1. Home
  2. Directory
  3. Texas
  4. Stamford
  5. Intermediate Care Facility Mental Illness
  6. NPI Profile

SAGEBRUSH LIVING CENTER
NPI 1174589683
Intermediate Care Facility, Mental Illness in Stamford, TX

Active since April 24, 2006
1101 COLUMBIA, STAMFORD, TX 79553(325) 773-2791 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sagebrush Living Center NPPES

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

SAGEBRUSH LIVING CENTER (NPI 1174589683) is a healthcare organization registered as an intermediate care facility, mental illness in Stamford, Texas and active in the NPI registry since April 2006. The organization lists Mike Hawker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174589683
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameSAGEBRUSH LIVING CENTER LTD
Location Address1101 COLUMBIAStamford, TX 79553
Mailing Address845 Proton RdSan Antonio, TX 78258-4203 · (210) 340-7155
Phone(325) 773-2791
Organization SubpartNo
Authorized OfficialMike HawkerCfo · (210) 340-7155
Enumeration DateApril 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174589683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in TX · 003705
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
1101 COLUMBIA, Stamford, TX 79553
Open in Google Maps ↗

Other Names 1

Other NameSagebrush Living Center

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 Sagebrush Living Center Ltd's NPI number?

The NPI number for Sagebrush Living Center Ltd is 1174589683. It was assigned to this organization in the NPPES registry on April 24, 2006. The provider is also known as Sagebrush Living Center.

Where is Sagebrush Living Center Ltd located?

Sagebrush Living Center Ltd is located at 1101 Columbia, Stamford, TX 79553. The listed phone number is (325) 773-2791.

What is Sagebrush Living Center Ltd's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Sagebrush Living Center Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.