Esc IV LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

119055 Issued in TX

Legal business name

ESC IV LP

Doing business as

Brookdale South San Angelo

Practice address

2695 Valleyview Blvd
San Angelo, TX 76904-3523

Phone

(325) 947-7194

Fax

(325) 223-8144

NPI assigned

Apr 26, 2007

Last updated

May 18, 2016By 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

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 2

Addresses

Other names 1

• Brookdale South San Angelo Doing business as

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1427278183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 VALLEYVIEW BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769043523",
            "telephone_number": "325-947-7194",
            "fax_number": "325-223-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESC IV LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119055",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "119055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale South San Angelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Elaine English, M.D.
• Ashley Enriquez
• Environmental Modifications
• Erin Mundy MD PLLC
• Jodi Laine Erwin, LPA
• Lacye Dawn Escamilla, PA-C
• Esteban E Escanuela, EIS-FQP
• Jerrica Elayne Escobedo, LPC
• Stephanie Esquell
• Sara Esquivel

• Assisted Living Facility in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.