Brownwood Operations I. LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109612 Issued in TX

Legal business name

BROWNWOOD OPERATIONS I. LTD.

Doing business as

Songbird Lodge

Practice address

2500 Song Bird Circle
Brownwood, TX 76801-6488

Phone

(325) 646-4750

Fax

(325) 646-5697

NPI assigned

Oct 7, 2005

Last updated

Apr 27, 2010By 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. Shawn Leon Conley, CFO

Title

Cfo

Phone

(817) 303-4089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SONGBIRD LODGE Doing business as

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1073501771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SONG BIRD CIRCLE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016488",
            "telephone_number": "325-646-4750",
            "fax_number": "325-646-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SONG BIRD CIRCLE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016488",
            "telephone_number": "325-646-4750",
            "fax_number": "325-646-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD OPERATIONS I. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-303-4089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004530",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONGBIRD LODGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Brownwood, TX
• Providers in Brownwood, 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 Apr 27, 2010; 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.