MEDICARE: BRENTWOOD HEALTHCARE, LTD

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	314000000X	Skilled Nursing Facility	110094	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740270651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENTWOOD HEALTHCARE, LTD

Provider Business Mailing Address
First Line	:	600 E WHALEY ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-6525
Country	:	US
Telephone Number	:	903-757-5360
Fax Number	:	903-236-7036

Provider Business Practice Location Address
First Line	:	3505 S BUCKNER BLVD BLDG 3
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-5451
Country	:	US
Telephone Number	:	214-388-0424
Fax Number	:	214-381-4454

Authorized Official
Title or Position	:	PRES OF GENERAL PARTNER
Name	:	DICK STEBBINS
Credential	:	CPA
Telephone Number	:	903-757-5360

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	09/13/2012

Similar Medicare Providers

1700875705 — BRENTWOOD HEALTHCARE, LTD
Practice Location Address:

3505 S BUCKNER BLVD BLDG 2
DALLAS, TX
75227-5451

Practice Phone: 214-388-0609
Practice Fax: 214-388-2643

1972592970 — BRENTWOOD HEALTHCARE, LTD
Practice Location Address:

3505 S BUCKNER BLVD BLDG 4
DALLAS, TX
75227-5451

Practice Phone: 214-381-1815
Practice Fax: 214-275-7618

1366646366 — ABULHASAN SAYED MD
Practice Location Address:

3505 S BUCKNER BLVD
DALLAS, TX
75227-5451

Practice Phone: 646-388-1358
Practice Fax: 877-451-9347

1861826893 — AUHB PRIMARY CARE PA
Practice Location Address:

3505 S BUCKNER BLVD
DALLAS, TX
75227-5451

Practice Phone: 214-237-3250
Practice Fax:

1750770749 — CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice Location Address:

3505 S BUCKNER BLVD BLDG 2
DALLAS, TX
75227-5451

Practice Phone: 214-381-1815
Practice Fax: 214-388-2643

1144619701 — CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice Location Address:

3505 S BUCKNER BLVD BLDG 3
DALLAS, TX
75227-5451

Practice Phone: 214-388-0519
Practice Fax: 214-381-3767

Directions to “BRENTWOOD HEALTHCARE, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.