The Broadmoor At Creekside Park

LBN: Broadmoor Continuing Care Center Ltd. Co.
The Broadmoor At Creekside Park is an health care organization with primary practice located at 5665 Creekside Forest Dr , The Woodlands TX 77389-4969. 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. Broadmoor Continuing Care Center Ltd. Co. can be contacted via phone (281) 255-8180, or through Smith, Lisa M via phone (214) 954-4114.

Contact Information

Primary practice address
5665 Creekside Forest Dr The Woodlands TX 77389-4969
Phone: (281) 255-8180
Fax: (281) 255-8190
Website:
Map and Directions
Authorized official contact:
Name: Smith, Lisa M
Phone: (214) 954-4114

Health care specialties

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

Profile Details

NPI number 1609206077
LBN Legal business name Broadmoor Continuing Care Center Ltd. Co.
DBA Doing business as The Broadmoor At Creekside Park
Authorized official Smith, Lisa M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2013
Last updated Apr 30th, 2015 - about 11 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 1609206077 NPPES
Texas MEDICAID 001025592

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