ESC IV LP NPI 1003142944

NPI Information

NPI: 1003142944
Provider Name: ESC IV, LP

Doing Business As: BROOKDALE OAK HOLLOW

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2207011

Address:
2016 L DON DODSON DR
BEDFORD, TX
ZIP 76021
Phone: (817) 267-6200
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ESC IV, LP is an assisted living facility in Bedford, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ESC IV, LP NPI is 1003142944. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Oak Hollow.

The provider's business location address is:

2016 L DON DODSON DR
BEDFORD, TX
ZIP 76021-788
Phone: (817) 267-6200

The provider's authorized official is Joanne Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 45D2207011 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2009 and was last updated on 5/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311500000X	Alzheimer Center (Dementia Center)		010265	TEXAS	No
2	310400000X	Assisted Living Facility		010265	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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