Family Tree

LBN: Family Tree
Family Tree is an health care organization with primary practice located at 408 N Washington Ave , Bryan TX 77803-5310. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Family Tree can be contacted via phone (979) 822-6467, or through Kelly, Bill via phone (979) 822-6467.

Contact Information

Primary practice address
408 N Washington Ave Bryan TX 77803-5310
Fax: (979) 821-9448
Website:
Authorized official contact:
Name: Kelly, Bill

Health care specialties

Profile Details

NPI number 1144422932
LBN Legal business name Family Tree
DBA Doing business as
Authorized official Kelly, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 26th, 2024 - about 8 months 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 1144422932 NPPES
Texas MEDICAID 000766201

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