BROADMOOR MEDICAL LODGE
NPI 1083958862
Skilled Nursing Facility in Rockwall, TX
About Broadmoor Medical Lodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADMOOR MEDICAL LODGE (NPI 1083958862) is a healthcare organization registered as a skilled nursing facility in Rockwall, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Renee Crabb, Executive Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
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 45D2051807
Broadmoor Medical Lodge · Rockwall, TXOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Scc Partners, Inc.'s NPI number?
The NPI number for Scc Partners, Inc. is 1083958862. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Broadmoor Medical Lodge.
Where is Scc Partners, Inc. located?
Scc Partners, Inc. is located at 5242 Medical Dr, Rockwall, TX 75032. The listed phone number is (972) 772-8700.
What is Scc Partners, Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Scc Partners, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2051807) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Scc Partners, Inc. was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.