BRENTWOOD PLACE THREE
NPI 1053700617
Skilled Nursing Facility in Dallas, TX

Active since January 20, 2015CLIA Certified · 4 labs
2/5
Overall Rating
3505 S BUCKNER BLVD BLDG 4, DALLAS, TX 75227(214) 381-1815(214) 381-4454 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brentwood Place Three NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTWOOD PLACE THREE (NPI 1053700617) is a healthcare organization registered as a skilled nursing facility in Dallas, Texas and active in the NPI registry since January 2015. The organization holds 4 active CLIA laboratory certificates and lists David K Byrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053700617
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Location Address3505 S BUCKNER BLVD BLDG 4Dallas, TX 75227-5451
Mailing Address3505 S Buckner Blvd Bldg 4Dallas, TX 75227-5451 · (214) 381-1815 · Fax (214) 381-4454
Fax(214) 381-4454
Organization SubpartNo
Authorized OfficialDavid K ByromCeo · (254) 248-6300
Enumeration DateJanuary 20, 2015
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1053700617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

3505 S BUCKNER BLVD BLDG 4, Dallas, TX 75227

Other Names 1

Doing Business AsBrentwood Place Three

Other Identifiers 1

Medicaid004988TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0723320

Brentwood Place Three · Dallas, TX
Active · expires Jun 23, 2028
CLIA Number45D0723320
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorSolomon G. Gurwitz
Laboratory Phone(214) 381-1815
Laboratory LocationBrentwood Place Three3505-4 S Buckner Blvd, Dallas, TX 75227
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0906897

Brentwood Place One · Dallas, TX
Active · expires Jun 23, 2028
CLIA Number45D0906897
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorSolomon C. Gurwitz
Laboratory Phone(214) 381-1815
Laboratory LocationBrentwood Place One3505-2 S Buckner Blvd, Dallas, TX 75227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2025081

Brentwood Place Four · Dallas, TX
Active · expires May 31, 2027
CLIA Number45D2025081
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorSolomon C. Gurwitz
Laboratory Phone(214) 381-1815
Laboratory LocationBrentwood Place Four3505-5 South Buckner Blvd, Dallas, TX 75227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0985744

Brentwood Place Two · Dallas, TX
Active · expires Apr 26, 2027
CLIA Number45D0985744
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorSolomon Gurwitz
Laboratory Phone(214) 381-1815
Laboratory LocationBrentwood Place Two3505-3 S Buckner Blvd, Dallas, TX 75227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Brentwood Place Three (CMS certification number 675352), from CMS Care Compare.

Brentwood Place Three

Nursing home · Dallas, TX
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number675352
Certified Beds120 beds106 residents per day on average
Medicare & Medicaid Participant SinceJune 9, 1994
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
53.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.56 · LPN 0.47 · RN 0.47
2.5 hrs per resident per day
Weekend Nurse Staffing
2.16 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.4%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
8
Infection-Control Citations
5
Fines
1 totaling $15,986.15
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3505 S BUCKNER BLVD BLDG 4
DALLAS, TX 75227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coryell County Memorial Hospital Authority's NPI number?

The NPI number for Coryell County Memorial Hospital Authority is 1053700617. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Brentwood Place Three.

Where is Coryell County Memorial Hospital Authority located?

Coryell County Memorial Hospital Authority is located at 3505 S Buckner Blvd Bldg 4, Dallas, TX 75227. The listed phone number is (214) 381-1815.

What is Coryell County Memorial Hospital Authority's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Coryell County Memorial Hospital Authority hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Coryell County Memorial Hospital Authority a Medicare-certified nursing home?

Yes. Brentwood Place Three is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Coryell County Memorial Hospital Authority have?

CMS rates Brentwood Place Three 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Coryell County Memorial Hospital Authority accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 3 other insurers list Coryell County Memorial Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coryell County Memorial Hospital Authority was last updated on March 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.