CHP Isle at Watercrest-Bryan TX Tenant Corp.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHP ISLE AT WATERCREST-BRYAN TX TENANT CORP.

Practice address

4091 Eastchester Dr
Bryan, TX 77802-4735

Phone

(979) 774-3401

NPI assigned

Dec 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holly J Greer

Title

Secretary

Phone

(470) 540-7500

Specialties & licenses 1

Addresses

Other names 1

• Isle at Watercrest - Bryan Doing business as

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1619308558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 EASTCHESTER DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024735",
            "telephone_number": "979-774-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 EASTCHESTER DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024735",
            "telephone_number": "979-774-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHP ISLE AT WATERCREST-BRYAN TX TENANT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "470-540-7500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isle at Watercrest - Bryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vasco CHI Ho Cheuk, M.D.
• Janice M. Childress, M.ED., LPC, LBSW
• Nari Choi, PHARM. D.
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• Jessica Christian, LMSW
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• Abbey Ann CHRZ, PT, DPT
• Kuo-Hong Chuang
• Jim Hudson Chung, M.D.

• Skilled Nursing Facility in Bryan, TX
• Providers in Bryan, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.