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BRENDA'S DEVINE HERITAGE RESIDENTIAL INC NPI 1043396013


NPI Information

NPI: 1043396013
Provider Name: BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC

Doing Business As: BRENDA'S RESIDENTIAL ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
309 BRISCOE AVE
DEVINE, TX
ZIP 78016
Phone: (830) 665-2000
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BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC is an assisted living facility in Devine, 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. BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC NPI is 1043396013. The provider is registered as an organization entity type.
The provider Is Doing Business As Brenda's Residential Assisted Living.

The provider's business location address is:

309 BRISCOE AVE
DEVINE, TX
ZIP 78016
Phone: (830) 665-2000
Fax: (830) 663-2832

The provider's authorized official is Brenda Joyce Burford .
The authorized official title is Owner and has the following contact phone number (210) 387-7515.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 2/18/2021.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness114652TEXASNo
2310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001001579OTHERTEXASCBA

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

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