Active NPI
Bridgewood Village on SC TRS, LLC
- Assisted Living Facility
- Spring, TX
National Provider Identifier
1396112173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BRIDGEWOOD VILLAGE ON SC TRS, LLC
- Practice address
- 20305 Holzwarth Rd
Spring, TX 77388-5582 - Phone
- (281) 257-2299
- Fax
- (281) 996-1141
- NPI assigned
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia E Cook
- Title
- Paralegal
- Phone
- (281) 996-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
20305 Holzwarth Rd
Spring, TX 77388-5582
Mailing address
6363 Woodway Dr
#410
Houston, TX 77057-1735
Phone (281) 996-0101
Other names 1
- Spring Creek Village
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2101672 | Spring Creek Village | Certificate of waiver | Sep 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
6363 Woodway Dr
Ste 410
Houston, TX 77057
Phone (281) 996-0101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1396112173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 WOODWAY DR",
"address_2": "#410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571735",
"telephone_number": "281-996-0101",
"fax_number": "281-996-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20305 HOLZWARTH RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773885582",
"telephone_number": "281-257-2299",
"fax_number": "281-996-1141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWOOD VILLAGE ON SC TRS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARALEGAL",
"authorized_official_telephone_number": "281-996-0101",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Creek Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.