Active NPI
Pend Oreille River Associates, LLC
- Skilled Nursing Facility
- Houston, TX
National Provider Identifier
1093890410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PEND OREILLE RIVER ASSOCIATES, LLC
- Doing business as
- Legend Oaks Healthcare and REhabilitation - Northwest Houston
- Practice address
- 8902 West Road
Houston, TX 77064-8635 - Phone
- (210) 564-0100
- Fax
- (210) 564-0157
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Tomerlin
- Title
- President
- Phone
- (210) 564-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8902 West Road
Houston, TX 77064-8635
Mailing address
1390 E Bitters Rd
San Antonio, TX 78216-2914
Phone (210) 564-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001015021 | Medicaid | TX |
Other names 1
- Legend Oaks Healthcare and REhabilitation - Northwest Houston
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1063053 | Legend Oaks Healthcare and Rehabilitation Center- | Certificate of waiver | Jan 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427328000000",
"number": "1093890410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 E BITTERS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162914",
"telephone_number": "210-564-0100",
"fax_number": "210-564-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8902 WEST ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770648635",
"telephone_number": "210-564-0100",
"fax_number": "210-564-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEND OREILLE RIVER ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2015-03-26",
"status": "A",
"authorized_official_last_name": "TOMERLIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-564-0100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001015021",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legend Oaks Healthcare and REhabilitation - Northwest Houston",
"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 Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.