Organization Active NPI

Pine Tree Acres

  • Assisted Living Facility
  • Pasadena, TX
National Provider Identifier
1134650385
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
146534 Issued in TX
Legal business name
PINE TREE ACRES
Practice address
5128 Pine Ave
Pasadena, TX 77503-3765
Phone
(281) 487-3113
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Jamie Molen
Title
Administrator / Director
Phone
(281) 487-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 146534 TX Primary

Addresses

Primary practice location

5128 Pine Ave
Pasadena, TX 77503-3765

Mailing address

5128 Pine Ave
Pasadena, TX 77503-3765
Phone (281) 487-3113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1134650385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 PINE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033765",
            "telephone_number": "281-487-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 PINE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033765",
            "telephone_number": "281-487-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE ACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MOLEN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR / DIRECTOR",
        "authorized_official_telephone_number": "281-487-3113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "146534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.