Organization Active NPI

Lampstand Health & Rehab of Bryan, LLC

  • Skilled Nursing Facility
  • Bryan, TX
National Provider Identifier
1104098458
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAMPSTAND HEALTH & REHAB OF BRYAN, LLC
Practice address
2001 E 29TH St
Bryan, TX 77802-1954
Phone
(979) 822-6611
Fax
(979) 822-6699
NPI assigned
Mar 27, 2008
Organization subpart
Yes
Parent organization
DESCENDING DOVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Christopher J Murphy
Title
President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2001 E 29TH St
Bryan, TX 77802-1954

Mailing address

2723 Summer Oaks Dr
Bartlett, TN 38134-2858
Phone (901) 937-7994

Other identifiers 1

IdentifierTypeStateIssuer
001016041MedicaidTX

Other names 1

  • Lampstand Health & Rehab of Bryan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1104098458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 SUMMER OAKS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342858",
            "telephone_number": "901-937-7994",
            "fax_number": "901-937-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021954",
            "telephone_number": "979-822-6611",
            "fax_number": "979-822-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPSTAND HEALTH & REHAB OF BRYAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESCENDING DOVE, LLC",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016041",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lampstand Health & Rehab of Bryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.