Organization
SOUTH OAKS SCC LLC
Active
Other names
Brodie Ranch Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
2101 FRATE BARKER RD, AUSTIN, TX 78748-3614
(512) 444-5627
(512) 368-2034
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026612
—
TX
01
—
5586 104451
VENDOR ID/FACILITY ID
TX
Enumeration date
12/16/2014
Last updated
03/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us