BRIDGEWOOD VILLAGE ON SC TRS, LLC (NPI# 1396112173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396112173 |
| Entity Type | Organization |
| Organization Name | BRIDGEWOOD VILLAGE ON SC TRS, LLC |
| Other Organization Name | SPRING CREEK VILLAGE |
| Practice Address |
20305 Holzwarth Rd Spring TX 77388-5582 |
| Mailing Address |
6363 Woodway Dr #410 Houston TX 77057-1735 |
| Practice Telephone | 2812572299 |
| Practice Fax Number | 2819961141 |
| Mailing Telephone | 2819960101 |
| Mailing Fax Number | 2819961141 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | MRS. PATRICIA E COOK (PARALEGAL) |
| Authorized Official Telephone | 2819960101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Creek Village | Doing Business As Name - Organization |
| Street Address |
20305 HOLZWARTH RD |
| City | SPRING |
| State | TX |
| Zip Code | 77388-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391020 | Patricia Tate Gaston | Registered Nurse | 4923 Kasos Isle Dr, Spring, TX 77388 | 2018-09-25 |
| 1740762707 | Katie Hunsaker | Registered Nurse | 1822 Adobe Falls Dr, Spring, TX 77388 | 2018-09-05 |
| 1730661885 | Shantia Kazemi Esfeh | Dentist | 3100 Fm 2920 Rd # Tx77388, Spring, TX 77388 | 2018-09-05 |
| 1801372024 | Sebastian Trung Khanh Nguyen | Dentist | 19507 Interstate 45 Ste 522, Spring, TX 77388 | 2018-07-11 |
| 1952894461 | Ameen M Mukhi | Dentist | 3403 Louetta Rd Ste B, Spring, TX 77388 | 2018-06-08 |
| 1427563006 | H-e-b, Lp | Clinical Medical Laboratory | 5251 Fm 2920, Spring, TX 77388 | 2017-12-05 |
| 1487165536 | Rx Spring Pharmacy | Pharmacy | 3301 Louetta Rd, Suite 101, Spring, TX 77388 | 2017-10-17 |
| 1679091045 | Fresenius Medical Care Spring Klein Dialysis Center, LLC | Clinic/Center | 5230 Fm 2920 Road, Spring, TX 77388 | 2017-09-06 |
| 1801312194 | Ashley Neal | Behavioral Analyst | 21426 Hannover Pines Dr., Spring, TX 77388 | 2017-08-17 |
| 1023472602 | Cvs Pharmacy | Pharmacist | 19511 I H 45, Spring, TX 77388 | 2016-04-08 |
| Find all providers in zip 77388 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427396910 | Just Divine Hands, LLC | Assisted Living Facility | 510 Enchanted Hollow Dr, Spring, TX 77388-6108 | 2013-01-18 |
| 1447523683 | Cypresswood Memory Care, LLC | Assisted Living Facility | 6327 Cypresswood Dr, Spring, TX 77379-8208 | 2012-02-20 |
| 1518235845 | Vicki Ann Webb | Assisted Living Facility | 16503 Pilgrims Cir, Spring, TX 77379-7250 | 2011-12-01 |
| 1114217866 | Dorian L Garcia | Assisted Living Facility | 22526 Millgate Dr, Spring, TX 77373-7298 | 2011-04-14 |
| 1295039139 | Atria Senior Living Group, Inc | Assisted Living Facility | 6611 Cypresswood Dr, Spring, TX 77379-7702 | 2011-01-07 |
| 1184640757 | Five Star Woodlands LLC | Assisted Living Facility | 5055 W Panther Creek Dr, Spring, TX 77381-3500 | 2006-07-15 |
| 1265099956 | Atbro LLC | Assisted Living Facility | 710 Shadowbrook Dr, Spring, TX 77380-2233 | 2019-05-29 |
| 1063757649 | Danielle Marie Ratcliffe | Assisted Living Facility | 9505 Northpointe Blvd, Spring, TX 77379 | 2012-12-07 |
| 1710140173 | The Village At Gleannloch Farms, Inc | Assisted Living Facility | 9505 Northpointe Blvd, Spring, TX 77379-3799 | 2008-07-07 |
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|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| 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.