Organization Active NPI

CWP Healthcare of Edgewater LLC

  • Skilled Nursing Facility
  • Galveston, TX
National Provider Identifier
1073742599
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CWP HEALTHCARE OF EDGEWATER LLC
Practice address
2228 Seawall Blvd
Galveston, TX 77550-8940
Phone
(972) 818-7500
Fax
(972) 732-6644
NPI assigned
Jul 6, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Charles William Putnam Jr.
Title
Owner
Phone
(972) 818-7500

Specialties & licenses 1

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

Addresses

Primary practice location

2228 Seawall Blvd
Galveston, TX 77550-8940

Mailing address

5305 Village Creek Dr
Plano, TX 75093-4810
Phone (972) 818-7500

National Provider Directory

National Provider Directory

Locations

5305 Village Creek Dr
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1073742599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 VILLAGE CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934810",
            "telephone_number": "972-818-7500",
            "fax_number": "972-732-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508940",
            "telephone_number": "972-818-7500",
            "fax_number": "972-732-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CWP HEALTHCARE OF EDGEWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-818-7500",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.