Broadmoor Medical Lodge

LBN: Scc Partners, Inc.
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. Scc Partners, Inc. can be contacted via phone (972) 772-8700, or through Crabb, Renee via phone (972) 303-7500.

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: Crabb, Renee
Phone: (972) 303-7500

Health care specialties

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

Profile Details

NPI number 1083958862
LBN Legal business name Scc Partners, Inc.
DBA Doing business as Broadmoor Medical Lodge
Authorized official Crabb, Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 21st, 2014 - about 10 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 1083958862 NPPES
Texas MEDICAID 001021016

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