FMSC Clute Operating Company LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMSC CLUTE OPERATING COMPANY LP

Doing business as

Woodlake Nursing Home

Practice address

603 E Plantation Dr
Clute, TX 77531-5719

Phone

(979) 265-4221

NPI assigned

Feb 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Robaina Jr., B.S.

Title

VP of Reimbursments

Phone

(305) 892-1790

Specialties & licenses 1

Addresses

Other names 1

• Woodlake Nursing Home Doing business as

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235102625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 BISCAYNE BLVD SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-892-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E PLANTATION DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315719",
            "telephone_number": "979-265-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMSC CLUTE OPERATING COMPANY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VP OF REIMBURSMENTS",
        "authorized_official_telephone_number": "305-892-1790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Clute
• Coastal Staff Relief, Inc.
• Halle Thy Uyen Dao
• Kathryn A Davies, MA CCC/SLP
• Sophia Alviar Fase, PHARM.D.
• Abigail Freking, SLP
• Grace International Churches and Ministries Inc (Destiny Cares)
• Nicholas T Grahmann, PTA
• Natalie Guel
• Help Home Health Hospice and Palliative Care Inc

• Skilled Nursing Facility in Clute, TX
• Providers in Clute, 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 22, 2020; 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.