# SCC PARTNERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SCC HEALTHCARE GROUP, LTD.
- **Other names:** Broadmoor Medical Lodge
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083958862
- **Legal business name:** SCC HEALTHCARE GROUP, LTD.
- **Authorized official:** RENEE CRABB (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (972) 303-7500

## Contact information

- **Practice address:** 5242 MEDICAL DR, ROCKWALL, TX 75032-5001
- **Practice address phone:** (972) 772-8700
- **Practice address fax:** (972) 772-8701
- **Mailing address:** 1413 E I 30, SUITE 7, GARLAND, TX 75043-4784
- **Mailing address phone:** (972) 303-9000
- **Mailing address fax:** (972) 303-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021016 | — | TX |