Active NPI
Memorial Senior Services Nursing Center
Doing business as Memorial Hermann Hospital System
- Skilled Nursing Facility
- Houston, TX
National Provider Identifier
1154357218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 000407
- Legal business name
- MEMORIAL SENIOR SERVICES NURSING CENTER
- Doing business as
- Memorial Hermann Hospital System
- Practice address
- 7600 Beechnut
Houston, TX 77074 - Phone
- (713) 456-5000
- Fax
- (713) 338-4158
- NPI assigned
- Jun 23, 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
- Mr. Dennis Laraway
- Title
- Cfo
- Phone
- (713) 242-2707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000407 | TX | Primary |
Addresses
Primary practice location
7600 Beechnut
Houston, TX 77074
Mailing address
PO Box 201367
Houston, TX 77216-1367
Phone (713) 338-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020834001 | Medicaid | TX |
Other names 1
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Tax ID family
- Memorial Hermann Affiliated Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba University Place Retirement Community
- Adult Care Home Facility
- Houston, TX
- NPI 1124205968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380758400000",
"number": "1154357218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201367",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772161367",
"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": "7600 BEECHNUT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77074",
"telephone_number": "713-456-5000",
"fax_number": "713-338-4158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL SENIOR SERVICES NURSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2013-10-03",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "000407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020834001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Hermann Hospital System",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Memorial Pulmonary and Sleep Disorders Associates P a
- Memorial Pulmonology PA
- Memorial Rehabilitation Associates, P.a.
- Memorial Relationships & Couples Center, PLLC. (Rocio J. Tharp)
- Memorial Rheumatology PA
- Memorial Skin PA
- Memorial Southeast Emergency Physicians, LLP
- Memorial Southwest Emergency Physicians, LLP
- Memorial Surgical Solutions
- Memorial Therapeutic Products Inc (Memorial Theapeutic Products Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.