BRIDGEMOOR OF ROUND ROCK
NPI 1033654603
Skilled Nursing Facility in Austin, TX
NPI Status: Active since January 05, 2017
Contact Information
16219 RANCH ROAD 620 N
AUSTIN, TX
ZIP 78717
Phone: (183) 452-0512
Fax: (737) 202-4399
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 45D2135862
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 02-11-2026
About BRIDGEMOOR OF ROUND ROCK
This page provides the complete NPI Profile along with additional information for Bridgemoor Of Round Rock, a provider established in Austin, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1033654603 assigned on January 2017. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bridgemoor Of Round Rock. The authorized official of this NPI record is Mark Fritz (President)
- NPI
- 1033654603
- Provider Legal Name
- MOC ROUND ROCK LLC
- Other Organization Name
- BRIDGEMOOR OF ROUND ROCK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16219 RANCH ROAD 620 N AUSTIN, TX 78717
- Location Phone
- (183) 452-0512
- Location Fax
- (737) 202-4399
- Mailing Address
- 1320 ARROW POINT DR STE 506 CEDAR PARK, TX 78613
- Mailing Phone
- (512) 524-7321
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2017
- Last Update Date
- 12-28-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License State
- TX
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2135862
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- February 12, 2024
- Certificate Expiration Date
- February 11, 2026
- Laboratory Director
- ILIANA GREVER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bridgemoor Of Round Rock on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 6 | 5 | 4 | 6 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 12 | 5 | 8 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 2 + 5 + 8 + 6 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1033654603 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376801282 | CHRISTINA ANGELA ROMAIN NP Individual | Nurse Practitioner (Adult Health) | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 673-8624 |
| 1851873368 | DR. NICOLE WRAY PT, DPT Individual | Physical Therapist | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1104487081 | MS. CARRIE ANN GUTIERREZ PTA Individual | Physical Therapy Assistant | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1710647326 | IGNITE MEDICAL RESORT ROUND ROCK LLC Organization | Skilled Nursing Facility | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1992443949 | IGNITE MEDICAL RESORT ROUND ROCK LLC Organization | Clinic/Center (Rehabilitation) | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1427774249 | DANIELLE BERGDAHL JOHNSON FNP-BC Individual | Nurse Practitioner (Family) | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1437991239 | LEAH MANLEY BRADBERRY CCC-SLP Individual | Speech-Language Pathologist | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1184215626 | HARSHIL PRITPAL SINGH Individual | Occupational Therapist | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
| 1538905542 | GLENDA DEEDEE CHRISMAN Individual | Physical Therapy Assistant | 16219 RANCH ROAD 620 N AUSTIN, TX 78717 (512) 520-1834 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033654603, enumerated in the NPI registry as an "organization" on January 05, 2017
The provider is located at 16219 Ranch Road 620 N Austin, Tx 78717 and the phone number is (183) 452-0512
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2135862 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 05, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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