St. Joseph Manor

LBN: St. Joseph Manor
St. Joseph Manor is an health care organization with primary practice located at 2333 Manor Drive , Bryan TX 77802-1907. 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. St. Joseph Manor can be contacted via phone (979) 821-7330, or through Cottrell, Harold via phone (979) 821-7330.

Contact Information

Primary practice address
2333 Manor Drive Bryan TX 77802-1907
Phone: (979) 821-7330
Fax: (979) 821-7301
Website:
Map and Directions
Authorized official contact:
Name: Cottrell, Harold
Phone: (979) 821-7330

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 114596 Texas

Profile Details

NPI number 1932112554
LBN Legal business name St. Joseph Manor
DBA Doing business as
Authorized official Cottrell, Harold
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 9th, 2008 - about 16 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 1932112554 NPPES
Texas MEDICAID 001000504

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