Brentwood Place Three

LBN: Brentwood Healthcare, Ltd
Brentwood Place Three is an health care organization with primary practice located at 3505 S Buckner Blvd Bldg 4 , Dallas TX 75227-5451. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Brentwood Healthcare, Ltd can be contacted via phone (214) 381-1815, or through Stebbins, Dick via phone (903) 757-5360.

Contact Information

Primary practice address
3505 S Buckner Blvd Bldg 4 Dallas TX 75227-5451
Phone: (214) 381-1815
Fax: (214) 275-7618
Website:
Map and Directions
Authorized official contact:
Name: Stebbins, Dick CPA
Phone: (903) 757-5360

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110093 Texas

Profile Details

NPI number 1972592970
LBN Legal business name Brentwood Healthcare, Ltd
DBA Doing business as Brentwood Place Three
Authorized official Stebbins, Dick CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972592970 NPPES
Texas MEDICAID 000498807
Texas MEDICAID 112772203
Texas MEDICAID HO6753525
Texas MEDICAID 021919801

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