BRIDGEWOOD BRYAN LLC NPI 1861759250

NPI Information

NPI: 1861759250
Provider Name: BRIDGEWOOD BRYAN, LLC

Doing Business As: CARRIAGE INN-BRYAN

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

CLIA Number: 45D2049856

Address:
211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX
ZIP 77546
Phone: (281) 996-0101
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BRIDGEWOOD BRYAN, LLC is an assisted living facility in Friendswood, 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. BRIDGEWOOD BRYAN, LLC NPI is 1861759250. The provider is registered as an organization entity type.
The provider Is Doing Business As Carriage Inn-bryan.

The provider's business location address is:

211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX
ZIP 77546-152
Phone: (281) 996-0101

The provider's authorized official is James D. Gray .
The authorized official title is Manager and has the following contact phone number (713) 623-6767.

The CLIA number assigned to this NPI record is 45D2049856 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.

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)			TEXAS	No
2	310400000X	Assisted Living Facility				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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