Burleson St. Joseph Manor

LBN: Burleson St. Joseph Manor
Burleson St. Joseph Manor is an health care organization with primary practice located at 1022 Presidential Corridor East , Caldwell TX 77836-4611. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Burleson St. Joseph Manor can be contacted via phone (979) 567-0920, or through Cottrell, Harold via phone (979) 567-0920.

Contact Information

Primary practice address
1022 Presidential Corridor East Caldwell TX 77836-4611
Phone: (979) 567-0920
Fax: (979) 567-4811
Website:
Map and Directions
Authorized official contact:
Name: Cottrell, Harold LNFA
Phone: (979) 567-0920

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 107880 Texas

Profile Details

NPI number 1184627093
LBN Legal business name Burleson St. Joseph Manor
DBA Doing business as
Authorized official Cottrell, Harold LNFA
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jan 25th, 2010 - about 14 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 1184627093 NPPES
Texas MEDICAID 001000513

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