Brenham Health Care LTD

Organization Active NPI Skilled Nursing Facility · Brenham, TX

NPI 1336229798 · NPPES record last updated Oct 15, 2008

Key facts

NPI
1336229798
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
105157 (TX)
Legal business name
BRENHAM HEALTH CARE LTD
Practice address
406 Cottonwood St
Brenham, TX 77833-3237
Phone
(979) 836-3434
Fax
(979) 836-3461
NPI assigned
Oct 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Carl Fellbaum
Title
President
Phone
(210) 828-5686

National Provider Directory

Locations

1020 NE Loop 410
Ste 650
San Antonio, TX 78209
Phone (210) 828-1991

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 105157 TX Yes

Addresses

Primary practice location

406 Cottonwood St
Brenham, TX 77833-3237

Mailing address

1020 NE Loop 410
Suite #650
San Antonio, TX 78209-1204
Phone (210) 828-5686

Other identifiers

IdentifierTypeStateIssuer
1528507-01OtherTXTMHP PROVIDER #
000415302MedicaidTX

Other names

  • Brenham Rest Home Doing business as

Other providers in Brenham, TX

All providers in Brenham, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.