LTC of Austin County III, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

004648 Issued in TX

Legal business name

LTC OF AUSTIN COUNTY III, LLC

Doing business as

Briarwood Manor Care Center

Practice address

1515 W Main St
Bellville, TX 77418-9737

Phone

(979) 865-3145

Fax

(979) 865-9963

NPI assigned

Oct 8, 2010

Last updated

Oct 27, 2011By 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

Celina C Shariff

Title

Manager

Phone

(832) 651-3694

Specialties & licenses 1

Addresses

Other names 1

• Briarwood Manor Care Center Doing business as

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1306156328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189737",
            "telephone_number": "979-865-3145",
            "fax_number": "979-865-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189737",
            "telephone_number": "979-865-3145",
            "fax_number": "979-865-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC OF AUSTIN COUNTY III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-651-3694"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "004648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarwood Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• LTC of Austin County II, LLC (Colonial Belle Nursing Home)
• LTC of Austin County III, LLC (Arbors of Briarwood)
• Luekenga Dental PLLC
• Jason M Luekenga, DDS
• David Matthew Magness, MD
• Whitney Mahlmann, MS, SLP-INTERN

• Nursing Facility/Intermediate Care Facility in Bellville, TX
• Providers in Bellville, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.