Organization Active NPI

Memorial Hermann Health System

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1124053970
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Practice address
7480 Beechnut St
Houston, TX 77074-4502
Phone
(713) 541-2900
Fax
(713) 338-4158
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 111656 TX
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

7480 Beechnut St
Houston, TX 77074-4502

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
001025488MedicaidTX

Other names 1

  • University Place Nursing Center Doing business as

National Provider Directory

National Provider Directory

Locations

909 Frostwood Dr
Ste 350610
Houston, TX 77024

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1124053970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744502",
            "telephone_number": "713-541-2900",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "111656",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Place Nursing Center",
            "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 Apr 13, 2016; 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.