Brookdale Lake Brazos

LBN: Esc Iv, Lp
Brookdale Lake Brazos is an health care organization with primary practice located at 3801 Martin Luther King Jr Bvd , Waco TX 76708. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Esc Iv, Lp can be contacted via phone (254) 714-2222, or through Leskowicz, Joanne K via phone (414) 918-5000.

Contact Information

Primary practice address
3801 Martin Luther King Jr Bvd Waco TX 76708
Phone: (254) 714-2222
Fax: (254) 714-0023
Website:
Map and Directions
Authorized official contact:
Name: Leskowicz, Joanne K
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1023239498
LBN Legal business name Esc Iv, Lp
DBA Doing business as Brookdale Lake Brazos
Authorized official Leskowicz, Joanne K
Entity Organization
Organization subpart 1 Yes
Enumeration date May 1st, 2007
Last updated Aug 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023239498 NPPES
Texas MEDICAID F500300740

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