Organization Active NPI

The Pine Tree of Pasadena LLC

  • Assisted Living Facility
  • Pasadena, TX
National Provider Identifier
1003468281
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE PINE TREE OF PASADENA LLC
Practice address
5128 Pine Ave
Pasadena, TX 77503-3765
Phone
(281) 487-3113
Fax
(832) 230-8711
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Ms. Jamie Marie Molen
Title
Administrator
Phone
(281) 487-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5128 Pine Ave
Pasadena, TX 77503-3765

Mailing address

5128 Pine Ave
Pasadena, TX 77503-3765
Phone (281) 487-3113

Other names 1

  • The Pine Tree Of Pasadena, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Pine Tree of Pasadena LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1003468281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 PINE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033765",
            "telephone_number": "281-487-3113",
            "fax_number": "832-230-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 PINE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033765",
            "telephone_number": "281-487-3113",
            "fax_number": "832-230-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PINE TREE OF PASADENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MOLEN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-487-3113",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pine Tree Of Pasadena, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.