St. Dominic Village

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

114382 Issued in TX

Legal business name

ST. DOMINIC VILLAGE

Practice address

2409 Holcombe Blvd
Houston, TX 77021-2023

Phone

(713) 741-8701

Fax

(713) 741-9811

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Grady Mullins

Title

Cfo

Phone

(713) 741-8736

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Skilled nursing facility certification: CCN 676170

Legal name

ST. DOMINIC VILLAGE

Doing business as

ST DOMINIC VILLAGE NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 10, 2008

Last certification

May 5, 2025

Beds

158

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Dec 31, 1998 in TX

Enrollment address

2409 Holcombe Blvd
St. Dominic Village Nursing Home
Houston, TX 77021-2023

Nursing home name

ST DOMINIC VILLAGE REHABILITATION AND NURSING CENTER

Listed as

St Dominic Village Rehabilitation and Nursing CentCCN 676170

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jan 10, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15881.0 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $42,031

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

St Dominic Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St. Dominic Village

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1487079851
  NPD tax ID

Locations

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 4

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

• Jeleeka A Marsh, PT

  • Physical Therapist
  • Houston, TX
  • NPI 1588020176

  Adp of the SNF

  CMS ownership
• Victor Narcisse, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1205916616

  Corporate Director

  CMS ownership
• Biju Oommen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1801856240

  Adp of the SNF

  CMS ownership
• Julia Reyser, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1831120302

  Adp of the SNF

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Reyser, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1831120302
  NPD (past)
• Elenita L Rosado, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1144403486
  NPD (past)

Affiliated clinicians 2

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

• Julia Reyser, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1831120302

  Nursing home

  Care Compare affiliation
• Elenita L Rosado, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1144403486

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1386726396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212023",
            "telephone_number": "713-741-8701",
            "fax_number": "713-741-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212023",
            "telephone_number": "713-741-8701",
            "fax_number": "713-741-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. DOMINIC VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-741-8736"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "114382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Houston, TX
• Providers in Houston, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.