West 380 Nursing Home Facility
Organization Active NPI Community Based Hospice Care Agency · Bridgeport, TX
NPI 1407092695 · NPPES record last updated Dec 18, 2008
Key facts
- NPI
- 1407092695
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 012018 (TX)
- Legal business name
- WEST 380 NURSING HOME FACILITY
- Practice address
- 2108 15TH St
Bridgeport, TX 76426-2055 - Phone
- (940) 683-5023
- Fax
- (940) 683-3184
- NPI assigned
- Dec 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Paul Ownes
- Title
- Chairman of Board
- Phone
- (940) 683-0302
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Trinity Care Center Hospice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 012018 | TX | Yes |
Addresses
Primary practice location
2108 15TH St
Bridgeport, TX 76426-2055
Mailing address
2108 15TH St
Bridgeport, TX 76426-2055
Phone (940) 683-5023
Other names
- Trinity Care Center Hospice
Other providers in Bridgeport, TX
- Robert Lee Ware III
- Webb Chiropractic PLLC
- James Jarrett Webb
- West 380 Family Care Facility
- West 380 Nursing Center
- Angela S Whatley
- Wise Clinical Care Associates
- Wise County Medical & Surgical Association
- Wise County Special Education Cooperative
- Patricia R Young
All providers in Bridgeport, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.