P Praxis·MD
● Active Type 2 · Organization

Cibolo Park Healthcare Llc

Assisted Living Facility·Odessa, TX· NPI 1366396038 · Enumerated 2026 · 0 years on NPI
Cibolo Park Healthcare Llc is 1 of 1892 assisted living facility organizations in Texas.
NPI age
— years
Enumerated 2026-02-20
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Burnam
Secretary
Last NPPES update
2026-02-20
Source: monthly bulk 2026-05

How this organization compares

Across 1892 active assisted living facility providers in Texas.

NPI age
0 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
111 Parks Village Dr
Odessa, TX 797658987
📞 4325635707fax 9495403007
Mailing address
111 Parks Village Dr
Odessa, TX 797658987
📞 4325635707fax 9495403007

Authorized official

Soon Burnam
Secretary
📞 9495401249

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Krise Morado, PTA Physical Medicine & Rehabilitation NPI 1487483624
  • James Pollard, OTR Occupational Therapist NPI 1316923204

Specialties

  • Assisted Living Facility Primary
    A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
    taxonomy 310400000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PARKS ASSISTED LIVING CENTER
    Type code 3 recorded 2026-02-20

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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