Organization Active NPI

HP Sunnybrook of Texas Inc

  • Skilled Nursing Facility
  • Corpus Christi, TX
National Provider Identifier
1114950300
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
113261 Issued in TX
Legal business name
HP SUNNYBROOK OF TEXAS INC
Practice address
3050 Sunnybrook Drive
Corpus Christi, TX 78415-1797
Phone
(361) 853-9981
Fax
(361) 853-1907
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Douglas K Mittleider
Title
President
Phone
(770) 619-0866

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 113261 TX Primary
Nursing Facility Supplies (DME) 332BN1400X 651 GA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 651 GA

Addresses

Primary practice location

3050 Sunnybrook Drive
Corpus Christi, TX 78415-1797

Mailing address

925 N Point Pkwy
Suite 440
Alpharetta, GA 30005-5210
Phone (770) 619-0866

Other identifiers 1

IdentifierTypeStateIssuer
4245MedicaidTX

Other names 1

  • Sunnybrook Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1114950300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "SUITE 440",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SUNNYBROOK DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151797",
            "telephone_number": "361-853-9981",
            "fax_number": "361-853-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP SUNNYBROOK OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113261",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "GA",
            "license": "651",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4245",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnybrook Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.