CWP Healthcare Op LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CWP HEALTHCARE OP LLC

Doing business as

Manda Ann Convalescent Home

Practice address

7441 Coffee St
Houston, TX 77033-3455

Phone

(713) 733-9471

Fax

(713) 733-6597

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Charles Putnam

Title

Manager

Phone

(972) 818-7500

Specialties & licenses 1

Addresses

Other names 1

• Manda Ann Convalescent Home Doing business as

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1124421979",
    "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": "7441 COFFEE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770333455",
            "telephone_number": "713-733-9471",
            "fax_number": "713-733-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CWP HEALTHCARE OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-818-7500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manda Ann Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Houston, TX
• Providers in Houston, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.