Organization Active NPI

HMG Park Manor of Mount Pleasant, LLC

Doing business as Ellis Creek Rehabilitation and Wellness Center

  • Skilled Nursing Facility
  • Mount Pleasant, TX
National Provider Identifier
1215835996
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HMG PARK MANOR OF MOUNT PLEASANT, LLC
Doing business as
Ellis Creek Rehabilitation and Wellness Center
Practice address
1606 Memorial Ave
Mount Pleasant, TX 75455-2345
Phone
(903) 572-3618
Fax
(903) 572-8247
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Mr. Derek Prince
Title
Authorized Official
Phone
(281) 419-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1606 Memorial Ave
Mount Pleasant, TX 75455-2345

Mailing address

1780 Hughes Landing Blvd
The Woodlands, TX 77380-4021
Phone (281) 419-5520

Other names 1

  • Ellis Creek Rehabilitation and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1780 Hughes Landing Blvd
The Woodlands, TX 77380

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1215835996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HUGHES LANDING BLVD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804021",
            "telephone_number": "281-419-5520",
            "fax_number": "281-419-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 MEMORIAL AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552345",
            "telephone_number": "903-572-3618",
            "fax_number": "903-572-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMG PARK MANOR OF MOUNT PLEASANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-419-5520",
        "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": "Ellis Creek Rehabilitation and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.