Stonebrook Community Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

STONEBROOK COMMUNITY SERVICES, INC.

Practice address

3132 Villandry LN
Frisco, TX 75033-1389

Phone

(469) 223-8397

Fax

(972) 704-3629

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Jay Wade

Title

Owner

Phone

(469) 223-8397

Specialties & licenses 2

Addresses

Other names 1

• Stonebrook Community Services, Inc. Doing business as

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1912457144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 VILLANDRY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331389",
            "telephone_number": "469-223-8397",
            "fax_number": "972-704-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 VILLANDRY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331389",
            "telephone_number": "469-223-8397",
            "fax_number": "972-704-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-223-8397"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebrook Community Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonebrook Community Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stonebriar Pharmaceutical Services
• Stonebriar Pharmacy
• Stonebriar Surgery Center, LLC
• Stonebriar Vision Centre, P.a.
• Stonebridge Adult Medicine PA
• Stonebrook Dental
• Stonebrook Eyecare, PLLC
• Stonebrook Family Medicine
• Stonelake Family Dentistry PLLC
• Minju Stonely, FNP-BC

• In Home Supportive Care Agency in Frisco, TX
• Providers in Frisco, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.