B &G CUSTOM CARE


Address: 1088 Willow Oak Rd, Gladewater, TX 75647
Phone: 9037143099

B &G CUSTOM CARE (NPI# 1316559321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316559321
Entity Type Organization
Organization Name B &G CUSTOM CARE
Practice Address 1088 Willow Oak Rd
Gladewater
TX 75647
Mailing Address 1088 N Willow Oak Rd
Gladewater
TX 75647-7811
Practice Telephone 9037143099
Enumeration Date 2020-08-20
Last Update Date 2020-08-20
Authorized Official Name JUDY BROYLES (OWNER/MANAGER)
Authorized Official Telephone 9037143099
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Integrity Companion Care Doing Business As Name - Organization

Office Location

Street Address 1088 WILLOW OAK RD
City GLADEWATER
State TX
Zip Code 75647

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578866182 Easttexrx LLC Pharmacy 402b W Upshur, Gladewater, TX 75647 2010-12-21
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Competitor

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City GLADEWATER
Zip Code 75647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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