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THE MADERA CORP NPI 1124148457


NPI Information

NPI: 1124148457
Provider Name: THE MADERA CORP

Doing Business As: THE BRADFORD HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1704 NORTH BRADFORD ST
GILMER, TX
ZIP 75644
Phone: (903) 843-7601
Get Directions

THE MADERA CORP is an assisted living facility in Gilmer, 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. THE MADERA CORP NPI is 1124148457. The provider is registered as an organization entity type.
The provider Is Doing Business As The Bradford House.

The provider's business location address is:

1704 NORTH BRADFORD ST
GILMER, TX
ZIP 75644
Phone: (903) 843-7601
Fax: (903) 843-4871

The provider's authorized official is Gloria Jeane Madera .
The authorized official title is Vice Pres Sec Treasury and has the following contact phone number (903) 843-7601.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living Facility113958TEXASYes

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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