Organization Active NPI

Bridgewood Huntsville, LLC

  • Assisted Living Facility
  • Friendswood, TX
National Provider Identifier
1679846471
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIDGEWOOD HUNTSVILLE, LLC
Practice address
211 E Parkwood Ave Ste 100
Friendswood, TX 77546-5152
Phone
(281) 996-0101
Fax
(281) 996-1141
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. James D. Gray
Title
Manager
Phone
(281) 996-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

211 E Parkwood Ave Ste 100
Friendswood, TX 77546-5152

Mailing address

2805 Lake Rd
Huntsville, TX 77340-5600
Phone (936) 295-0600

Other names 1

  • Carriage Inn-Huntsville Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1679846471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 LAKE RD",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405600",
            "telephone_number": "936-295-0600",
            "fax_number": "936-295-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465152",
            "telephone_number": "281-996-0101",
            "fax_number": "281-996-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWOOD HUNTSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-996-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Inn-Huntsville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.