Transitional Learning Center at Galveston

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

134987 Issued in TX

Legal business name

TRANSITIONAL LEARNING CENTER AT GALVESTON

Doing business as

Moody Neurorehabilitation Institute - Tideway
TideWay

Practice address

6444 Central City Blvd
Galveston, TX 77551-2058

Phone

(409) 741-3266

NPI assigned

Aug 2, 2013

Last updated

Dec 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Anderson

Title

Contract Manager

Phone

(409) 797-1468

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Moody Neurorehabilitation Institute - Tideway Doing business as
• TideWay Doing business as

Electronic endpoints 1

Tax ID family

Transitional Learning Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Transitional Learning Center

  dba Moody Neurorehabilitation Institute - WestWay

  • Assisted Living Facility
  • Lubbock, TX
  • NPI 1801242839
  NPD tax ID
• Transitional Learning Center at Galveston

  dba Moody Neurorehabilitation Institute - Lubbock

  • Assisted Living Facility
  • Lubbock, TX
  • NPI 1295905362
  NPD tax ID

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1053743856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 POSTOFFICE STREET",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504833",
            "telephone_number": "409-797-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 CENTRAL CITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512058",
            "telephone_number": "409-741-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Postoffice St.",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77550",
            "country_code": "US",
            "telephone_number": "409-789-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONAL LEARNING CENTER AT GALVESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "409-797-1468"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "134987",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE",
            "identifier": "148770",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE",
            "identifier": "150157",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janderson@moodyneuro.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "1528 Postoffice St.",
            "city": "Galveston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Moody Neurorehabilitation Institute - Tideway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TideWay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TideWay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Tran, DO
• Nguyen Khoi Tran, MD
• Timothy Viet Khoi Tran
• Viet Khoi Tran, MD
• Vivian VI Tran, MD
• Justin Matthew Trant, MD
• Leonard V. Trapani, M.D.
• Caroline Tremblay, LCSW
• Dorothy B Trevino, PHD
• Brian Trieu, D.O.

• Assisted Living Facility in Galveston, TX
• Providers in Galveston, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.