Pasadena Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PASADENA SENIOR CARE, LLC

Practice address

4300 Vista Rd
Pasadena, TX 77504-2118

Phone

(713) 946-6787

NPI assigned

Jun 9, 2017

Organization subpart

Yes

Parent organization

PASADENA SENIOR CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jack Cook

Title

Owner

Phone

(254) 399-6788

Specialties & licenses 1

Addresses

Other names 1

• Vista Nursing and Rehabilitation Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Pasadena Senior Care LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thandavarajan Gopalakrishnan, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1194786137
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1154850329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HORIZON CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126985",
            "telephone_number": "254-399-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042118",
            "telephone_number": "713-946-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA SENIOR CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADENA SENIOR CARE, LLC",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-399-6788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Pasadena, TX
• Providers in Pasadena, 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 Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.