OrganizationActive
Cibolo Park Healthcare LLC
NPI 1366396038 · Assisted Living Facility · Odessa, TX
Cibolo Park Healthcare LLC is a Assisted Living Facility organization in Odessa, TX (NPI 1366396038).
Provider details
- NPI number
- 1366396038
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Secretary(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Parks Village Dr
Odessa, TX 79765-8987
Phone: (432) 563-5707
Fax: (949) 540-3007
Street-level locationGet directions
Mailing address
111 Parks Village Dr
Odessa, TX 79765-8987
Other names (DBA / former)
- Doing business as
- Parks Assisted Living Center
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Cibolo Park Healthcare LLC's NPI number?
- Cibolo Park Healthcare LLC's National Provider Identifier (NPI) is 1366396038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cibolo Park Healthcare LLC?
- Cibolo Park Healthcare LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Cibolo Park Healthcare LLC located?
- Cibolo Park Healthcare LLC's practice location on file with NPPES is 111 Parks Village Dr, Odessa, TX 79765-8987.
- What is Cibolo Park Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Cibolo Park Healthcare LLC is (432) 563-5707.
- Who is the authorized official for Cibolo Park Healthcare LLC?
- The authorized official listed on Cibolo Park Healthcare LLC's NPPES record is Soon Burnam, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cibolo Park Healthcare LLC's NPI active?
- Yes — Cibolo Park Healthcare LLC's NPI (1366396038) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.