Greenbreak, Inc. in Fort Worth - Intermediate Care Facility, Intellectual Disabilities
Greenbreak, Inc. - NPI 1366643819
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 1366643819. 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 | 1366643819 |
|---|---|
| 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 |
|---|---|---|---|
| 389002 | TX | CONTRACT | |
| 389002 | TX | CONTRACT # | |
| 116243 | TX | LICENSE |
Post Comment/ Review Below
What is the Greenbreak, Inc.'s unique identification number?
The Greenbreak, Inc. has been assigned the NPI (National Provider Identifier) Number 1366643819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Greenbreak, Inc. is physically located?
The Greenbreak, Inc. is situated at the following address: 4800 Overton Plz Ste 440, Fort Worth, TX 761094435.
What is Greenbreak, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Greenbreak, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366643819 to Greenbreak, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1366643819 to Greenbreak, Inc. on 2007-05-31.
As of what date were the details pertaining to Greenbreak, Inc. last refreshed?
The information related to the Greenbreak, Inc., including its address, specialty, and other relevant details, was last updated on 2020-12-07.
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