Ambassador Health Care of Brady Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

114224 Issued in TX

Legal business name

AMBASSADOR HEALTH CARE OF BRADY INC

Practice address

519 9TH Ave N
Texas City, TX 77590-6316

Phone

(409) 949-9499

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Theresa L Loftice

Title

Ar Manager

Phone

(972) 479-0844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Danforth Gardens Nursing & Rehab Other name

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104913268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INTERNATIONAL PKWY",
            "address_2": "SUITE 121",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811897",
            "telephone_number": "972-479-0844",
            "fax_number": "972-479-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 9TH AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906316",
            "telephone_number": "409-949-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR HEALTH CARE OF BRADY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTICE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-479-0844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Danforth Gardens Nursing & Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Texas City, TX
• Providers in Texas 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 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.