Bluebonnet Nursing and Rehabilitation LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

120974 Issued in TX

Legal business name

BLUEBONNET NURSING AND REHABILITATION LP

Practice address

696 FM 99
Karnes City, TX 78118-5009

Phone

(830) 780-3944

Fax

(830) 780-4469

NPI assigned

Sep 30, 2005

Last updated

Jan 30, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dan D. Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1003803503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 FM 99",
            "city": "KARNES CITY",
            "state": "TX",
            "postal_code": "781185009",
            "telephone_number": "830-780-3944",
            "fax_number": "830-780-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "120974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004052",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP  CROSS OVER",
            "identifier": "0945339 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atascosa Health Center, Inc.
• BR Healthcare Solutions LLC (Karnes City Health and Rehabilitation Center)
• Rebecca Dornak Brewer, M.A. CF-SLP
• Anthony Frank Brysch, LPC
• Lynn Lea Bullard, FNP-BC
• Antonio Esteban Cantu, FNP-C

• Skilled Nursing Facility in Karnes City, TX
• Providers in Karnes City, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.