Greenbreak, Inc. in Fort Worth - Intermediate Care Facility, Intellectual Disabilities
Greenbreak, Inc. - NPI 1225239759
Greenbreak, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Fort Worth, Texas. Greenbreak, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Greenbreak, Inc. is 1225239759. The last update date is 2020-12-07.
Greenbreak, Inc.'s current location address is 4800 Overton Plz Ste 440, Fort Worth, Texas. You can contact this provider via phone number 8002995161 and fax number 8174473033. The mailing address for Greenbreak, Inc. is 4800 Overton Plz Ste 440, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greenbreak, Inc. |
|---|---|
| Address | 4800 Overton Plz Ste 440, Fort Worth, Texas |
| Phone Number | 8002995161 |
| Fax Number | 8174473033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Todd Anna |
| Telephone Number | 8002995161 |
NPI Number Detail
| NPI Number | 1225239759 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
| Address | 4800 Overton Plz Ste 440 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761094435 |
| Phone Number | 8002995161 |
| Fax Number | 8174473033 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 394702 | TX | CONTRACT # | |
| 3947 | TX | CONTRACT | |
| 114943 | TX | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Greenbreak, Inc. by the Centers for Medicare & Medicaid Services?
The Greenbreak, Inc. has been assigned the NPI (National Provider Identifier) 1225239759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Greenbreak, Inc. is located?
The Greenbreak, Inc. is situated at the following address: 4800 Overton Plz Ste 440, Fort Worth, TX, 761094435.
What is the area of specialization for Greenbreak, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Greenbreak, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did Greenbreak, Inc. receive its 1225239759 assignment from the Centers for Medicare & Medicaid Services?
The Greenbreak, Inc. was assigned its 1225239759 on 2007-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Greenbreak, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greenbreak, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-07.
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