BRENTWOOD PLACE IV
NPI 1962891523
Skilled Nursing Facility in Dallas, TX

Active since January 20, 2015
3505 S BUCKNER BLVD BLDG 5, DALLAS, TX 75227(214) 381-1815(214) 275-7618 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brentwood Place Iv NPPES

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

BRENTWOOD PLACE IV (NPI 1962891523) is a healthcare organization registered as a skilled nursing facility in Dallas, Texas and active in the NPI registry since January 2015. The organization lists David K Byrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962891523
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Location Address3505 S BUCKNER BLVD BLDG 5Dallas, TX 75227-5451
Mailing Address3505 S Buckner Blvd Bldg 5Dallas, TX 75227-5451 · (214) 381-1815 · Fax (214) 275-7618
Fax(214) 275-7618
Organization SubpartNo
Authorized OfficialDavid K ByromCeo · (254) 248-6300
Enumeration DateJanuary 20, 2015
NPI 1962891523 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.
3505 S BUCKNER BLVD BLDG 5, Dallas, TX 75227

Other Names 1

Doing Business AsBrentwood Place Iv

Other Identifiers 2

Medicare OSCAR/certification676270TX
Medicaid104549TX

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 Coryell County Memorial Hospital Authority's NPI number?

The NPI number for Coryell County Memorial Hospital Authority is 1962891523. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Brentwood Place IV.

Where is Coryell County Memorial Hospital Authority located?

Coryell County Memorial Hospital Authority is located at 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227. The listed phone number is (214) 381-1815.

What is Coryell County Memorial Hospital Authority's specialty?

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

When was this NPI record last updated?

The NPPES record for Coryell County Memorial Hospital Authority was last updated on January 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.