Cedar Creek Nursing And Rehabilitation Center

LBN: Bandera I Enterprises, Llc
Cedar Creek Nursing And Rehabilitation Center is an health care organization with primary practice located at 159 Montague Ave , Bandera TX 78003-0000. 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. Bandera I Enterprises, Llc can be contacted via phone (830) 460-3767, or through Blake, Gary via phone (817) 348-8959.

Contact Information

Primary practice address
159 Montague Ave Bandera TX 78003-0000
Phone: (830) 460-3767
Fax: (830) 796-4791
Website:
Map and Directions
Authorized official contact:
Name: Blake, Gary
Phone: (817) 348-8959

Health care specialties

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

Profile Details

NPI number 1487992418
LBN Legal business name Bandera I Enterprises, Llc
DBA Doing business as Cedar Creek Nursing And Rehabilitation Center
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2013
Last updated Aug 30th, 2021 - about 4 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 1487992418 NPPES
Texas Other 004537 DADS FACID
Texas MEDICAID 001021028 DADS FACID

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