OrganizationActive
Assisted Living Concepts Inc
NPI 1588780035 · Assisted Living Facility · Henderson, TX
Provider details
- NPI number
- 1588780035
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Levonowich, Vice President and Controller(414) 908-8800
- License
- 000708 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
1905 Old Nacogdoches Road
Henderson, TX 75654
Phone: (903) 657-1563
Fax: (903) 657-4693
Street-level locationGet directions
Mailing address
111 W Michigan Street
Milwaukee, WI 53203
Other names (DBA / former)
- Doing business as
- Azalea House
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.