Organization Active NPI

Bridgewood Village on SC TRS, LLC

  • Assisted Living Facility
  • Spring, TX
National Provider Identifier
1396112173
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 27, 2015

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2101672Spring Creek Village20305 Holzwarth Rd, Spring, TX 77388Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.