dt:
030034
VICTORIA
TOTAL Lic Capacity: 109
04 - TYLER
CRESTWOOD SCC LLC
PRIVATE Beds: 72
(361) 500-6651
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE B
06/30/2018
Region
CANTON
TITLE19: 0
(903) 873-5400
Facility Information:
(214) 347-7142
1835 SOUTH TRADE DAYS BLVD
75103
TITLE 18/19:
TOTAL Lic Capacity: 72
County
FAX:
CP ASSISTED LIVING 1 (TX) LLC
TITLE 18: 0
Facility ID:
75204
Owner Information
VAN ZANDT
Facility Information:
(214) 347-7140
TYLER SW TEAM
Fax
PRIVATE Beds: 30
PHONE:
License Exp Dt:
105785
(903) 567-2942
Cert Alzh Capacity: 0
04 - TYLER
,STE. 475
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
TOTAL Lic Capacity: 30
County
ICF/IID: 0
TITLE19: 0
CP ASSISTED LIVING 1 (TX) LLC
1835 SOUTH TRADE DAYS BLVD.
TX
CANTON
Region
3131 MCKINNEY AVE.
75103
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
CP 13 (TX) LLC
VAN ZANDT
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 30
78840
11/14/2016
TYLER SW TEAM
Fax
Cert Alzh Capacity: 0
(830) 778-9418
License Exp Dt:
105759
(903) 567-2942
TOTAL Lic Capacity: 30
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
CP 13 (TX) LLC
1833 SOUTH TRADE DAYS BLVD.
TX
CANTON
Phone
ICF/IID: 0
0
VAN ZANDT
Facility Information:
08 - SAN ANTONIO
710 GIBBS STREET
TITLE19: 0
PRIVATE Beds: 12
Region
SOUTHWEST ASSISTED LIVING DEL RIO LLC
TITLE 18: 0
Cert Alzh Capacity: 12
SERVICE TYPE TYPE B
Owner Information
Fax
(830) 775-6400
FAX:
05/03/2018
TEAM Z
105079
SOUTHWEST ASSISTED LIVING MEMORY CARE
78 TOMAHAWK TRAIL
TX
DEL RIO
78840
Phone
78840
(830) 778-9418
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
VAL VERDE
Facility Information:
08 - SAN ANTONIO
Owner Information
SOUTHWEST ASSISTED LIVING DEL RIO LLC
TOTAL Lic Capacity: 26
County
Region
TEAM Z
105102
VICTORIA AL-MC GROUP LLC
1303 N JOHN STOCKBAUER DRIVE
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
VICTORIA
(888) 295-5253
0
ICF/IID: 0
PHONE:
TX
(361) 500-6651
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77904
FAX:
(888) 295-5253
SERVICE TYPE TYPE B
05/13/2017
Page 295 of 311
County
Reg Svcs:
VICTORIA
Facility Information:
BROOKDALE VICTORIA
9606 N E ZAC LENTZ PKWY
VICTORIA
Phone
Facility ID:
TX
111 WESTWOOD PLACE
77904
Fax
(361) 582-2100
TITLE 18/19:
TX
111 WESTWOOD PLACE
TX
(361) 576-2551
Cert Alzh Capacity: 0
PRIVATE Beds: 64
Sunday, October 09, 2016
08 - SAN ANTONIO
PHONE:
78130
FAX:
License Exp Dt:
SERVICE TYPE TYPE B
06/11/2017
Region
TEAM V
08 - SAN ANTONIO
Owner Information
ALZ CARE LLC
195 S ACADEMY
77904
NEW BRAUNFELS
(361) 572-3433
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
PHONE:
78130
FAX:
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
TX
PROGRAM TYPE: ASSISTED LIVING
0
VICTORIA
TOTAL Lic Capacity: 64
ICF/IID: 0
TITLE 18: 0
PRIVATE Beds: 16
Region
NEW BRAUNFELS
(361) 580-1201
105046
Fax
Cert Alzh Capacity: 16
SERVICE TYPE TYPE B
195 S ACADEMY
77904
Reg Svcs:
TOTAL Lic Capacity: 16
(502) 753-6104
Owner Information
VICTORIA
(361) 572-3336
FAX:
08/03/2017
TEAM V
TITLE19: 0
SODALIS ELDER LIVING VICTORIA II
4409 N JOHN STOCKBAUER RD
TX
VICTORIA
(502) 753-6004
40223
ALZ CARE LLC
TITLE 18/19:
Facility ID:
PHONE:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
(361) 575-8271
08 - SAN ANTONIO
,STE 101
KY
PROGRAM TYPE: ASSISTED LIVING
0
101060
Fax
Cert Alzh Capacity: 16
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
THE DEVEREUX FOUNDATION
120 DAVID WADE DR
VICTORIA
LOUISVILLE
TITLE19: 0
(361) 580-3151
Facility Information:
Region
9510 ORMSBY STATION RD
TITLE 18/19:
SODALIS ELDER LIVING VICTORIA 1
4409 N. STOCKBAUER ROAD
TX
VICTORIA
County
SERVICE TYPE TYPE A
07/25/2018
TEAM V
77904
VICTORIA
Phone
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 99
Facility Information:
(615) 221-2250
License Exp Dt:
000334
Fax
Cert Alzh Capacity: 0
County
PHONE:
37027
ESL VICTORIA OPERATIONS LLC
TOTAL Lic Capacity: 99
Phone
08 - SAN ANTONIO
,#400
TN
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(361) 576-0444
Facility Information:
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
VICTORIA
County
BRENTWOOD
(361) 582-2200
TITLE 18: 0
PRIVATE Beds: 30
Phone
Region
Owner Information
77904
Fax
Cert Alzh Capacity: 0
ELMCROFT OF VICTORIA
411 E LARKSPUR
VICTORIA
SERVICE TYPE TYPE B
02/20/2018
TEAM V
000789
(361) 582-2100
Facility Information:
FAX:
ARC VICTORIA LP
TOTAL Lic Capacity: 30
County
37027
(615) 221-2250
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,#400
TN
PROGRAM TYPE: ASSISTED LIVING
0
VICTORIA
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 25
BROOKDALE VICTORIA
9606 N E ZAC LENTZ PKWY
VICTORIA
BRENTWOOD
(361) 582-2220
TITLE 18: 0
Cert Alzh Capacity: 25
Facility Information:
08 - SAN ANTONIO
Owner Information
ARC VICTORIA LP
TOTAL Lic Capacity: 25
County
Region
TEAM V
102979
SERVICE TYPE TYPE B
04/25/2018
Region
TEAM V
08 - SAN ANTONIO
Owner Information
000400
THE DEVEREUX FOUNDATION
TX
2012 RENAISSANCE BLVD
77905-2666
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
KING OF PRUSSIA
(361) 575-6520
0
ICF/IID: 0
PHONE:
PA
(610) 520-3000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
19406
FAX:
(361) 575-6520
SERVICE TYPE TYPE A
12/21/2016
Page 296 of 311
County
Reg Svcs:
VICTORIA
Facility Information:
THE DEVEREUX FOUNDATION
120 DAVID WADE DR
VICTORIA
Phone
Facility ID:
TX
2012 RENAISSANCE BLVD
77905
Fax
(361) 575-8271
TITLE 18/19:
TX
LAKEWAY
TX
PRIVATE Beds: 10
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
06 - HOUSTON
77340
FAX:
(936) 295-4488
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
(936) 293-8755
SERVICE TYPE TYPE A
06/30/2017
Region
BEAUMONT GERIATRIC
06 - HOUSTON
Owner Information
104372
KNEWMAN HOLDINGS, LLC DBA PECAN GROVE
TX
929 F SH 150
77358
Fax
NEW WAVERLY
(936) 344-9502
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(936) 337-4334
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WALLER
Cert Alzh Capacity: 0
Region
HUNTSVILLE
(936) 293-8755
Reg Svcs:
Facility ID:
PRIVATE Beds: 14
TOTAL Lic Capacity: 10
SERVICE TYPE TYPE B
04/11/2017
BEAUMONT GERIATRIC
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
(281) 375-2100
(281) 292-6360
679 I-45 SOUTH
TITLE 18: 0
TOTAL Lic Capacity: 14
Phone
License Exp Dt:
77340
(936) 337-4334
ANDERSON HOME
1752 FM 1489
BROOKSHIRE
FAX:
Owner Information
WALKER
Facility Information:
77340
(281) 363-2600
PROGRAM TYPE: ASSISTED LIVING
0
101846
Fax
PRIVATE Beds: 56
County
PHONE:
TX
GREATER HORIZONS I TEXAS LIMITED PARTNERSHIP
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 56
PECAN GROVE
929 STATE HIGHWAY 150
NEW WAVERLY
HUNTSVILLE
(936) 291-2907
TITLE19: 0
(936) 295-4488
Facility Information:
06 - HOUSTON
1433 VETERANS MEMORIAL PKWY
WALKER
County
Region
BEAUMONT GERIATRIC
77340
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
08/17/2018
Owner Information
TITLE 18: 0
PRIVATE Beds: 56
FAX:
MRC TOWNCREEK
Fax
Cert Alzh Capacity: 18
Phone
06 - HOUSTON
78734
(972) 377-3309
License Exp Dt:
105397
(936) 295-0216
TOTAL Lic Capacity: 56
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
MRC CREEKSIDE
1433 VETERANS MEMORIAL PARKWAY
TX
HUNTSVILLE
THE LEXINGTON CENTER
679 I-45 SOUTH
HUNTSVILLE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
WALKER
Facility Information:
Region
317 MARTINIQUE PASS
77340
TITLE 18: 0
PRIVATE Beds: 22
County
SERVICE TYPE TYPE B
Owner Information
Fax
Cert Alzh Capacity: 0
Phone
(361) 575-6520
12/21/2017
BEAUMONT GERIATRIC
105146
(936) 295-0600
Facility Information:
FAX:
CARDINAL BAY, INC
TOTAL Lic Capacity: 22
County
19406
(610) 520-3000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
PA
PROGRAM TYPE: ASSISTED LIVING
0
WALKER
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
CARRIAGE INN-HUNTSVILLE
2805 LAKE ROAD
HUNTSVILLE
KING OF PRUSSIA
(361) 575-6520
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
08 - SAN ANTONIO
Owner Information
THE DEVEREUX FOUNDATION
TOTAL Lic Capacity: 16
County
Region
TEAM V
101763
77358
FAX:
(936) 344-9502
SERVICE TYPE TYPE A
10/13/2018
Region
UNIT 21 (ICF/MR)
06 - HOUSTON
Owner Information
100784
BRIARWOOD - BROOKWOOD INC
TX
1752 FM 1489
77423
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BROOKSHIRE
(281) 375-2160
0
ICF/IID: 0
PHONE:
TX
(281) 375-2100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77423
FAX:
(281) 375-2160
SERVICE TYPE TYPE A
10/04/2018
Page 297 of 311
County
Reg Svcs:
WALLER
Facility Information:
DEREK HOME
1752 FM 1489
BROOKSHIRE
Phone
Facility ID:
TX
1752 FM 1489
77423
Fax
(281) 375-2100
TITLE 18/19:
TX
TX
TX
Sunday, October 09, 2016
(281) 375-2160
SERVICE TYPE TYPE A
Region
06 - HOUSTON
1752 FM 1489
BROOKSHIRE
(281) 375-2160
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 375-2100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77423
FAX:
(281) 375-2160
SERVICE TYPE TYPE B
10/04/2018
Region
UNIT 21 (ICF/MR)
06 - HOUSTON
Owner Information
100781
BRIARWOOD - BROOKWOOD INC
TX
1752 FM 1489
77423
Fax
BROOKSHIRE
(281) 375-2160
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 375-2100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WALLER
PRIVATE Beds: 34
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 10
Cert Alzh Capacity: 0
77423
10/04/2018
UNIT 21 (ICF/MR)
77423
Fax
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 34
(281) 375-2100
License Exp Dt:
100780
(281) 375-2100
(281) 375-2100
06 - HOUSTON
BRIARWOOD - BROOKWOOD INC
TOTAL Lic Capacity: 10
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WALLER
THE INN
1752 FM 1489
BROOKSHIRE
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
Facility Information:
SERVICE TYPE TYPE A
Region
BROOKSHIRE
(281) 375-2160
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(281) 375-2160
1752 FM 1489
TITLE 18: 0
TOTAL Lic Capacity: 8
Phone
FAX:
10/04/2017
UNIT 21 (ICF/MR)
77423
(281) 375-2100
MEADOWS HOME
1752 FM 1489
BROOKSHIRE
77423
Owner Information
WALLER
Facility Information:
(281) 375-2100
License Exp Dt:
100786
Fax
PRIVATE Beds: 12
County
06 - HOUSTON
BRIARWOOD - BROOKWOOD INC
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
KILROY HOME
1752 FM 1489
BROOKSHIRE
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(281) 375-2100
Facility Information:
Region
BROOKSHIRE
(281) 375-2160
WALLER
County
SERVICE TYPE TYPE A
1752 FM 1489
TITLE 18: 0
PRIVATE Beds: 12
Phone
(281) 375-2160
Owner Information
77423
Fax
Cert Alzh Capacity: 0
JAMAIL HOME
1752 FM 1489
BROOKSHIRE
FAX:
10/04/2018
UNIT 21 (ICF/MR)
100783
(281) 375-2100
Facility Information:
77423
BRIARWOOD - BROOKWOOD INC
TOTAL Lic Capacity: 12
County
(281) 375-2100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WALLER
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
FOLLETT HOME
1752 FM 1489
BROOKSHIRE
BROOKSHIRE
(281) 375-2160
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
BRIARWOOD - BROOKWOOD INC
TOTAL Lic Capacity: 12
County
Region
UNIT 21 (ICF/MR)
100782
77423
FAX:
(281) 375-2160
SERVICE TYPE TYPE A
10/04/2017
Region
UNIT 21 (ICF/MR)
06 - HOUSTON
Owner Information
050035
BRIARWOOD - BROOKWOOD INC
TX
1752 FM 1489
77423
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
BROOKSHIRE
(281) 375-2160
0
ICF/IID: 0
PHONE:
TX
(281) 375-2100
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
77423
FAX:
(281) 375-2160
SERVICE TYPE TYPE B
09/20/2017
Page 298 of 311
County
Reg Svcs:
WALLER
Facility Information:
TUTTLE HOME
1752 FM 1489
BROOKSHIRE
Phone
Facility ID:
TX
1752 FM 1489
77423
Fax
(281) 375-2100
TITLE 18/19:
TX
TX
TX
(713) 525-8334
SERVICE TYPE TYPE A
Region
06 - HOUSTON
1119 SMITH ST
WALLER
(936) 931-1625
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(936) 372-2278
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
77484
FAX:
(936) 931-1253
SERVICE TYPE TYPE B
09/20/2017
Region
BRENHAM
07 - AUSTIN
Owner Information
030327
ARGENT BRENHAM OPERATIONS LLC
TX
8301 BROADWAY
77833
Fax
SAN ANTONIO
(979) 836-1900
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
RUTH DALLMEYER LA ROCHE MANOR
1700 EAST STONE
TX
BRENHAM
(210) 829-7121
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 319
TX
PROGRAM TYPE: ASSISTED LIVING
0
WASHINGTON
Sunday, October 09, 2016
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 57
PRIVATE Beds: 58
77019
05/10/2018
UNIT 15
77484
Fax
Cert Alzh Capacity: 0
Cert Alzh Capacity: 22
06 - HOUSTON
JEANNETTE BATCHELDER
TOTAL Lic Capacity: 57
TOTAL Lic Capacity: 58
(713) 525-8400
License Exp Dt:
030241
(979) 836-8000
(979) 836-5442
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WASHINGTON
Phone
ICF/IID: 0
Reg Svcs:
Facility ID:
PRIVATE Beds: 8
Facility Information:
SERVICE TYPE TYPE A
Region
HOUSTON
(979) 885-1007
TITLE19: 0
TITLE 18/19:
Cert Alzh Capacity: 0
County
(281) 375-2160
3550 WEST DALLAS
TITLE 18: 0
TOTAL Lic Capacity: 8
Phone
FAX:
06/27/2017
UNIT 15
77423
(936) 931-1625
ARGENT COURT
2815 VICTORY LN
BRENHAM
77423
Owner Information
WALLER
Facility Information:
(281) 375-2100
License Exp Dt:
000867
Fax
PRIVATE Beds: 53
County
06 - HOUSTON
THE CENTER SERVING PERSONS WITH MENTAL RETARDATION
Cert Alzh Capacity: 0
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 53
V S BROWN HOUSE
1119 SMITH ST
WALLER
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(713) 525-8300
Facility Information:
Region
BROOKSHIRE
WALLER
County
SERVICE TYPE TYPE A
1752 FM 1489
77423
TITLE 18: 0
PRIVATE Beds: 4
Phone
(281) 375-2160
Owner Information
Fax
Cert Alzh Capacity: 0
WILLOW RIVER FARMS
4073 FM 3318
BROOKSHIRE
FAX:
10/04/2017
UNIT 15
104848
(281) 375-2100
Facility Information:
77423
BRIARWOOD - BROOKWOOD INC
TOTAL Lic Capacity: 4
County
(281) 375-2100
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WALLER
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
WEEKLEY HOME
1752 FM 1489
BROOKSHIRE
BROOKSHIRE
(281) 375-2160
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
BRIARWOOD - BROOKWOOD INC
TOTAL Lic Capacity: 12
County
Region
UNIT 21 (ICF/MR)
100785
78209
FAX:
(830) 372-4477
SERVICE TYPE TYPE B
03/15/2018
Region
BRENHAM
07 - AUSTIN
Owner Information
101116
LUTHERAN SOCIAL SERVICES OF THE SOUTH INC
8305 CROSS PARK DR
77833
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
AUSTIN
(979) 836-5501
0
ICF/IID: 0
PHONE:
TX
(512) 459-1000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78754
FAX:
(512) 706-7576
SERVICE TYPE TYPE B
09/27/2018
Page 299 of 311
County
Reg Svcs:
WHARTON
Facility Information:
MERIDIAN ASSISTED LIVING
3515 WEST LOOP 2765
EL CAMPO
Phone
Facility ID:
TX
25009 OAKHURST DR
77437
Fax
(979) 541-5488
TITLE 18/19:
TX
TX
Sunday, October 09, 2016
SERVICE TYPE TYPE B
Region
WHEELER
(806) 826-3201
ICF/IID: 0
(806) 826-5581
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
01 - LUBBOCK
79096
FAX:
(806) 826-3201
SERVICE TYPE TYPE B
05/21/2018
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
000840
VERITAS INCARE, LLC
TX
6933 CRUMPLER BLVD
76302
Fax
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
MS
(662) 895-1801
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,STE A
OLIVE BRANCH
(940) 767-1688
WICHITA
PRIVATE Beds: 60
(806) 256-2423
PO BOX 1030
TITLE19: 0
PRIVATE Beds: 58
Cert Alzh Capacity: 0
FAX:
08/04/2018
HIGH PLAINS GERI 1
79096
TITLE 18/19:
Cert Alzh Capacity: 0
TOTAL Lic Capacity: 60
79079
Owner Information
TITLE 18: 0
(940) 723-5035
(940) 322-0918
(806) 256-2114
License Exp Dt:
101195
Fax
TOTAL Lic Capacity: 58
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WICHITA
BROOKDALE MIDWESTERN
918 MIDWESTERN PKWY
WICHITA FALLS
01 - LUBBOCK
NORTH WHEELER COUNTY HOSPITAL DISTRICT
PRIVATE Beds: 8
Facility Information:
ICF/IID: 0
Reg Svcs:
Cert Alzh Capacity: 0
County
Region
SHAMROCK
(806) 256-2423
TITLE19: 0
TOTAL Lic Capacity: 8
Phone
SERVICE TYPE TYPE B
PO BOX 511
TITLE 18/19:
(806) 826-5581
ARBOR HOUSE
1525 HIGHWAY 79 SOUTH
WICHITA FALLS
(502) 753-6104
08/01/2017
HIGH PLAINS GERI 1
79079
WHEELER
Facility Information:
FAX:
Owner Information
TITLE 18: 0
Facility ID:
(502) 753-6004
40223
SOUTH WHEELER COUNTY HOSPITAL DISTRICT
Fax
PRIVATE Beds: 12
PHONE:
License Exp Dt:
101737
(806) 256-2114
Cert Alzh Capacity: 0
County
06 - HOUSTON
,STE 200
KY
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 12
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
SHAMROCK GENERAL HOSPITAL
1000 SOUTH MAIN
TX
SHAMROCK
PARKVIEW HOSPITAL
901 S SWEETWATER
WHEELER
LOUISVILLE
(979) 532-2322
WHEELER
Facility Information:
SERVICE TYPE TYPE B
Region
700 N HURSTBOURNE PKWY
TITLE 18: 0
PRIVATE Beds: 100
County
(281) 465-0748
Owner Information
77488
Fax
Cert Alzh Capacity: 0
Phone
FAX:
10/01/2018
UNIT 11
000838
(979) 532-5800
Facility Information:
77386
BRIAR LANE OPERATIONS, LLC
TOTAL Lic Capacity: 100
County
(281) 465-0636
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WHARTON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 44
ELMCROFT OF WHARTON
1930 BRIAR LN
WHARTON
SPRING
(979) 541-5115
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
06 - HOUSTON
Owner Information
RJ MERIDIAN CARE OF EL CAMPO LLC
TOTAL Lic Capacity: 44
County
Region
UNIT 11
030194
38654
FAX:
(662) 895-1804
SERVICE TYPE TYPE B
01/01/2017
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
000861
BROOKDALE SENIOR LIVING COMMUNITIES INC
TX
6737 W WASHINGTON ST
76302-2210
Fax
(940) 322-8765
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5441
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2017
Page 300 of 311
County
Reg Svcs:
WICHITA
Facility Information:
BROOKDALE SIKES LAKE
2649 PLAZA PKWY
WICHITA FALLS
Phone
Facility ID:
TX
111 WESTWOOD PL
76308
Fax
(940) 696-1351
TITLE 18/19:
Phone
TX
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
MILWAUKEE
(940) 691-6770
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
TX
(940) 767-0463
License Exp Dt:
76310
FAX:
(940) 767-0466
SERVICE TYPE TYPE A
12/18/2016
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
815 BRAZOS STREET
76384
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
ANDERSON MILL ASSISTED LIVING LLC
11009 EL SALIDO PKWY
TX
AUSTIN
PHONE:
TX
(650) 996-7801
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
,SUITE 500
AUSTIN
(940) 552-6288
WILLIAMSON
Sunday, October 09, 2016
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030315
Fax
PRIVATE Beds: 78
PRIVATE Beds: 10
02 - ABILENE
SANDHILL VERNON, LLC
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 78
TOTAL Lic Capacity: 10
Region
WICHITA FALLS
TITLE19: 0
(940) 552-8181
(512) 250-1853
SERVICE TYPE TYPE A
04/30/2017
WICHITA FALLS GERIATRIC
(940) 767-3861
WILBARGER
Phone
(414) 918-6076
3610 BARNETT RD
TITLE 18/19:
Facility ID:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
(414) 918-5000
53214
WOOD CARE CENTERS INC
Fax
Cert Alzh Capacity: 0
PHONE:
License Exp Dt:
030030
(940) 766-3877
Facility Information:
02 - ABILENE
,STE. 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
County
(940) 767-0466
SERVICE TYPE TYPE A
Region
6737 W. WASHINGTON ST.
WOOD LIVING CENTER OF WICHITA FALLS
1400 6TH ST
TX
WICHITA FALLS
76301
Phone
FAX:
02/25/2018
WICHITA FALLS GERIATRIC
76310
WICHITA
EAGLE FLATS VILLAGE
4501 COLLEGE DR
VERNON
76310
Owner Information
TITLE 18: 0
PRIVATE Beds: 85
Facility Information:
(940) 767-0463
License Exp Dt:
030316
Fax
Cert Alzh Capacity: 0
County
02 - ABILENE
CSH WICHITA FALLS LLC
TOTAL Lic Capacity: 85
Phone
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
(940) 691-8181
Facility Information:
Region
WICHITA FALLS
(940) 716-9847
WICHITA
County
SERVICE TYPE TYPE B
3610 BARNETT RD
TITLE 18: 0
PRIVATE Beds: 4
Phone
(414) 918-5054
Owner Information
76308
Fax
Cert Alzh Capacity: 0
VIBRANT RETIREMENT LIVING
5100 KELL BLVD
WICHITA FALLS
FAX:
09/30/2017
WICHITA FALLS GERIATRIC
105746
(940) 716-9801
Facility Information:
37027
TWG INVESTMENTS LTD
TOTAL Lic Capacity: 4
County
(414) 918-5441
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TN
PROGRAM TYPE: ASSISTED LIVING
0
WICHITA
THE WOOD GROUP
5402 CARLSON STREET
WICHITA FALLS
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 158
,STE 400
BRENTWOOD
(940) 696-1785
TITLE 18: 0
Cert Alzh Capacity: 30
Facility Information:
02 - ABILENE
Owner Information
ESC IV LP
TOTAL Lic Capacity: 158
County
Region
WICHITA FALLS GERIATRIC
000385
78701
FAX:
(877) 692-7555
SERVICE TYPE TYPE A
12/17/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
030159
ANDERSON MILL ASSISTED LIVING LLC
11009 EL SALIDO PKWY
78750
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
AUSTIN
(512) 250-1853
0
ICF/IID: 0
PHONE:
TX
(512) 250-1853
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78750
FAX:
(512) 250-1853
SERVICE TYPE TYPE B
12/19/2017
Page 301 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
ASHWOOD ASSISTED LIVING
12151 HUNTERS CHASE DR
AUSTIN
Phone
Facility ID:
TX
PO BOX 3186
78729
Fax
(512) 336-4100
TITLE 18/19:
TX
TX
(512) 238-8593
Sunday, October 09, 2016
PHONE:
78613
FAX:
(512) 213-6070
License Exp Dt:
(866) 395-4441
SERVICE TYPE TYPE B
07/03/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
FRONTERA ADMINISTRATIVE SERVICES, INC
2900 N QUINLAN PARK RD
78613
AUSTIN
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 240 - 326
TX
(512) 750-7807
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AVALON CARE GROUP - CEDAR PARK I
2215 S LAKELINE
TX
CEDAR PARK
07 - AUSTIN
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
PRIVATE Beds: 32
ICF/IID: 0
Fax
Facility ID:
Region
CEDAR PARK
(866) 395-4441
106346
(512) 250-9108
PRIVATE Beds: 9
SERVICE TYPE TYPE A
1201 ARROW POINT DR
78613
Reg Svcs:
Cert Alzh Capacity: 0
(414) 918-6076
04/30/2017
TEMPLE
TITLE19: 0
TOTAL Lic Capacity: 9
FAX:
ARROWPOINT II, LP
TITLE 18/19:
ASSISTED LIVING BY COVENANT HOUSE
100 SHADY TRAILS PASS
TX
CEDAR PARK
53214
(414) 918-5000
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
,STE 2300
Owner Information
WILLIAMSON
Cert Alzh Capacity: 32
07 - AUSTIN
WI
PROGRAM TYPE: ASSISTED LIVING
0
105401
Fax
PRIVATE Beds: 60
TOTAL Lic Capacity: 32
ICF/IID: 0
Reg Svcs:
Facility ID:
Cert Alzh Capacity: 60
(214) 752-7050
MILWAUKEE
TITLE19: 0
TOTAL Lic Capacity: 60
Phone
SERVICE TYPE TYPE B
Region
6737 W WASHINGTON ST
TITLE 18/19:
(512) 213-6070
Facility Information:
(414) 918-6076
04/30/2017
NORTH AUSTIN
78717
TITLE 18: 0
ARIA MEMORY CARE OF CEDAR PARK
1201 ARROW POINT DRIVE
TX
CEDAR PARK
County
FAX:
Owner Information
WILLIAMSON
Phone
53214
(414) 918-5000
License Exp Dt:
030306
Fax
PRIVATE Beds: 74
Facility Information:
PHONE:
,STE 2300
CSH ROUND ROCK LLC
Cert Alzh Capacity: 0
County
07 - AUSTIN
WI
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 74
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 238-7200
Facility Information:
MILWAUKEE
(512) 238-8593
WILLIAMSON
County
Region
6737 W WASHINGTON ST
TITLE 18: 0
PRIVATE Beds: 16
Phone
SERVICE TYPE TYPE B
Owner Information
78717
Fax
Cert Alzh Capacity: 12
BROOKDALE ROUND ROCK
8005 CORNERWOOD DR
AUSTIN
(432) 683-1732
05/05/2018
NORTH AUSTIN
030374
(512) 238-7200
Facility Information:
FAX:
CSH ROUND ROCK LLC
TOTAL Lic Capacity: 16
County
79702
(432) 683-1824
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 135
BROOKDALE ROUND ROCK
8005 CORNERWOOD DR
AUSTIN
MIDLAND
(512) 336-4155
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
BETHANY PLACE I LTD
TOTAL Lic Capacity: 135
County
Region
NORTH AUSTIN
030303
78732
FAX:
SERVICE TYPE TYPE B
02/17/2018
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
106027
ATKINSON MANAGEMENT LLC
1625 N STEMMONS FRWY
78613
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
DALLAS
(214) 752-7054
0
ICF/IID: 0
PHONE:
TX
(214) 752-7050
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75207
FAX:
(214) 752-7054
SERVICE TYPE TYPE B
01/27/2017
Page 302 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
Fax
(512) 258-5157
TOTAL Lic Capacity: 66
5101 NE 82ND AVE
TITLE 18/19:
(512) 258-1310
TX
TX
TX
(770) 754-9660
License Exp Dt:
30326
FAX:
(770) 754-3085
SERVICE TYPE TYPE B
01/15/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
1623 SHENANDOAH VILLA
78613
CEDAR PARK
(512) 257-1673
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
SUNDANCE AT BRUSHY CREEK
3000 GLACIER PASS LN.
CEDAR PARK
(512) 257-7526
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
78613
FAX:
(512) 257-1673
SERVICE TYPE TYPE A
03/09/2018
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
106075
HUNTINGTON CREEK CAPITAL VI, LLC
TX
5301 VILLAGE CREEK DR.
78613
PLANO
Fax
(713) 542-6700
TOTAL Lic Capacity: 48
TITLE 18: 0
Cert Alzh Capacity: 48
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 48
TITLE 18/19:
US MEMORY CARE - CEDAR PARK
800-C BAR RANCH TRAIL
TX
CEDAR PARK
(713) 542-6700
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE. A
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Sunday, October 09, 2016
PHONE:
PROGRAM TYPE: ASSISTED LIVING
0
101583
Fax
PRIVATE Beds: 16
PRIVATE Beds: 75
ICF/IID: 0
GA
SHENANDOAH VILLA LLC
Cert Alzh Capacity: 0
Cert Alzh Capacity: 75
07 - AUSTIN
,STE 510
ATLANTA
(512) 260-7365
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 16
TOTAL Lic Capacity: 75
(407) 540-2544
SERVICE TYPE TYPE B
Region
NORTH AUSTIN
TITLE19: 0
TITLE 18/19:
(512) 257-7526
(214) 782-9994
FAX:
02/28/2018
3500 LENOX ROAD NE
TITLE 18: 0
SHENANDOAH VILLA
1623 SHENANDOAH DR.
CEDAR PARK
Phone
32801
Owner Information
WILLIAMSON
Facility Information:
(407) 650-1000
License Exp Dt:
78613
Fax
PRIVATE Beds: 60
County
07 - AUSTIN
LSREF GOLDEN OPS 26 (TX) LLC
Cert Alzh Capacity: 0
Phone
PHONE:
FL
PROGRAM TYPE: ASSISTED LIVING
0
030240
(512) 259-6525
Facility Information:
ICF/IID: 0
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 60
County
ORLANDO
(512) 219-0466
TITLE19: 0
TITLE 18/19:
POINTE AT CEDAR PARK
450 DISCOVERY BLVD
CEDAR PARK
Phone
Region
450 S. ORANGE AVE
WILLIAMSON
Facility Information:
SERVICE TYPE TYPE B
Owner Information
TITLE 18: 0
PRIVATE Beds: 98
County
(360) 254-1770
01/19/2018
NORTH AUSTIN
78613
Fax
Cert Alzh Capacity: 0
Phone
FAX:
(360) 254-9442
License Exp Dt:
104870
(512) 219-0200
Facility Information:
98682
CHP ISLE AT CEDAR RIDGE TX TENANT CORP
TOTAL Lic Capacity: 98
County
PHONE:
WA
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
ISLE AT CEDAR RIDGE
2200 S LAKELINE BLVD
CEDAR PARK
Phone
ICF/IID: 0
0
WILLIAMSON
Facility Information:
,STE 200
VAN COUVER
TITLE19: 0
PRIVATE Beds: 66
County
CEDAR PARK CARE GROUP LP
TITLE 18: 0
Cert Alzh Capacity: 66
07 - AUSTIN
Owner Information
CEDAR RIDGE ALZHEIMERS SPECIAL CARE CENTER
2100 LAKELINE BLVD
TX
CEDAR PARK
78613
Phone
Region
NORTH AUSTIN
102655
75093
FAX:
SERVICE TYPE TYPE B
11/25/2016
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
106257
USMC CEDAR PARK LLC
14881 QUORUM DR
78613
PLANO
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,STE 250
TX
(214) 782-9994
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75254
FAX:
(214) 782-9569
SERVICE TYPE TYPE B
10/07/2017
Page 303 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
ASSISTED LIVING AT TALLWOOD
101 TALLWOOD
TX
GEORGETOWN
Phone
County
BROOKDALE GEORGETOWN
2600 E UNIVERSITY AVE
GEORGETOWN
Phone
(512) 688-5145
TX
TX
PRIVATE Beds: 156
Sunday, October 09, 2016
(414) 918-6076
SERVICE TYPE TYPE B
12/01/2017
Region
TEMPLE
07 - AUSTIN
2700 SHELL RD
78628
GEORGETOWN
(512) 863-8222
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 818-7277
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
78628
FAX:
(512) 863-8222
SERVICE TYPE TYPE B
12/22/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
104973
MPH TEXAS GROUP INC.
TX
2700 SHELL RD
78628
Fax
GEORGETOWN
(512) 863-8222
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
(512) 818-7277
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Cert Alzh Capacity: 42
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
TOTAL Lic Capacity: 156
(414) 918-5441
License Exp Dt:
104046
Fax
Cert Alzh Capacity: 16
(512) 686-1694
PHONE:
53214
MPH TEXAS GROUP INC.
TOTAL Lic Capacity: 16
Phone
07 - AUSTIN
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
Reg Svcs:
Facility ID:
(512) 843-0117
LEGACY AT GEORGETOWN
4907 WILLIAMS DR.
GEORGETOWN
ICF/IID: 0
0
WILLIAMSON
Facility Information:
MILWAUKEE
TITLE19: 0
TITLE 18/19:
PRIVATE Beds: 16
County
(214) 845-4501
SERVICE TYPE TYPE B
Region
TEMPLE
(512) 868-0182
TITLE 18: 0
Cert Alzh Capacity: 16
Phone
FAX:
06/10/2017
6737 W WASHINGTON ST
Fax
TOTAL Lic Capacity: 16
GEORGETOWN LIVING II
2700 SHELL RD
GEORGETOWN
License Exp Dt:
78626
(512) 863-9888
Facility Information:
(214) 845-4500
Owner Information
WILLIAMSON
County
PHONE:
75062
BROOKDALE SENIOR LIVING COMMUNITIES INC
PRIVATE Beds: 54
Phone
07 - AUSTIN
,STE 500
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
GEORGETOWN LIVING
2700 SHELL RD
GEORGETOWN
ICF/IID: 0
000329
(512) 863-7700
Facility Information:
IRVING
TITLE19: 0
TOTAL Lic Capacity: 54
County
SERVICE TYPE TYPE B
Region
545 E JOHN CARPENTER FREEWAY
TITLE 18/19:
Facility ID:
(512) 948-7600
02/28/2016
TEMPLE
78628
WILLIAMSON
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 50
78626-8315
GEORGETOWN MEMORY CARE LLC
Fax
Cert Alzh Capacity: 50
(512) 948-7600
License Exp Dt:
106160
(512) 688-5113
TOTAL Lic Capacity: 50
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
AUTUMN LEAVES OF GEORGETOWN
3600 WILLIAMS DRIVE
TX
GEORGETOWN
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
WILLIAMSON
Facility Information:
GEORGETOWN
(512) 948-7600
TITLE 18: 0
PRIVATE Beds: 8
County
101 TALLWOOD DR
78628-8315
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
REAVIS ASSISTED LIVING LLC
(512) 948-7600
TOTAL Lic Capacity: 8
Region
TEMPLE
030408
78628
FAX:
(512) 863-8222
SERVICE TYPE TYPE B
06/01/2018
Region
TEMPLE
07 - AUSTIN
Owner Information
105556
SNR 25 LEGACY AT GEORGETOWN LEASING LLC
TX
1345 AVE OF THE AMERICAS
78633
NEW YORK
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
0
ICF/IID: 0
PHONE:
,48TH FL
NY
(569) 304-5033
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
10105
FAX:
(972) 608-9715
SERVICE TYPE TYPE B
10/01/2017
Page 304 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
PARK PLACE ASSISTED LIVING
101 FM 971
GEORGETOWN
Phone
TX
211 N BROADWAY
78626
Fax
(512) 868-6275
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 48
TITLE 18/19:
TOTAL Lic Capacity: 9
County
TITLE 18/19:
THE CABINS AT ROCKY HOLLOW
1650 CR 245
TX
GEORGETOWN
Phone
Phone
County
ICF/IID: 0
Phone
(512) 818-7697
TOTAL Lic Capacity: 12
Cert Alzh Capacity: 12
PRIVATE Beds: 12
Sunday, October 09, 2016
(254) 793-2311
License Exp Dt:
78633
FAX:
(254) 793-2554
SERVICE TYPE TYPE B
02/08/2018
Region
TEMPLE
07 - AUSTIN
Owner Information
1811 N AUSTIN AVE
GEORGETOWN
(512) 943-9808
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(512) 868-1205
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
WILLIAMSON
TIFFIN HOUSE II
90 WOODCREST RD
GEORGETOWN
07 - AUSTIN
WESLEYAN HOMES, INC
Fax
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104746
(512) 943-9804
Facility Information:
Region
GEORGETOWN
(254) 793-2554
Reg Svcs:
PRIVATE Beds: 75
SERVICE TYPE TYPE B
1650 CR 245
TITLE19: 0
Cert Alzh Capacity: 20
FAX:
Owner Information
78633
TITLE 18/19:
TOTAL Lic Capacity: 75
78633
08/13/2018
TEMPLE
THE WESLEYAN AT ESTRELLA ASSISTED LIVING
109 ESTRELLA CROSSING
TX
GEORGETOWN
78628
Phone
(512) 868-7885
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Facility Information:
07 - AUSTIN
THE LODGE AT ROCKY HOLLOW INC
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
102467
(254) 793-2311
Cert Alzh Capacity: 16
Region
GEORGETOWN
(254) 793-2554
Reg Svcs:
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
1650 CR 245
TITLE19: 0
THE LODGE AT ROCKY HOLLOW INC
1650 CR 245
TX
GEORGETOWN
FAX:
10/14/2017
TEMPLE
78633
TITLE 18/19:
Facility ID:
78633
Owner Information
WILLIAMSON
Facility Information:
(512) 943-4837
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
07 - AUSTIN
THE LODGE AT ROCKY HOLLOW II INC
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103423
(254) 793-2311
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
GEORGETOWN
WILLIAMSON
Facility Information:
SERVICE TYPE TYPE B
292 SEDRO TRL
TITLE19: 0
PRIVATE Beds: 9
(314) 588-7321
SEDRO TRAIL ASSISTED LIVING AND MEMORY CARE LLC
TITLE 18: 0
Cert Alzh Capacity: 9
FAX:
Owner Information
Fax
(512) 943-4837
63102
05/01/2017
TEMPLE
105653
SEDRO TRAIL ASSISTED LIVING AND MEMORY CARE
292 SEDRO TRL
TX
GEORGETOWN
78633
Phone
(314) 588-7518
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
MO
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
,STE 2035
ST LOUIS
(512) 948-0006
TITLE 18: 0
Cert Alzh Capacity: 0
Facility Information:
07 - AUSTIN
Owner Information
PARK PLACE RETIREMENT HOME LLC
TOTAL Lic Capacity: 48
County
Region
TEMPLE
000319
78626
FAX:
(512) 868-1039
SERVICE TYPE TYPE B
07/21/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
105479
TIFFIN HOUSE II, LLC
TX
90 WOODCREST RD.
78633
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
GEORGETOWN
(512) 869-7762
0
ICF/IID: 0
PHONE:
TX
(512) 818-7697
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78633
FAX:
SERVICE TYPE TYPE B
04/23/2017
Page 305 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
TIFFIN HOUSE LLC
84 WOODCREST RD
GEORGETOWN
Phone
Facility ID:
TX
84 WOODCREST RD
78633
Fax
(512) 869-7788
TITLE 18/19:
LEGACY AT CRYSTAL FALLS
1841 CRYSTAL FALLS PARKWAY
TX
LEANDER
Phone
Phone
LEANDER
License Exp Dt:
ICF/IID: 0
County
A SERENE SETTING
2101 CROSS CREEK TRL
ROUND ROCK
Phone
(512) 716-0108
TOTAL Lic Capacity: 10
Cert Alzh Capacity: 0
PRIVATE Beds: 10
Sunday, October 09, 2016
FAX:
(512) 986-5024
SERVICE TYPE TYPE B
Region
07 - AUSTIN
CASA ESPERANZA INC
PO BOX 457
LIBERTY HILL
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(512) 515-6889
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
75013
Owner Information
WILLIAMSON
Facility Information:
07 - AUSTIN
06/01/2017
TEMPLE
Fax
PRIVATE Beds: 12
(972) 741-1852
License Exp Dt:
103490
(512) 515-6889
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Cert Alzh Capacity: 0
Region
ALLEN
(512) 986-5024
TITLE19: 0
TITLE 18/19:
TOTAL Lic Capacity: 12
SERVICE TYPE TYPE A
1424 RIO GRANDE DR
CASA ESPERANZA INC DBA HOPE HOUSE
1705 CR 285
TX
LIBERTY HILL
78642
Phone
FAX:
06/17/2016
TEMPLE
78641
TITLE 18: 0
Facility ID:
(512) 260-8197
78641
Owner Information
WILLIAMSON
Facility Information:
07 - AUSTIN
KNM SENIOR CARE SERVICES LLC
Fax
PRIVATE Beds: 12
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
103482
(512) 259-1330
Cert Alzh Capacity: 12
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 12
Region
2819 S WALKER DR
TITLE19: 0
RIVA RIDGE MEMORY CARE CENTER
801 RIVA RIDGE DR
TX
LEANDER
SERVICE TYPE TYPE B
01/01/2018
TEMPLE
78641
TITLE 18/19:
Facility ID:
FAX:
NANCY LUONGO
WILLIAMSON
Facility Information:
77057
Owner Information
TITLE 18: 0
PRIVATE Beds: 11
(713) 425-5423
License Exp Dt:
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000549
(512) 259-4886
TOTAL Lic Capacity: 11
County
ICF/IID: 0
Reg Svcs:
OUR HOUSE OF CENTRAL TEXAS
1905 S WEST DR
TX
LEANDER
07 - AUSTIN
,STE 550
HOUSTON
TITLE19: 0
TITLE 18/19:
Facility ID:
SERVICE TYPE TYPE B
Region
675 BERING DR
78641
WILLIAMSON
Facility Information:
(512) 869-7762
LEGACY MT LLC
TITLE 18: 0
PRIVATE Beds: 138
FAX:
Owner Information
Fax
Cert Alzh Capacity: 24
78633
09/18/2017
TEMPLE
106164
(512) 487-7049
TOTAL Lic Capacity: 138
(512) 869-7788
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
County
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
Phone
GEORGETOWN
(512) 869-7762
TITLE 18: 0
Cert Alzh Capacity: 12
Facility Information:
07 - AUSTIN
Owner Information
TIFFIN HOUSE LLC
TOTAL Lic Capacity: 12
County
Region
TEMPLE
104055
78642
FAX:
(512) 515-6793
SERVICE TYPE TYPE B
06/09/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
101068
REYNALD B CRUZ
TX
2101 CROSSS CREEK TRL
78681
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ROUND ROCK
(512) 716-0108
0
ICF/IID: 0
PHONE:
TX
(512) 716-0108
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78681
FAX:
(512) 716-0108
SERVICE TYPE TYPE B
03/26/2017
Page 306 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
A TOUCH OF HOME
4301 CRESTRIDGE DR
ROUND ROCK
Phone
TX
4301 CRESTRIDGE DR.
78681
Fax
(512) 218-0042
ROUND ROCK
(512) 218-0039
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
TITLE 18/19:
Fax
(512) 310-0002
TOTAL Lic Capacity: 73
County
TITLE 18/19:
FAIRWAY VISTA
1017 HIDDEN VIEW PLACE
ROUND ROCK
Phone
TX
TX
ICF/IID: 0
License Exp Dt:
SERVICE TYPE TYPE B
Region
ROUND ROCK
(512) 220-7317
ICF/IID: 0
TITLE19: 0
(512) 220-7316
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
07 - AUSTIN
78665
FAX:
(512) 220-7317
SERVICE TYPE TYPE B
04/21/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
103931
HAMPTON SENIOR LIVING, LLC
TX
1905 HAMPTON LANE
78664-6648
ROUND ROCK
Fax
TOTAL Lic Capacity: 12
TITLE 18: 0
Cert Alzh Capacity: 0
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
TITLE 18/19:
(513) 394-8146
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Sunday, October 09, 2016
(512) 220-7316
1019 HIDDEN VIEW PL
TITLE 18/19:
Phone
PRIVATE Beds: 70
FAX:
10/04/2017
TEMPLE
78665
TITLE 18: 0
HAMPTON SENIOR LIVING, LLC
1905 HAMPTON LN
ROUND ROCK
Cert Alzh Capacity: 70
(512) 869-2289
78626
Owner Information
WILLIAMSON
TOTAL Lic Capacity: 70
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
104424
Fax
PRIVATE Beds: 9
(512) 255-6009
07 - AUSTIN
FAIRWAY ASSISTED LIVING LLC
Cert Alzh Capacity: 0
Phone
SERVICE TYPE TYPE A
Region
GEORGETOWN
(512) 220-7317
Reg Svcs:
Facility ID:
TOTAL Lic Capacity: 9
POET'S WALK ROUND ROCK
4050 SUNRISE ROAD
ROUND ROCK
(770) 754-3085
01/15/2017
TEMPLE
TITLE19: 0
(512) 220-7316
Facility Information:
FAX:
20227 MCSHEPHERD ROAD
TITLE 18/19:
FAIRWAY VISTA II
1019 HIDDEN VIEW PL
ROUND ROCK
County
30326
Owner Information
WILLIAMSON
Facility Information:
(770) 754-9660
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 8
County
PHONE:
,STE 510
GA
PROGRAM TYPE: ASSISTED LIVING
0
78665
Fax
Cert Alzh Capacity: 0
Phone
ICF/IID: 0
102973
(512) 220-7316
Facility Information:
07 - AUSTIN
SHELLY R DEHN
TOTAL Lic Capacity: 8
County
ATLANTA
(512) 310-0002
Reg Svcs:
Facility ID:
SERVICE TYPE TYPE A
Region
3500 LENOX ROAD NE
WILLIAMSON
Facility Information:
(512) 218-0039
LSREF GOLDEN OPS 26 (TX) LLC
TITLE19: 0
PRIVATE Beds: 73
FAX:
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
78681
10/15/2017
TEMPLE
030121
COURT AT ROUND ROCK ASSISTED LIVING COMMUNITY
2700 SUNRISE RD
TX
ROUND ROCK
78664
Phone
(512) 218-0042
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Facility Information:
07 - AUSTIN
Owner Information
SCOTT ENTERPRISES, INC.
TOTAL Lic Capacity: 16
County
Region
TEMPLE
030013
78664
FAX:
(512) 672-6200
SERVICE TYPE TYPE A
12/10/2017
Region
NORTH AUSTIN
07 - AUSTIN
Owner Information
106513
CHANDLER NJ TE LLC
TX
515 PLAINFIELD AVE
78665
Fax
(512) 255-6039
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
EDISON
0
ICF/IID: 0
PHONE:
,SUITE 200
NJ
(732) 582-0400
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
08817
FAX:
(732) 582-0268
SERVICE TYPE TYPE B
07/12/2018
Page 307 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
ROUND ROCK ASSISTED LIVING
16708 MARSALA SPRINGS DRIVE
TX
ROUND ROCK
Phone
ROUND ROCK
TITLE 18: 0
TITLE 18/19:
TOTAL Lic Capacity: 6
County
TITLE 18/19:
Phone
License Exp Dt:
(512) 218-9759
ICF/IID: 0
County
TRAN'S SENIOR OASIS LLC
2304 LIVE OAK CIRCLE
ROUND ROCK
Phone
(512) 310-8727
TOTAL Lic Capacity: 6
Cert Alzh Capacity: 0
PRIVATE Beds: 6
Sunday, October 09, 2016
FAX:
(214) 526-7965
SERVICE TYPE TYPE B
10/08/2017
Region
TEMPLE
07 - AUSTIN
CHANDLER CREEK COTTAGES II LTD
4514 TRAVIS ST
Fax
DALLAS
(512) 218-8768
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(214) 526-0021
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
75205
Owner Information
WILLIAMSON
Facility Information:
(214) 526-0021
License Exp Dt:
104692
(512) 218-9757
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
PRIVATE Beds: 54
07 - AUSTIN
,STE 211
DALLAS
TITLE19: 0
Cert Alzh Capacity: 54
(214) 526-7965
SERVICE TYPE TYPE B
Region
4514 TRAVIS ST
78665
TITLE 18/19:
TOTAL Lic Capacity: 54
FAX:
10/08/2018
TEMPLE
THE COTTAGES AT CHANDLER CREEK III
2351 NORTH A.W. GRIMES BLVD
TX
ROUND ROCK
78665
Phone
75205
Owner Information
TITLE 18: 0
Facility ID:
(214) 526-0021
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Facility Information:
PHONE:
TX
CHANDLER CREEK COTTAGES, LTD
Fax
PRIVATE Beds: 16
County
ICF/IID: 0
030119
(512) 218-9757
Cert Alzh Capacity: 16
07 - AUSTIN
,STE 211
DALLAS
(512) 218-9759
Reg Svcs:
TOTAL Lic Capacity: 16
(512) 218-4744
SERVICE TYPE TYPE A
Region
4514 TRAVIS ST
TITLE19: 0
THE COTTAGES AT CHANDLER CREEK II
2401 N AW GRIMES BLVD
TX
ROUND ROCK
FAX:
12/11/2016
TEMPLE
78665
TITLE 18/19:
Facility ID:
78664
Owner Information
WILLIAMSON
Facility Information:
(512) 909-7759
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 16
07 - AUSTIN
CHANDLER CREEK COTTAGES, LTD
Fax
Cert Alzh Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
030118
(512) 218-9757
TOTAL Lic Capacity: 16
County
ICF/IID: 0
Reg Svcs:
Facility ID:
THE COTTAGES AT CHANDLER CREEK I
2401 NORTH A W GRIMES BLVD
TX
ROUND ROCK
Phone
PFLUGERVILLE
(512) 218-4744
WILLIAMSON
Facility Information:
Region
18701 DRY LAKE LANE
TITLE19: 0
PRIVATE Beds: 6
SERVICE TYPE TYPE A
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 0
FAX:
ABBE ESTIFANOS D
Fax
(512) 246-3556
78681
05/12/2016
NORTH AUSTIN
105693
SAINT MARY'S ASSISTED LIVING FACILITY
1826 RACHEL LANE
TX
ROUND ROCK
78664
Phone
(512) 983-8677
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 12
County
16708 MARSALA SPRINGS DRIVE
78681
Fax
Cert Alzh Capacity: 0
07 - AUSTIN
Owner Information
PEABODY PLACE LLC
(512) 218-5952
TOTAL Lic Capacity: 12
Region
NORTH AUSTIN
105871
75205
FAX:
(512) 526-7985
SERVICE TYPE TYPE B
04/21/2017
Region
TEMPLE
07 - AUSTIN
Owner Information
106171
TRAN'S SENIOR OASIS LLC
TX
2304 LIVE OAK CIRCLE
78681
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
ROUND ROCK
(512) 792-9893
0
ICF/IID: 0
PHONE:
TX
(512) 310-8727
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
78681
FAX:
(512) 792-9893
SERVICE TYPE TYPE B
04/10/2017
Page 308 of 311
County
Reg Svcs:
WILLIAMSON
Facility Information:
Facility ID:
UNIVERSITY VILLAGE MEMORY CARE
4701 CAMPUS VILLAGE DRIVE
TX
ROUND ROCK
Phone
AUSTIN
TITLE 18: 0
TITLE 18/19:
Fax
(512) 765-7733
TOTAL Lic Capacity: 114
County
TITLE 18/19:
SPJST ASSISTED LIVING FACILITY
505 E LAKE DR
TX
TAYLOR
Phone
County
Phone
GOVERNOR'S RIDGE
300 E DEVEREAUX ST
DECATUR
Phone
TX
PRIVATE Beds: 16
Sunday, October 09, 2016
ICF/IID: 0
PHONE:
TX
(972) 303-9000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
03 - ARLINGTON
75219
FAX:
(972) 303-9700
SERVICE TYPE TYPE B
07/31/2018
Region
TEAM 3
03 - ARLINGTON
Owner Information
000362
1230 ROSECRANS AVE
76234
Fax
MANHATTAN BEACH
(940) 627-1159
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
,STE 405
CA
(310) 725-0120
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
Facility ID:
THE GARDENS AT HAWKINS ALC
830 NORTH BEAULAH ST
TX
HAWKINS
Cert Alzh Capacity: 0
Region
DALLAS
(940) 683-5307
WOOD
TOTAL Lic Capacity: 16
SERVICE TYPE TYPE B
LIVE OAKS HOLDINGS LLC
PRIVATE Beds: 70
(903) 769-9105
(512) 352-7209
4311 OAKLAWN #400
Reg Svcs:
Cert Alzh Capacity: 0
Phone
FAX:
Owner Information
TITLE19: 0
(940) 627-1104
Facility Information:
76574
12/04/2017
TEAM 3
76426
TITLE 18/19:
TOTAL Lic Capacity: 70
County
(512) 352-6337
License Exp Dt:
TITLE 18: 0
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WISE
Facility Information:
07 - AUSTIN
SCC PARTNERS, INC.
Fax
PRIVATE Beds: 36
County
ICF/IID: 0
000473
(940) 683-6307
Cert Alzh Capacity: 0
Region
TAYLOR
(512) 352-6947
Reg Svcs:
TOTAL Lic Capacity: 36
SERVICE TYPE TYPE B
PO BOX 850
TITLE19: 0
THE RESIDENCES AT SENIOR CARE
2106 15TH ST
TX
BRIDGEPORT
(214) 252-7599
12/11/2016
BRENHAM
76574
TITLE 18/19:
Facility ID:
FAX:
Owner Information
WISE
Facility Information:
License Exp Dt:
TITLE 18: 0
PRIVATE Beds: 64
(214) 252-7600
75201
S. P. J. S. T. REST HOME
Fax
Cert Alzh Capacity: 0
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
101695
(512) 352-6940
TOTAL Lic Capacity: 64
07 - AUSTIN
,STE 1100
DALLAS
ICF/IID: 0
Reg Svcs:
Facility ID:
Region
600 NORTH PEARL ST
(512) 218-0073
WILLIAMSON
Facility Information:
SERVICE TYPE TYPE B
08/18/2017
PM MANAGEMENT - ROUND ROCK AL, LLC
TITLE19: 0
PRIVATE Beds: 114
(512) 342-0600
Owner Information
TITLE 18: 0
Cert Alzh Capacity: 36
FAX:
NORTH AUSTIN
105170
WYOMING SPRINGS ASSISTED LIVING AND MEMORY CARE
7230 WYOMING SPRINGS DR
TX
ROUND ROCK
78681
Phone
78731
(512) 335-0600
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 275
TX
PROGRAM TYPE: ASSISTED LIVING
0
WILLIAMSON
Facility Information:
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 74
County
8310-1 CAPITOL OF TEXAS HWY N
78665
Fax
Cert Alzh Capacity: 74
07 - AUSTIN
Owner Information
UV MEMORY CARE LLC
(512) 248-2222
TOTAL Lic Capacity: 74
Region
TEMPLE
104858
90266
FAX:
(310) 469-0114
SERVICE TYPE TYPE B
09/01/2018
Region
TYLER NW TEAM
04 - TYLER
Owner Information
010219
CARROLL PARTNERS INVESTMENT INC
648 N BEAULAH
75765
Fax
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
HAWKINS
(903) 769-9019
0
ICF/IID: 0
PHONE:
TX
(903) 769-9105
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
75765
FAX:
(903) 769-9019
SERVICE TYPE TYPE B
04/25/2016
Page 309 of 311
County
Reg Svcs:
WOOD
Facility Information:
Facility ID:
THE GARDENS AT HAWKINS ALC
830 N BEAULAH ST
TX
HAWKINS
Phone
County
Phone
WESLEY HOUSE
1031 E GOODE BOX 143
QUITMAN
Phone
TX
SERVICE TYPE TYPE B
Region
MOUNT VERNON
(903) 763-2403
ICF/IID: 0
04 - TYLER
FAX:
(903) 270-6227
SERVICE TYPE TYPE B
Region
04 - TYLER
Owner Information
AUTUMN WIND PARTNERS
135 AUTUMN WIND CT
75773
MINEOLA
(903) 569-6007
TITLE 18: 0
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
PHONE:
TX
(903) 569-1111
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
0
Reg Svcs:
AUTUMN WIND ASSISTED LIVING
1004 E COKE RD
TX
WINNSBORO
75457
05/19/2017
TYLER SE TEAM
105574
Fax
Facility ID:
(903) 537-4116
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
WOOD
Sunday, October 09, 2016
(903) 769-9019
01/24/2017
TYLER SE TEAM
TITLE19: 0
PRIVATE Beds: 90
PRIVATE Beds: 69
FAX:
PO BOX 612
TITLE 18/19:
Cert Alzh Capacity: 0
Cert Alzh Capacity: 0
75765
Owner Information
TITLE 18: 0
TOTAL Lic Capacity: 90
TOTAL Lic Capacity: 69
(903) 769-9105
License Exp Dt:
75783
(903) 569-1111
(903) 342-3388
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
050618
Fax
AUTUMN WIND ASSISTED LIVING
135 AUTUMN WIND CT
TX
WEST MINEOLA
Phone
ICF/IID: 0
0
WOOD
Facility Information:
04 - TYLER
WESLEY PARTNERS LTD
PRIVATE Beds: 50
County
SERVICE TYPE TYPE B
Region
HAWKINS
(903) 769-9019
Reg Svcs:
Cert Alzh Capacity: 0
Phone
(903) 769-9019
648 N BEAULAH
TITLE19: 0
(903) 763-1303
Facility Information:
FAX:
06/06/2017
TYLER NW TEAM
75765
TITLE 18/19:
TOTAL Lic Capacity: 50
County
License Exp Dt:
TITLE 18: 0
Facility ID:
(903) 769-9105
75765
Owner Information
WOOD
Facility Information:
04 - TYLER
CARROLL PARTNERS INVESTMENT INC
Fax
PRIVATE Beds: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
000584
(903) 769-9105
Cert Alzh Capacity: 0
County
ICF/IID: 0
Reg Svcs:
TOTAL Lic Capacity: 16
Region
HAWKINS
(903) 769-9019
TITLE19: 0
THE GARDENS AT HAWKINS ALC
698 N BEAULAH ST
TX
HAWKINS
SERVICE TYPE TYPE B
648 N BEAULAH
TITLE 18/19:
Facility ID:
(903) 769-9019
04/16/2018
TYLER NW TEAM
75765
WOOD
Facility Information:
FAX:
Owner Information
TITLE 18: 0
PRIVATE Beds: 16
75765
CARROLL PARTNERS INVESTMENT INC
Fax
Cert Alzh Capacity: 0
(903) 769-9105
License Exp Dt:
000564
(903) 769-9105
TOTAL Lic Capacity: 16
PHONE:
TX
PROGRAM TYPE: ASSISTED LIVING
0
Reg Svcs:
Facility ID:
THE GARDENS AT HAWKINS ALC
648 N BEAULAH ST
TX
HAWKINS
Phone
ICF/IID: 0
TITLE19: 0
TITLE 18/19:
WOOD
Facility Information:
HAWKINS
(903) 769-9019
TITLE 18: 0
PRIVATE Beds: 16
County
648 N BEAULAH
75765
Fax
Cert Alzh Capacity: 0
04 - TYLER
Owner Information
CARROLL PARTNERS INVESTMENT INC
(903) 769-9105
TOTAL Lic Capacity: 16
Region
TYLER NW TEAM
010397
75773
FAX:
(903) 569-6007
SERVICE TYPE TYPE B
09/06/2017
Region
TYLER NW TEAM
04 - TYLER
Owner Information
104275
AWAL 2012 OPCO, LLC
3801 HULEN STREET
75494
Fax
(903) 342-3389
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
FT WORTH
0
ICF/IID: 0
PHONE:
,SUITE 202
TX
(817) 386-8888
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
76107
FAX:
(817) 549-0020
SERVICE TYPE TYPE B
12/29/2016
Page 310 of 311
County
Reg Svcs:
YOUNG
Facility Information:
BROOKDALE GRAHAM
1015 CLIFF DR
GRAHAM
Phone
Facility ID:
TX
6737 W WASHINGTON ST
76450
Fax
(940) 549-8181
TITLE 18/19:
(940) 549-8181
TOTAL Lic Capacity: 80
Cert Alzh Capacity: 0
PRIVATE Beds: 80
Sunday, October 09, 2016
(414) 918-5000
License Exp Dt:
Reg Svcs:
Facility ID:
PHONE:
,STE 2300
WI
PROGRAM TYPE: ASSISTED LIVING
0
YOUNG
Phone
ICF/IID: 0
TITLE19: 0
PRIVATE Beds: 16
BROOKDALE GRAHAM
1015 CLIFF DR
GRAHAM
MILWAUKEE
(940) 549-1171
TITLE 18: 0
Cert Alzh Capacity: 16
Facility Information:
02 - ABILENE
Owner Information
CSH GRAHAM LP
TOTAL Lic Capacity: 16
County
Region
WICHITA FALLS GERIATRIC
030297
53214
FAX:
(414) 208-2119
SERVICE TYPE TYPE B
04/30/2016
Region
WICHITA FALLS GERIATRIC
02 - ABILENE
Owner Information
030296
CSH GRAHAM LP
TX
6737 W WASHINGTON ST
76450
Fax
(940) 549-1171
TITLE 18: 0
TITLE19: 0
TITLE 18/19:
MILWAUKEE
0
ICF/IID: 0
PHONE:
,STE 2300
WI
(414) 918-5000
PROGRAM TYPE: ASSISTED LIVING
License Exp Dt:
53214
FAX:
(414) 208-2119
SERVICE TYPE TYPE A
04/30/2017
Page 311 of 311