SAGEBRUSH LIVING CENTER LTD (NPI# 1174589683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174589683 |
| Entity Type | Organization |
| Organization Name | SAGEBRUSH LIVING CENTER LTD |
| Other Organization Name | SAGEBRUSH LIVING CENTER |
| Practice Address |
1101 Columbia Stamford TX 79553 |
| Mailing Address |
845 Proton Rd San Antonio TX 78258-4203 |
| Practice Telephone | 3257732791 |
| Mailing Telephone | 2103407155 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MIKE HAWKER (CFO) |
| Authorized Official Telephone | 2103407155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 003705 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sagebrush Living Center | Other Name - Individual/Organization |
| Street Address |
1101 COLUMBIA |
| City | STAMFORD |
| State | TX |
| Zip Code | 79553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302955 | Stamford Hospital District | Assisted Living Facility | 1700 Columbia St, Stamford, TX 79553 | 2011-09-28 |
| 1538100136 | Stamford Hospital District | Clinic/Center | 1601 Columbia St Ste A, Stamford, TX 79553 | 2006-06-08 |
| 1760432538 | Ambassador Medical Supply of Texas Inc | Skilled Nursing Facility | 1003 Columbia Street, Stamford, TX 79553 | 2006-05-11 |
| 1548384043 | Stamford Hospital District | Clinic/Center | 1601 Columbia St, Stamford, TX 79553 | 2007-03-19 |
| 1487075941 | Yuming Cao | Pharmacist | 1608 N Swenson St, Stamford, TX 79553-2908 | 2013-12-30 |
| 1417974676 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2614 N Swenson St, Stamford, TX 79553-2953 | 2006-07-16 |
| 1821453465 | Beyondfaith Homecare & Rehab of Stamford, LLC | Home Health | 107 E Mcharg St, Stamford, TX 79553-4601 | 2015-12-28 |
| 1588807754 | Bryan Elliott Patterson | Physical Therapist | 120 S Swenson St, Stamford, TX 79553-4624 | 2009-04-16 |
| 1366563090 | Stamford Ems, Inc | Ambulance | 301 E Hamilton St, Stamford, TX 79553-4721 | 2007-04-02 |
| 1104287614 | Stamford Independent School District | Local Education Agency (LEA) | 507 S Orient St, Stamford, TX 79553-5701 | 2016-03-10 |
| Find all providers in zip 79553 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741602 | Yvette S Amador | Intermediate Care Facility, Mental Illness | 9300 Aubrey Ct, Fort Worth, TX 76140-5169 | 2019-07-11 |
| 1598213878 | Harmony Living Centers Inc | Intermediate Care Facility, Mental Illness | 101 Rosebud Dr, Marshall, TX 75672-3371 | 2016-09-15 |
| 1609136944 | James E. Ryan | Intermediate Care Facility, Mental Illness | 5322 22nd St, Lubbock, TX 79407-2117 | 2012-05-21 |
| 1689962508 | City Crown Php Inc | Intermediate Care Facility, Mental Illness | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2011-07-12 |
| 1548586720 | Mental Health Facility | Intermediate Care Facility, Mental Illness | 556 Buffalo Creek Dr, Desoto, TX 75115-5328 | 2010-04-13 |
| 1518296698 | Hannah's Place A Home With Love | Intermediate Care Facility, Mental Illness | 12251 Running Bird Ln, Austin, TX 78758-2633 | 2009-12-18 |
| 1609077205 | Newstart Inc. | Intermediate Care Facility, Mental Illness | 4503 Palomino Ct, Arlington, TX 76017-1592 | 2007-05-30 |
| 1508072000 | Fe Care Inc | Intermediate Care Facility, Mental Illness | 19365 Fm 2252, Suite 9, Garden Ridge, TX 78266-2566 | 2007-05-14 |
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1285757385 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 2301 Olive Cir, Baytown, TX 77520-5775 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAGEBRUSH LIVING CENTER LTD.
| 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.