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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2026
- 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. Derek Prince
- Title
- Authorized Official
- Phone
- (281) 419-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.