HERITAGE RESIDENTIAL
NPI 1750617718
Assisted Living Facility - Assisted Living, Mental Illness in Devine, TX
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About HERITAGE RESIDENTIAL
This page provides the complete NPI Profile along with additional information for Heritage Residential, a provider established in Devine, Texas operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1750617718 assigned on October 2009. The practitioner's primary taxonomy code is 3104A0625X with license number 126697 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Heritage Residential. The authorized official of this NPI record is Brenda Joyce Burford Lvn (Owner)
- NPI
- 1750617718 Verify this NPI
- Provider Legal Name
- BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC.
- Other Organization Name
- HERITAGE RESIDENTIAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 307 BRISCOE AVE DEVINE, TX 78016
- Location Phone
- (830) 665-2000
- Location Fax
- (830) 663-2832
- Mailing Address
- PO BOX 570 307 BRISCOE AVE DEVINE, TX 78016
- Mailing Phone
- (830) 665-2000
- Mailing Fax
- (830) 663-2832
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2009
- Last Update Date
- 10-27-2009
- Code Navigator
Location Map
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 Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 126697
- License State
- TX
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750617718, enumerated as an "organization" on October 27, 2009.
The provider is located at 307 BRISCOE AVE DEVINE, TX 78016 and the phone number is (830) 665-2000.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
