Senior Health Bremond LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112306 Issued in TX

Legal business name

SENIOR HEALTH BREMOND LLC

Doing business as

Bremond Nursing and Rehab

Practice address

200 North Main
Bremond, TX 76629

Phone

(254) 746-7666

Fax

(254) 747-5075

NPI assigned

Jul 19, 2005

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

Larry Lee Snow, RN

Title

Reg Case Manager

Phone

(972) 410-2600

Specialties & licenses 2

Addresses

Other names 1

• Bremond Nursing and Rehab Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Lynn Jackson, PH.D.

  • Adult Development & Aging Psychologist
  • College Station, TX
  • NPI 1619958758
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144229378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SAGEBRUSH DR",
            "address_2": "SUITE 103",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-410-2600",
            "fax_number": "972-410-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH MAIN",
            "city": "BREMOND",
            "state": "TX",
            "postal_code": "76629",
            "telephone_number": "254-746-7666",
            "fax_number": "254-747-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH BREMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REG CASE MANAGER",
        "authorized_official_telephone_number": "972-410-2600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112306",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bremond Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill A Harris, OTR
• Dessa Leamon, PTA
• Alan M Lewis, PA-C
• Liberty County Hospital District No 1 (Bremond Nursing and Rehabilitation Center)
• Saori Rivera, LP
• Sheri M Williams, NP

• Skilled Nursing Facility in Bremond, TX
• Providers in Bremond, 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.