ISLE AT WATERCREST - BRYAN
NPI 1619308558
Skilled Nursing Facility in Bryan, TX

Active since December 03, 2013CLIA 45D2075354 · Waiver
4091 EASTCHESTER DR, BRYAN, TX 77802(979) 774-3401 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Isle At Watercrest - Bryan NPPES

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

ISLE AT WATERCREST - BRYAN (NPI 1619308558) is a healthcare organization registered as a skilled nursing facility in Bryan, Texas and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Holly J Greer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1619308558
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHP ISLE AT WATERCREST-BRYAN TX TENANT CORP.
Location Address4091 EASTCHESTER DRBryan, TX 77802-4735
Mailing Address4091 Eastchester DrBryan, TX 77802-4735 · (979) 774-3401
Organization SubpartNo
Authorized OfficialHolly J GreerSecretary · (470) 540-7500
Enumeration DateDecember 3, 2013
Last NPPES UpdateFebruary 17, 2015
NPI 1619308558 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.
4091 EASTCHESTER DR, Bryan, TX 77802

Other Names 1

Doing Business AsIsle At Watercrest - Bryan

Other Identifiers 1

Medicare OSCAR/certification676277TX

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 45D2075354

Isle At Watercrest-Bryan · Bryan, TX
Active · expires Mar 25, 2028
CLIA Number45D2075354
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorNigel Skyte
Laboratory Phone(979) 774-3401
Laboratory LocationIsle At Watercrest-Bryan4091 Eastchester Drive, Bryan, TX 77802
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 12

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

Clinic/Center (Physical Therapy)
4091 EASTCHESTER DR
BRYAN, TX 77802
Physical Therapist
4091 EASTCHESTER DR
BRYAN, TX 77802
Speech-Language Pathologist
4091 EASTCHESTER DR
BRYAN, TX 77802
Speech-Language Pathologist
4091 EASTCHESTER DR
BRYAN, TX 77802
Occupational Therapist
4091 EASTCHESTER DR
BRYAN, TX 77802
Physical Therapy Assistant
4091 EASTCHESTER DR
BRYAN, TX 77802
Speech-Language Pathologist
4091 EASTCHESTER DR
BRYAN, TX 77802
Physical Therapist
4091 EASTCHESTER DR
BRYAN, TX 77802

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 Chp Isle At Watercrest-Bryan Tx Tenant Corp.'s NPI number?

The NPI number for Chp Isle At Watercrest-Bryan Tx Tenant Corp. is 1619308558. It was assigned to this organization in the NPPES registry on December 3, 2013. The provider is doing business as Isle At Watercrest - Bryan.

Where is Chp Isle At Watercrest-Bryan Tx Tenant Corp. located?

Chp Isle At Watercrest-Bryan Tx Tenant Corp. is located at 4091 Eastchester Dr, Bryan, TX 77802. The listed phone number is (979) 774-3401.

What is Chp Isle At Watercrest-Bryan Tx Tenant Corp.'s specialty?

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

Does Chp Isle At Watercrest-Bryan Tx Tenant Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2075354) is associated with this NPI, valid through March 25, 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 Chp Isle At Watercrest-Bryan Tx Tenant Corp. was last updated on February 17, 2015. 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.