Organization Active NPI

Capstone VM Holdings LP

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1003279928
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
145129 Issued in TX
Legal business name
CAPSTONE VM HOLDINGS LP
Practice address
1424 Fallbrook Dr
Houston, TX 77038-1846
Phone
(346) 754-5070
Fax
(281) 741-0355
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Moman
Title
President
Phone
(469) 712-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 145129 TX Primary

Addresses

Primary practice location

1424 Fallbrook Dr
Houston, TX 77038-1846

Mailing address

1424 Fallbrook Dr
Houston, TX 77038-1846
Phone (346) 754-5070

Other identifiers 1

IdentifierTypeStateIssuer
001027823MedicaidTX

Other names 2

  • Capstone Healthcare Estates at Veterans Memorial Doing business as
  • Grace Care Center At Veterans Memorial Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160801000113 TX Part A Provider - Skilled Nursing Facility 4082907886 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1003279928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381846",
            "telephone_number": "346-754-5070",
            "fax_number": "281-741-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381846",
            "telephone_number": "346-754-5070",
            "fax_number": "281-741-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE VM HOLDINGS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MOMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-712-6025"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "145129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027823",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Healthcare Estates at Veterans Memorial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Care Center At Veterans Memorial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Care Center At Veterans Memorial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.