WEST 380 NURSING HOME FACILITY


Address: 2108 15th St, Bridgeport, TX 76426-2055
Phone: 9406835023

WEST 380 NURSING HOME FACILITY (NPI# 1407092695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407092695
Entity Type Organization
Organization Name WEST 380 NURSING HOME FACILITY
Other Organization Name TRINITY CARE CENTER HOSPICE
Practice Address 2108 15th St
Bridgeport
TX 76426-2055
Practice Telephone 9406835023
Practice Fax Number 9406833184
Mailing Telephone 9406835023
Mailing Fax Number 9406833184
Enumeration Date 2008-12-18
Last Update Date 2008-12-18
Authorized Official Name PAUL OWNES (CHAIRMAN OF BOARD)
Authorized Official Telephone 9406830302
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 012018 TX Agencies

Other Provider/Organization Names

Other Name Type Code
Trinity Care Center Hospice Doing Business As Name - Organization

Office Location

Street Address 2108 15TH ST
City BRIDGEPORT
State TX
Zip Code 76426-2055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295777902 West 380 Nursing Center Assisted Living Facility 2108 15th St, Bridgeport, TX 76426 2006-06-10
1952853194 City of Ennis Skilled Nursing Facility 2108 15th St, Bridgeport, TX 76426-2055 2016-11-03
1659644185 Scc Partners, Inc. Skilled Nursing Facility 2108 15th St, Bridgeport, TX 76426-2055 2012-02-14
1740417914 Michaelyn Stainton Speech-Language Pathologist 2108 15th St, Bridgeport, TX 76426-2055 2009-06-16
1396972568 Brenda Norwood Speech-Language Pathologist 2108 15th St, Bridgeport, TX 76426-2055 2009-06-16
1790912962 Winona Shackelford Physical Therapy Assistant 2108 15th St, Bridgeport, TX 76426-2055 2009-06-16
1780810234 Scc Partners Inc Skilled Nursing Facility 2108 15th St, Bridgeport, TX 76426 2009-06-10
1053546192 Laurie Briggle Physical Therapy Assistant 2108 15th St, Bridgeport, TX 76426-2055 2009-05-19
1114152246 Julie Gold-morgan Physical Therapy Assistant 2108 15th St, Bridgeport, TX 76426-2055 2009-05-19
1588899777 Traci Lockhart Speech-Language Pathologist 2108 15th St, Bridgeport, TX 76426-2055 2009-05-18
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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Competitor

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City BRIDGEPORT
Zip Code 76426

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Dataset Information

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.

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