BROOKHOLLOW SENIOR LIVING LLC (NPI# 1164058996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164058996 |
Entity Type | Organization |
Organization Name | BROOKHOLLOW SENIOR LIVING LLC |
Practice Address |
3202 S Willis St Abilene TX 79605-6650 |
Practice Telephone | 3254376303 |
Mailing Telephone | 3254376303 |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |
Authorized Official Name | LEE JOHNSON (TREASURER) |
Authorized Official Telephone | 2084011369 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Wisteria Place Assisted Living | Doing Business As Name - Organization |
Street Address |
3202 S WILLIS ST |
City | ABILENE |
State | TX |
Zip Code | 79605-6650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104824721 | Marla June Knight | Pharmacist | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-07-08 |
1093184137 | Sandra J Hazelip, Do, Pllc | Family Medicine | 3202 S Willis St, Abilene, TX 79605-6650 | 2015-09-18 |
1164728259 | Stephen Harold Baum | Occupational Therapist | 3202 S Willis St, Abilene, TX 79605-6650 | 2011-02-07 |
1417259490 | Eastland Memorial Hospital District | Assisted Living Facility | 3202 S Willis St, Abilene, TX 79605-6650 | 2010-11-24 |
1528296662 | Texada, Inc | Skilled Nursing Facility | 3202 S Willis St, Abilene, TX 79605-6650 | 2009-06-28 |
1598905622 | Eric Emil Gutschke | Occupational Therapist | 3202 S Willis St, Abilene, TX 79605-6650 | 2009-03-02 |
1265553705 | Randall Brinson | Occupational Therapy Assistant | 3202 S Willis St, Abilene, TX 79605-6650 | 2007-04-03 |
1255315446 | Sears Methodist Center, Inc | Pharmacy | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-12-01 |
1699759167 | Sears Methodist Center, Inc. | Pharmacy | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-11-30 |
1487637146 | Sears Methodist Center, Inc. | Nursing Facility/Intermediate Care Facility | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003440389 | James Mccoy's Midtown Drug Store, Inc | Pharmacy | 1417 S Willis, Abilene, TX 79605 | 2020-02-26 |
1457694820 | Texas Neurology Clinic PC | Counselor | 4755 Hartford, Abilene, TX 79605 | 2013-04-03 |
1750656328 | Victor Lee Orthodontics Pllc | Dentist | 2209 S, Danville, Abilene, TX 79605 | 2012-03-15 |
1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
1306143706 | Sara Aalyce Snowden | Physical Therapist | 4601 Hartford Street, Abilene, TX 79605 | 2011-02-21 |
1679735450 | Comprehensive Psychological Services, Ltd. | Psychologist | 5320 Lamesa Ave, Abilene, TX 79605 | 2008-07-02 |
1568652907 | Mary Ann Jones | Counselor | 1290 S. Willis St., Suite 117, Abilene, TX 79605 | 2007-08-01 |
1548389299 | Jillian Svend Koslan | Speech-Language Pathologist | Southwest Therapy Associates, 3233 South Willis Street, Abilene, TX 79605 | 2007-03-27 |
1245362532 | Brenda D Mcdonald | Custodial Care Facility | 714 S San Jose, Abilene, TX 79605 | 2007-03-12 |
1629124680 | Peggy Gene Martin | Counselor | 1290 S Willis, Ste 1221, Abilene, TX 79605 | 2007-01-25 |
Find all providers in zip 79605 |
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 |
---|---|---|---|---|
1699987925 | Highland Assisted Living LLC | Assisted Living Facility | 2310 S 7th St, Abilene, TX 79605-3152 | 2007-05-07 |
1922124486 | Assisted Living Concepts Inc | Assisted Living Facility | 1450 E N 10th Street, Abilene, TX 79601 | 2007-03-22 |
1033235254 | Robert Thomas Foster Adult Home Care | Assisted Living Facility | 3957 E Us Highway 80, Abilene, TX 79601-6428 | 2007-03-21 |
1922139096 | Countryside Home Inc | Assisted Living Facility | 2454 Hwy 15 North, Abilene, KS 67410-6084 | 2007-03-08 |
1154487841 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1100 N Vine St, Abilene, KS 67410-4009 | 2006-12-28 |
1215093802 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1102 N Vine St, Abilene, KS 67410-4015 | 2006-12-28 |
1356433189 | Covenant Place of Abilene | Assisted Living Facility | 3234 Buffalo Gap Rd, Abilene, TX 79605-7009 | 2006-09-29 |
1336767110 | Sh Opco Abilene LLC | Assisted Living Facility | 3234 Buffalo Gap Rd, Abilene, TX 79605-7009 | 2020-07-08 |
1275080335 | Abilene 1100 East Bg Opco LLC | Assisted Living Facility | 1100 N Vine St, Abilene, KS 67410-4009 | 2016-09-07 |
1609323765 | Abilene 1102 West Bg Opco LLC | Assisted Living Facility | 1102 N Vine St, Abilene, KS 67410-4015 | 2016-09-07 |
Find all providers in ABILENE |
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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.