Benbrook Nursing & Rehabilitation Center, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116637 Issued in TX

Legal business name

BENBROOK NURSING & REHABILITATION CENTER, L.P.

Doing business as

Benbrook Nursing & Rehabilitation Center

Practice address

1000 McKinley Street
Benbrook, TX 76126

Phone

(817) 249-0020

Fax

(817) 249-6514

NPI assigned

Jun 26, 2006

Last updated

Oct 25, 2007By 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

Mr. Peter J Licari

Title

President of Generla Partner

Phone

(215) 441-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benbrook Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1801823984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DRYDEN RD E STE 2000",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "19025",
            "telephone_number": "215-441-7700",
            "fax_number": "215-441-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MCKINLEY STREET",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76126",
            "telephone_number": "817-249-0020",
            "fax_number": "817-249-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENBROOK NURSING & REHABILITATION CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "LICARI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GENERLA PARTNER",
        "authorized_official_telephone_number": "215-441-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benbrook Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip M Barron, DDS
• Avonda Ann Beggell
• Erica Benavides
• Benbrook Family Dentistry (Benbrook Dental)
• Benbrook Family Vision Care PA
• Benbrook Senior Care, LLC (Benbrook Nursing and Rehabilitation Center)
• Benbrook Smiles PLLC
• Benbrook SNF LLC (Benbrook Nursing & Rehabilitation Center)
• Robert F Benningfield, DDS
• Steven Paul Bergman, L.A.T.

• Skilled Nursing Facility in Benbrook, TX
• Providers in Benbrook, 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 Oct 25, 2007; 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.