BRENTWOOD PLACE THREE
NPI 1972592970
Skilled Nursing Facility in Dallas, TX

Active since October 21, 2005CLIA 45D2025081 · Waiver
3505 S BUCKNER BLVD BLDG 4, DALLAS, TX 75227(214) 381-1815(214) 275-7618 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brentwood Place Three NPPES

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

BRENTWOOD PLACE THREE (NPI 1972592970) is a healthcare organization registered as a skilled nursing facility in Dallas, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Dick Stebbins, Pres Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1972592970
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRENTWOOD HEALTHCARE, LTD
Location Address3505 S BUCKNER BLVD BLDG 4Dallas, TX 75227-5451
Mailing Address600 E Whaley StLongview, TX 75601-6525 · (903) 757-5360 · Fax (903) 236-7036
Fax(214) 275-7618
Organization SubpartNo
Authorized OfficialDick StebbinsPres Of General Partner · (903) 757-5360
Enumeration DateOctober 21, 2005
Last NPPES UpdateSeptember 13, 2012
NPI 1972592970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 110093
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 4, Dallas, TX 75227

Other Names 1

Doing Business AsBrentwood Place Three

Other Identifiers 5

Medicaid112772203TX
Medicaid000498807TX
Medicaid021919801TX
MedicaidHO6753525TX
Medicare OSCAR/certification67-5352TX

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 45D2025081

Brentwood Place Four · Dallas, TX
Active · expires May 31, 2027
CLIA Number45D2025081
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorSolomon C. Gurwitz
Laboratory Phone(214) 381-1815
Laboratory LocationBrentwood Place Four3505-5 South Buckner Blvd, Dallas, TX 75227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
3505 S BUCKNER BLVD BLDG 4
DALLAS, TX 75227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972592970, enumerated as an "organization" on October 21, 2005.

The provider is located at 3505 S BUCKNER BLVD BLDG 4 DALLAS, TX 75227 and the phone number is (214) 381-1815.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.