Brentwood Place One

LBN: Brentwood Healthcare, Ltd
Brentwood Place One is an health care organization with primary practice located at 3505 S Buckner Blvd Bldg 2 , 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) 388-0609, or through Stebbins, Dick via phone (903) 757-5360.

Contact Information

Primary practice address
3505 S Buckner Blvd Bldg 2 Dallas TX 75227-5451
Fax: (214) 388-2643
Website:
Authorized official contact:
Name: Stebbins, Dick CPA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110323 Texas

Profile Details

NPI number 1700875705
LBN Legal business name Brentwood Healthcare, Ltd
DBA Doing business as Brentwood Place One
Authorized official Stebbins, Dick CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 9th, 2014 - 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 1700875705 NPPES
Texas MEDICAID 000512607
Texas MEDICAID 112772202
Texas MEDICAID 022675501
Texas MEDICAID HO6756803

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