CHP ISLE AT WATERCREST-BRYAN TX TENANT CORP. (NPI# 1619308558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619308558 |
| Entity Type | Organization |
| Organization Name | CHP ISLE AT WATERCREST-BRYAN TX TENANT CORP. |
| Other Organization Name | ISLE AT WATERCREST - BRYAN |
| Practice Address |
4091 Eastchester Dr Bryan TX 77802-4735 |
| Practice Telephone | 9797743401 |
| Mailing Telephone | 9797743401 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | HOLLY J GREER (SECRETARY) |
| Authorized Official Telephone | 4705407500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Isle at Watercrest - Bryan | Doing Business As Name - Organization |
| Street Address |
4091 EASTCHESTER DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841509015 | Bryan Snf, LLC | Skilled Nursing Facility | 4091 Eastchester Dr, Bryan, TX 77802-4732 | 2010-10-05 |
| 1104478684 | Megan Swint | Physical Therapist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2019-07-15 |
| 1558768952 | Jennifer Lyles | Physical Therapist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2014-12-01 |
| 1295160919 | Courtney Monique Holmes | Occupational Therapist | 4091 Eastchester Dr, Bryan, TX 77802 | 2013-09-12 |
| 1316217805 | Susan Deanne Kelley | Speech-Language Pathologist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-12-30 |
| 1376812495 | Jennifer Walton | Occupational Therapist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-12-19 |
| 1801164173 | Carlee Mclean | Occupational Therapy Assistant | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-12-01 |
| 1801175328 | Bridget Saunders | Occupational Therapist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-08-15 |
| 1558655944 | Jane Colbert | Speech-Language Pathologist | 4091 Eastchester Dr, Bryan, TX 77802-4735 | 2011-06-03 |
| 1720386881 | Traci Thomas | Occupational Therapist | 4091 Eastchester Dr, Bryan, TX 77802-4732 | 2011-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
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| 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 |
|---|---|---|---|---|
| 1285140798 | Stonebridge Place of Bryan LLC | Skilled Nursing Facility | 2817 Kent St, Bryan, TX 77802-5214 | 2017-12-19 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| 1841509015 | Bryan Snf, LLC | Skilled Nursing Facility | 4091 Eastchester Dr, Bryan, TX 77802-4732 | 2010-10-05 |
| 1134235880 | Harborside of Ohio Limited Partnership | Skilled Nursing Facility | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2006-08-22 |
| 1144265901 | Williams County Office of Auditor | Skilled Nursing Facility | 9876 County Road 16, Bryan, OH 43506-9781 | 2006-06-17 |
| 1275518722 | Sulik Sheridan Bryan Inc | Skilled Nursing Facility | 2001 E 29th St, Bryan, TX 77802-1954 | 2005-12-07 |
| 1831183912 | Sherwood Health Care Inc | Skilled Nursing Facility | 1401 Memorial Dr, Bryan, TX 77802-5218 | 2005-09-06 |
| 1578563342 | Mrc Crestview | Skilled Nursing Facility | 2505 E. Villa Maria Road, Bryan, TX 77802-2038 | 2005-07-22 |
| 1295377067 | College Station II Enterprises, LLC | Skilled Nursing Facility | 2001 E 29th St, Bryan, TX 77802-1954 | 2019-10-14 |
| 1922667914 | Bryan Snf, LLC | Skilled Nursing Facility | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2019-06-12 |
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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.