AMBASSADOR HEALTH CARE OF BRADY INC (NPI# 1902993066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902993066 |
| Entity Type | Organization |
| Organization Name | AMBASSADOR HEALTH CARE OF BRADY INC |
| Other Organization Name | HERITAGE DUVAL GARDENS |
| Practice Address |
5301 Duval Rd Austin TX 78727-6618 |
| Mailing Address |
1771 International Pkwy Suite 121 Richardson TX 75081-1897 |
| Practice Telephone | 5123451805 |
| Mailing Telephone | 9724790844 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. THERESA L LOFTICE (AR MANAGER) |
| Authorized Official Telephone | 9724790766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 108291 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 4970 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Duval Gardens | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770670937 | Ambassador Health Care of Brady Inc | Skilled Nursing Facility | 1615 Hillendahl Blvd, Houston, TX 77055-3413 | 2006-10-09 |
| 1104913268 | Ambassador Health Care of Brady Inc | Skilled Nursing Facility | 519 9th Ave N, Texas City, TX 77590-6316 | 2006-10-09 |
| Street Address |
5301 DUVAL RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184104655 | Rakhi Nandaram | Physical Therapist | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-15 |
| 1356821987 | Gregory Stanford Quick | Physical Therapy Assistant | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1215417845 | Deborah Kay Denning | Occupational Therapy Assistant | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1669951299 | Shawn Scharf | Physical Therapy Assistant | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1841770476 | Kyle Salvadore | Physical Therapy Assistant | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1639659261 | Kristin Grochowalski | Occupational Therapist | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1154801728 | Laura Susan Dunaway | Speech-Language Pathologist | 5301 Duval Rd, Austin, TX 78727-6618 | 2018-08-14 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1477807774 | Litty R Vadakkan | Nurse Practitioner | 5301 Duval Rd, Ste A-500, Austin, TX 78727-6618 | 2012-11-08 |
| 1770648982 | Duval Gardens Nursing & Rehabilitation, L.p. | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256285 | Center At Parmer, LLC | Skilled Nursing Facility | 13800 N Fm 620 Rd # Sb, Austin, TX 78717-1126 | 2019-07-16 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1912305277 | Riverside Scc LLC | Skilled Nursing Facility | 6801 E Riverside Dr, Austin, TX 78741-6633 | 2014-12-18 |
| 1568884773 | Legend Oaks - Austin, LLC | Skilled Nursing Facility | 11020 Dessau Rd, Austin, TX 78754-2053 | 2014-01-08 |
| 1366716516 | John A Luker Md Pa | Skilled Nursing Facility | 4029 S Capital of Texas Hwy Ste 115, Austin, TX 78704-7920 | 2012-03-06 |
| 1841567435 | Kaleb Healthcare Services,inc. | Skilled Nursing Facility | 12318 Thompkins Dr, Austin, TX 78753-7016 | 2011-11-26 |
| 1407157555 | Onion Creek Scc LLC | Skilled Nursing Facility | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 | 2010-11-05 |
| 1477879401 | Phcc-brodie Ranch Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 2101 Frate Barker Road, Austin, TX 78748-3614 | 2010-04-15 |
| 1588894596 | Phcc-riverside Rehabilitation and Health Care Center, LLC | Skilled Nursing Facility | 6801 E. Riverside Dr., Austin, TX 78741-3051 | 2009-07-24 |
| 1053547463 | Mason Dessau Op LLC | Skilled Nursing Facility | 11020 Dessau Road, Austin, TX 78754-2053 | 2009-06-01 |
| Find all providers in AUSTIN | ||||
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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.