Ebony Lake Health Care Center

LBN: Century-Ebony Lake-Geac,Llc
Ebony Lake Health Care Center is an health care organization with primary practice located at 1001 Central Blvd , Brownsville TX 78520-7533. 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. Century-Ebony Lake-Geac,Llc can be contacted via phone (956) 541-0917, or through Ryan, Diane M via phone (952) 837-0818.

Contact Information

Primary practice address
1001 Central Blvd Brownsville TX 78520-7533
Phone: (956) 541-0917
Fax: (956) 541-2860
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Diane M RN,MS
Phone: (952) 837-0818

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 112530 Texas

Profile Details

NPI number 1740277391
LBN Legal business name Century-Ebony Lake-Geac,Llc
DBA Doing business as Ebony Lake Health Care Center
Authorized official Ryan, Diane M RN,MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1740277391 NPPES
Texas MEDICAID 005259

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