Broadmoor Medical Lodge

LBN: City Of Ennis
Broadmoor Medical Lodge is an health care organization with primary practice located at 5242 Medical Dr , Rockwall TX 75032-5001. 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. City Of Ennis can be contacted via phone (972) 772-8700, or through Barnes, Stephen via phone (972) 875-1234.

Contact Information

Primary practice address
5242 Medical Dr Rockwall TX 75032-5001
Phone: (972) 772-8700
Fax: (972) 772-8701
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Stephen
Phone: (972) 875-1234

Health care specialties

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

Profile Details

NPI number 1396287504
LBN Legal business name City Of Ennis
DBA Doing business as Broadmoor Medical Lodge
Authorized official Barnes, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2016
Last updated Apr 30th, 2020 - 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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