Care Inn of Edna LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARE INN OF EDNA LLC

Doing business as

Care Inn of Edna

Practice address

1204 N Wells St
Edna, TX 77957-2149

Phone

(361) 782-3581

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Brawnwynn Delco

Title

President

Phone

(361) 782-3581

Specialties & licenses 1

Addresses

Other names 1

• Care Inn of Edna Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063558526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572149",
            "telephone_number": "361-782-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INN OF EDNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELCO",
        "authorized_official_first_name": "BRAWNWYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-782-3581"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Inn of Edna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayla Baker Beaudoin
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• Jominique Brown
• Bruce W Rogers (Rogers Pharmacy #6)
• Sarah Bubela, LCSW
• Citizens Medical Center County of Victoria (Southbrooke Manor Nursing and Rehabilitation Center)
• City of Edna Volunteer Ambulance Service
• Stephanie Cunningham, FNP-C
• Hiwot Dinkale, DR
• Deke Steven Eberhard, M.D.

• Skilled Nursing Facility in Edna, TX
• Providers in Edna, 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 Aug 22, 2020; 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.