Organization 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
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.