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BRENDA'S DEVINE HERITAGE RESIDENTIAL INC. NPI 1750617718


NPI Information

NPI: 1750617718
Provider Name: BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC.

Doing Business As: HERITAGE RESIDENTIAL

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
307 BRISCOE AVE
DEVINE, TX
ZIP 78016
Phone: (830) 665-2000
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BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC. is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC. NPI is 1750617718. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Residential.

The provider's business location address is:

307 BRISCOE AVE
DEVINE, TX
ZIP 78016-003
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 (830) 665-2000.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.


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 Illness126697TEXASYes

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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