Knewman Holdings, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

130714 Issued in TX

Legal business name

KNEWMAN HOLDINGS, LLC

Doing business as

Pecan Grove

Practice address

929 State Highway 150
New Waverly, TX 77358-3879

Phone

(936) 337-4334

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Karin Kelleher

Title

Admin Assistant

Phone

(936) 232-0965

Specialties & licenses 1

Addresses

Other names 1

• Pecan Grove Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1316245897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 STATE HIGHWAY 150",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773583879",
            "telephone_number": "936-337-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 STATE HIGHWAY 150",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773583879",
            "telephone_number": "936-337-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEWMAN HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "936-232-0965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "130714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.