ESC IV, LP (NPI# 1023239498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023239498 |
| Entity Type | Organization |
| Organization Name | ESC IV, LP |
| Other Organization Name | BROOKDALE LAKE BRAZOS |
| Practice Address |
3801 Martin Luther King Jr Bvd Waco TX 76708 |
| Mailing Address |
111 Westwood Pl Ste 400 Brentwood TN 37027-5057 |
| Practice Telephone | 2547142222 |
| Practice Fax Number | 2547140023 |
| Mailing Telephone | 6152212250 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | F500300740 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Lake Brazos | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588990360 | Esc Iv, Lp | Alzheimer Center (Dementia Center) | 5403 Plantation Dr, Tyler, TX 75703-3442 | 2009-10-28 |
| 1396071254 | Esc Iv, Lp | Alzheimer Center (Dementia Center) | 9271 White Rock Trl, Dallas, TX 75238-2552 | 2009-10-28 |
| 1003142944 | Esc Iv, Lp | Alzheimer Center (Dementia Center) | 2016 L Don Dodson Dr, Bedford, TX 76021-5788 | 2009-10-28 |
| 1487980249 | Esc Iv, Lp | Alzheimer Center (Dementia Center) | 1650 S Stonebridge Dr, Mckinney, TX 75070-5660 | 2009-10-28 |
| 1821324773 | Esc Iv, Lp | Alzheimer Center (Dementia Center) | 2000 W Spring Creek Pkwy, Plano, TX 75023-4205 | 2009-10-28 |
| 1285836544 | Esc Iv, Lp | Custodial Care Facility | 7401 Seville Drive, Amarillo, TX 79121-1821 | 2007-05-31 |
| 1326267279 | Esc Iv, Lp | Assisted Living Facility | 2649 Plaza Parkway, Wichita Falls, TX 76308 | 2007-04-25 |
| 1659595536 | Esc Iv, Lp | Assisted Living Facility | 1808 W Loop 250 North, Midland, TX 79705 | 2007-04-12 |
| Street Address |
3801 MARTIN LUTHER KING JR BVD |
| City | WACO |
| State | TX |
| Zip Code | 76708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1750340568 | Matthew Brian Bierwirth | Pediatrics | 2201 Macarthur Dr Ste 103, Waco, TX 76708 | 2006-03-21 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750537569 | Chavez Personal Care Home | Assisted Living Facility | 4605 Memorial Dr, Waco, TX 76711-1360 | 2008-08-12 |
| 1891851085 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1700 Lake Shore Dr, Waco, TX 76708-3737 | 2006-12-29 |
| 1639556822 | Dhc Opco Waco, LLC | Assisted Living Facility | 1900 W State Highway 6, Waco, TX 76712-9729 | 2015-04-27 |
| 1265448625 | Ridgecrest Retirement Center, Ltd | Assisted Living Facility | 1900 W State Highway 6, Waco, TX 76712-9729 | 2006-07-31 |
| 1528082864 | Ridgecrest Retirement Center, Ltd | Assisted Living Facility | 1900 W State Highway 6, Waco, TX 76712-9729 | 2006-07-27 |
| 1295791010 | Ridgecrest Retirement Center, Ltd | Assisted Living Facility | 1900 W Highway 6, Waco, TX 76712-9729 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.