Organization Active NPI

Hsmtx/Stallones-Tomball, LLC

  • Assisted Living Facility
  • Tomball, TX
National Provider Identifier
1184726945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
116122 Issued in TX
Legal business name
HSMTX/STALLONES-TOMBALL, LLC
Practice address
13415 Medical Complex Dr
Tomball, TX 77375-3309
Phone
(281) 357-4843
Fax
(281) 357-5808
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles A. Davis
Title
VP Finance
Phone
(713) 934-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 116122 TX Primary

Addresses

Primary practice location

13415 Medical Complex Dr
Tomball, TX 77375-3309

Mailing address

5300 Hollister St
Suite 550
Houston, TX 77040-6137
Phone (713) 934-7800

Other identifiers 1

IdentifierTypeStateIssuer
000638OtherTXVENDOR/FACILITY ID

Other names 1

  • Tomball Retirement Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184726945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER ST",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406137",
            "telephone_number": "713-934-7800",
            "fax_number": "713-895-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13415 MEDICAL COMPLEX DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753309",
            "telephone_number": "281-357-4843",
            "fax_number": "281-357-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSMTX/STALLONES-TOMBALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "713-934-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "116122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR/FACILITY ID",
            "identifier": "000638",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomball Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.