MEDICARE: BRITTANIA HEALTH CARE FACILITY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	030400	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326108143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRITTANIA HEALTH CARE FACILITY INC

Provider Business Mailing Address
First Line	:	PO BOX 2749
Second Line	:
City	:	PORTER
State	:	TX
Zip	:	77365-2749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 FISHER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-5325
Country	:	US
Telephone Number	:	281-354-2155
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	WILLIAM RAY SWABADO
Credential	:
Telephone Number	:	281-354-2155

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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