Active NPI
HMG Park Manor of Huntsville, LLC
Doing business as Huntsville Park Rehabilitation and Wellness Center
- Skilled Nursing Facility
- Huntsville, TX
National Provider Identifier
1346148012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HMG PARK MANOR OF HUNTSVILLE, LLC
- Doing business as
- Huntsville Park Rehabilitation and Wellness Center
- Practice address
- 1302 Nottingham St
Huntsville, TX 77340-5622 - Phone
- (936) 295-6313
- 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
1302 Nottingham St
Huntsville, TX 77340-5622
Mailing address
1780 Hughes Landing Blvd Ste 500
The Woodlands, TX 77380-4009
Phone (936) 295-6313
Other names 1
- Huntsville Park Rehabilitation and Wellness Center
National Provider Directory
National Provider DirectoryNPI 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": "1346148012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 HUGHES LANDING BLVD STE 500",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773804009",
"telephone_number": "936-295-6313",
"fax_number": "936-295-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 NOTTINGHAM ST",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773405622",
"telephone_number": "936-295-6313",
"fax_number": "903-572-8247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HMG PARK MANOR OF HUNTSVILLE, 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": "Huntsville Park Rehabilitation and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, 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.