The Lodge At Bear Creek

LBN: Rio One At Tarrant County, Llc
The Lodge At Bear Creek is an health care organization with primary practice located at 3729 Ira E Woods Ave , Grapevine TX 76051-4213. 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. Rio One At Tarrant County, Llc can be contacted via phone (817) 809-8000, or through Whitaker, Kelley via phone (505) 369-0079.

Contact Information

Primary practice address
3729 Ira E Woods Ave Grapevine TX 76051-4213
Phone: (817) 809-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitaker, Kelley
Phone: (505) 369-0079

Health care specialties

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

Profile Details

NPI number 1083088959
LBN Legal business name Rio One At Tarrant County, Llc
DBA Doing business as The Lodge At Bear Creek
Authorized official Whitaker, Kelley
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2015
Last updated Aug 22nd, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083088959 NPPES
Texas MEDICAID 001027384
Texas Other 802160926

Popular Providers