NPIMap

Organization Active NPI

Memorial Medical Center

Doing business as Tuscany Village

  • Skilled Nursing Facility
  • Pearland, TX
National Provider Identifier
1275717894
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
125192 Issued in TX
Legal business name
MEMORIAL MEDICAL CENTER
Doing business as
Tuscany Village
Practice address
2750 Miller Ranch Rd
Pearland, TX 77584-9763
Phone
(713) 770-5300
Fax
(713) 770-5301
NPI assigned
Dec 18, 2007
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Jason Anglin
Title
Ceo
Phone
(361) 552-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 125192 TX Primary

Addresses

Primary practice location

2750 Miller Ranch Rd
Pearland, TX 77584-9763

Mailing address

2750 Miller Ranch Rd
Pearland, TX 77584-9763
Phone (713) 770-5300

Other identifiers 1

IdentifierTypeStateIssuer
103462OtherTXFACILITY ID

Other names 1

  • Tuscany Village Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200324001191 TX Part A Provider - Skilled Nursing Facility 3072403096 Practice locations: Pearland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275717894. Details of each certification follow.

Skilled nursing facility certification: CCN 676201

Legal name
MEMORIAL MEDICAL CENTER
Doing business as
TUSCANY VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 4, 2008
Last certification
Jul 25, 2024
Beds
132
Ownership / control type
Individual
Organization structure
GovernmentNon-profit
Enrollment address
2750 Miller Ranch Rd
Pearland, TX 77584-9763
Nursing home name
TUSCANY VILLAGE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tuscany VillageCCN 676201 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Oct 4, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132105.1 residents per day on average
Penalties (3 years)
1Fines totaling $14,069

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1081822Tuscany Village2750 Miller Ranch Rd, Pearland, TX 77584Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Memorial Med Ctr Amb7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 Trinity Shores Dr
Port Lavaca, TX 77979
Phone (325) 869-5911

1300 N Virginia St
Port Lavaca, TX 77979
Phone (361) 551-2513

185 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dongning Chen Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Erin Clevenger Individual Corporate OfficerCeo Oct 1, 2024
Memorial Medical Center Organization, Port Lavaca, TX 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Village Post Acute Health Services LLC Organization, Pearland, TX LLC Operational/Managerial Control Jan 1, 2024 100%
Kayla Barkley Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Cecil Barcelo Individual Operational/Managerial Control Mar 1, 2020

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Medical CenterPort Lavaca, TX, CCN 451356 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Memorial Medical CenterPort Lavaca, TX, CCN 45Z356 Hospital Operational/Managerial Control (100%) Dec 31, 2021
Golden Creek Healthcare and Rehabilitation CenterNavasota, TX, CCN 676097 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Lavaca Bay Nursing and Rehabilitation CenterPort Lavaca, TX, CCN 676481 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 4, 2020
Mar 4, 2020
Feb 27, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Memorial Medical Center

    dba Lavaca Bay Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Port Lavaca, TX
    • NPI 1538719836

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Memorial Medical Center

    dba Golden Creek Healthcare and Rehabilitation Center

    • Skilled Nursing Facility
    • Navasota, TX
    • NPI 1588075964

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Memorial Medical Center
    • Critical Access Hospital
    • Port Lavaca, TX
    • NPI 1689630865

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1275717894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MILLER RANCH RD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849763",
            "telephone_number": "713-770-5300",
            "fax_number": "713-770-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MILLER RANCH RD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849763",
            "telephone_number": "713-770-5300",
            "fax_number": "713-770-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-552-0240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "125192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "103462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscany Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.