Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BROADMOOR CONTINUING CARE CENTER LTD. CO.
Active
Organization
BROADMOOR CONTINUING CARE CENTER LTD. CO.
Active
Other names
The Broadmoor at Creekside Park
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M SMITH (LEGAL ASSISTANT/CLAIMS MANAGER)
(214) 954-4114
Entity
Organization
Contact information
Practice address
5665 CREEKSIDE FOREST DR, THE WOODLANDS, TX 77389-4969
(281) 255-8180
(281) 255-8190
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 880-0053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025592
—
TX
Enumeration date
11/20/2013
Last updated
04/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers