1. Home
  2. Directory
  3. Texas
  4. Friendswood
  5. Assisted Living Facility
  6. NPI Profile

CARRIAGE INN-LAKE JACKSON
NPI 1285985929
Assisted Living Facility in Friendswood, TX

Active since September 20, 2012CLIA 45D2064408 · Waiver
211 E PARKWOOD AVE STE 100, FRIENDSWOOD, TX 77546(281) 996-0101(281) 996-1141 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carriage Inn-lake Jackson NPPES

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

CARRIAGE INN-LAKE JACKSON (NPI 1285985929) is a healthcare organization registered as an assisted living facility in Friendswood, Texas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists James D. Gray, Manager, as its authorized official.

NPPES Registry Identity

NPI1285985929
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRIDGEWOOD LAKE JACKSON, LLC
Location Address211 E PARKWOOD AVE STE 100Friendswood, TX 77546-5152
Mailing Address130 Lake RdLake Jackson, TX 77566-3258 · (979) 285-0300 · Fax (979) 285-0338
Phone(281) 996-0101
Fax(281) 996-1141
Organization SubpartNo
Authorized OfficialJames D. GrayManager · (713) 623-6767
Enumeration DateSeptember 20, 2012
✔ NPI 1285985929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
211 E PARKWOOD AVE STE 100, Friendswood, TX 77546
Open in Google Maps ↗

Other Names 1

Doing Business AsCarriage Inn-lake Jackson

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 45D2064408

Carriage Inn - Lake Jackson · Lake Jackson, TX
Active · expires Jul 21, 2028
CLIA Number45D2064408
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorShellie Miller
Laboratory Phone(979) 285-0300
Laboratory LocationCarriage Inn - Lake Jackson130 Lake Road, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BRIDGEWOOD HOUSTON HEIGHTS, LLC
Assisted Living Facility
211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX 77546
Galveston County (281) 996-0101
BRIDGEWOOD SOUTH AUSTIN, LLC
Assisted Living Facility
211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX 77546
Galveston County (281) 996-0101
BRIDGEWOOD HUNTSVILLE, LLC
Assisted Living Facility
211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX 77546
Galveston County (281) 996-0101
BRIDGEWOOD BRYAN, LLC
Assisted Living Facility
211 E PARKWOOD AVE STE 100
FRIENDSWOOD, TX 77546
Galveston County (281) 996-0101

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 Bridgewood Lake Jackson, LLC's NPI number?

The NPI number for Bridgewood Lake Jackson, LLC is 1285985929. It was assigned to this organization in the NPPES registry on September 20, 2012. The provider is doing business as Carriage Inn-Lake Jackson.

Where is Bridgewood Lake Jackson, LLC located?

Bridgewood Lake Jackson, LLC is located at 211 E Parkwood Ave Ste 100, Friendswood, TX 77546. The listed phone number is (281) 996-0101.

What is Bridgewood Lake Jackson, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bridgewood Lake Jackson, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2064408) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgewood Lake Jackson, LLC was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.