Bridgewood Lake Jackson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGEWOOD LAKE JACKSON, LLC

Doing business as

Carriage Inn-Lake Jackson

Practice address

211 E Parkwood Ave Ste 100
Friendswood, TX 77546-5152

Phone

(281) 996-0101

Fax

(281) 996-1141

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James D. Gray

Title

Manager

Phone

(713) 623-6767

Specialties & licenses 2

Addresses

Other names 1

• Carriage Inn-Lake Jackson Doing business as

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1285985929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAKE RD",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775663258",
            "telephone_number": "979-285-0300",
            "fax_number": "979-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465152",
            "telephone_number": "281-996-0101",
            "fax_number": "281-996-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWOOD LAKE JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-623-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Inn-Lake Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Anderson Bridges, D.P.M.
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• Bridgewood Friendswood, LLC
• Bridgewood Houston Heights, LLC
• Bridgewood Huntsville, LLC
• Bridgewood South Austin, LLC
• Adrienne Lynn Brock, REGISTER NURSE
• George Thomas Brown, MD
• Jason E Brown, PHAMRD
• George William Browne, MD

• Assisted Living Facility in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.