Organization Active NPI

PHCC-la Hacienda Rehabilitation & Health Care Center, LLC

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1205117207
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in TX
Legal business name
PHCC-LA HACIENDA REHABILITATION & HEALTH CARE CENTER, LLC
Doing business as
La Hacienda Rehabilitation & Health Care Center
Practice address
3730 W. Orem Dr.
Houston, TX 77045-4749
Phone
(210) 545-6320
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. James Meyers
Title
Ceo
Phone
(210) 545-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PENDING TX Primary

Addresses

Primary practice location

3730 W. Orem Dr.
Houston, TX 77045-4749

Mailing address

19115 FM 2252
Suite 1
Garden Ridge, TX 78266-2577

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • La Hacienda Rehabilitation & Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

19115 FM 2252
Ste 1
San Antonio, TX 78266

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1205117207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 FM 2252",
            "address_2": "SUITE 1",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 W. OREM DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454749",
            "telephone_number": "210-545-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCC-LA HACIENDA REHABILITATION & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-545-6320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Hacienda Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.