Brenda'S Devine Heritage Residential, Inc
Organization Active NPI Assisted Living Facility · Devine, TX
NPI 1043396013 · NPPES record last updated Feb 18, 2021
Key facts
- NPI
- 1043396013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC
- Practice address
- 309 Briscoe Ave
Devine, TX 78016 - Phone
- (830) 665-2000
- Fax
- (830) 663-2832
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Brenda Joyce Burford
- Title
- Owner
- Phone
- (210) 387-7515
Corporate family (same tax ID) 3
Practitioners 1
National Provider Directory
- Tax ID family
- Brenda'S Devine Heritage Residential Inc
Locations
405 E Hondo Ave
Devine, TX 78016
Phone (210) 387-7515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | 114652 | TX |
Addresses
Primary practice location
309 Briscoe Ave
Devine, TX 78016
Mailing address
PO Box 224
Devine, TX 78016-0224
Phone (210) 387-7515
Other practice location 1
405 E Hondo Ave
Devine, TX 78016-3316
Phone (210) 387-7515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001001579 | Other | TX | CBA |
Other names
- Brenda's Residential Assisted Living
Other providers in Devine, TX
- Martha Beltran
- Katelyn Blanton
- BNZ Healthcare
- Brenda Burford
- Brenda'S Devine Heritage Residential Care Center
- Brenda'S Devine Heritage Residential, Inc.
- Brenda Burford
- Lori Burnside
- Tania Cantin
- Sara Michelle Castleberry
All providers in Devine, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.