SPRING CREEK VILLAGE
NPI 1396112173
Assisted Living Facility in Spring, TX

Active since August 27, 2015CLIA 45D2101672 · Waiver
20305 HOLZWARTH RD, SPRING, TX 77388(281) 257-2299(281) 996-1141 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 45D2101672
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-07-2027

About SPRING CREEK VILLAGE

This page provides the complete NPI Profile along with additional information for Spring Creek Village, a provider established in Spring, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396112173 assigned on August 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Spring Creek Village. The authorized official of this NPI record is Mrs. Patricia E Cook (Paralegal)

NPI
1396112173 Verify this NPI
Provider Legal Name
BRIDGEWOOD VILLAGE ON SC TRS, LLC
Other Organization Name
SPRING CREEK VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20305 HOLZWARTH RD SPRING, TX 77388
Location Phone
(281) 257-2299
Location Fax
(281) 996-1141
Mailing Address
6363 WOODWAY DR #410 HOUSTON, TX 77057
Mailing Phone
(281) 996-0101
Mailing Fax
(281) 996-1141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2015
Last Update Date
08-27-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PATRICIA E COOK

Authorized Official Title
PARALEGAL
Authorized Official Phone
(281) 996-0101

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2101672
Facility Type
Assisted Living Facility
Certificate Effective Date
September 08, 2025
Certificate Expiration Date
September 07, 2027
Laboratory Director
JUSTIN MORIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spring Creek Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SPRING CREEK VILLAGE

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Occupational Therapist
20305 HOLZWARTH RD
SPRING, TX 77388
Physical Medicine & Rehabilitation
20305 HOLZWARTH RD
SPRING, TX 77388
Physical Therapist
20305 HOLZWARTH RD
SPRING, TX 77388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396112173, enumerated as an "organization" on August 27, 2015.

The provider is located at 20305 HOLZWARTH RD SPRING, TX 77388 and the phone number is (281) 257-2299.

Assisted Living Facility with taxonomy code 310400000X.