Active NPI
PHCC-la Hacienda Rehabilitation & Health Care Center, LLC
- Skilled Nursing Facility
- Houston, TX
National Provider Identifier
1205117207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- PENDING
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Other names 1
- La Hacienda Rehabilitation & Health Care Center
National Provider Directory
National Provider DirectoryLocations
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.