DEWITT MEDICAL DISTRICT (NPI# 1396144770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396144770 |
| Entity Type | Organization |
| Organization Name | DEWITT MEDICAL DISTRICT |
| Other Organization Name | BROOKSHIRE RESIDENCE AND REHABILIATION |
| Practice Address |
710 Highway 359 S Brookshire TX 77423 |
| Practice Telephone | 3612753421 |
| Practice Fax Number | 3612758645 |
| Mailing Telephone | 3612753421 |
| Mailing Fax Number | 3612758645 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | GREG PRITCHETT (CFO) |
| Authorized Official Telephone | 3612750504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004501 | 05 |
| Other Name | Type Code |
|---|---|
| BROOKSHIRE RESIDENCE AND REHABILIATION | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811357155 | Dewitt Medical District | Skilled Nursing Facility | 222 Bertetti Dr, San Antonio, TX 78227-3950 | 2016-02-29 |
| 1932596343 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2015-04-23 |
| 1851629430 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 5301 W Duval Rd, Austin, TX 78727-6618 | 2009-11-19 |
| 1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
| 1861442469 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 2735 Airline Road, Corpus Christi, TX 78414 | 2006-05-12 |
| 1841254174 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3130 S Brahma Blvd, Kingsville, TX 78363-7257 | 2006-04-13 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1235671629 | Dewitt Medical District | Skilled Nursing Facility | 2 Towers Park Ln, San Antonio, TX 78209-6410 | 2016-11-16 |
| 1396296521 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2016-10-24 |
| 1710348685 | Dewitt Medical District | Skilled Nursing Facility | 2003 W Hutchins Pl, San Antonio, TX 78224-1368 | 2016-03-18 |
| Street Address |
710 HIGHWAY 359 S |
| City | BROOKSHIRE |
| State | TX |
| Zip Code | 77423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807383 | Haley Tijerina | Physical Therapy Assistant | 544 Otto Street, Brookshire, TX 77423 | 2020-10-08 |
| 1487266896 | Linh Nguyen | Physical Therapist | 710 Hwy 359 S, Brookshire, TX 77423 | 2020-08-18 |
| 1669016002 | Rosalyn Marie Willis | Technician | 4826 11th Street, Brookshire, TX 77423 | 2019-10-29 |
| 1659800761 | Hands That Care Home Health Services LLC | Home Health | 3212 Depot Street, Brookshire, TX 77423 | 2017-06-12 |
| 1245603752 | Laverne Gidget Moreland | Case Manager/Care Coordinator | 32303 Pintail Street, Brookshire, TX 77423 | 2015-11-05 |
| 1255770723 | Healthy Changes Hypnosis LLC | Clinic/Center | 9135 Katy Fwy., Ste. 119, Houston, TX 77423 | 2013-06-18 |
| 1093071995 | Serenitys Nest Rtc Inc. | Private Vehicle | 4822 Gassner Rd., Brookshire, TX 77423 | 2012-04-04 |
| 1003103326 | Mohammad Moridnia | Dentist | 3603 S. Front Street, Suite #107, Brookshire, TX 77423 | 2011-07-07 |
| 1295030153 | A Touch of Love Home Healthcare Agency | Home Health | 3430 Brookhollow Dr, Brookshire, TX 77423 | 2011-01-24 |
| 1508199647 | Rosek Medical Equipment and Supply | Durable Medical Equipment & Medical Supplies | 4015 South Front Street, Brookshire, TX 77423 | 2009-09-08 |
| Find all providers in zip 77423 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831536010 | Brookshire Tx Snf Management LLC | Skilled Nursing Facility | 710 Fm 359 Road South, Brookshire, TX 77423-9510 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSHIRE |
| Zip Code | 77423 |
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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.