Mason Friendswood Op LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

132738 Issued in TX

Legal business name

MASON FRIENDSWOOD OP LLC

Practice address

1500 Sunset Dr
Friendswood, TX 77546-4724

Phone

(281) 992-4300

Fax

(281) 992-0964

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

John Ballard Jr.

Title

Administrator

Phone

(281) 992-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Friendship Haven Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1225293855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUNSET DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464724",
            "telephone_number": "281-992-4300",
            "fax_number": "281-992-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNSET DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464724",
            "telephone_number": "281-992-4300",
            "fax_number": "281-992-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON FRIENDSWOOD OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-992-4300",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "132738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016220",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "004286",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Haven Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Marrero
• Hiram Alberto Martinez, M.D.
• Jessica Michelle Martinez
• John Martinez, PTA
• Patience Martinez, RBT
• Deann Janae Massey, MS, CCC-SLP
• Debra K Matos, LCSW
• Tiffany Diane May
• Gary Wayne Mayfield, DDS
• Joan E McBride, L.M.F.T.

• Skilled Nursing Facility in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.