Organization Active NPI

Triumph Rehabilitation Hospital of Northeast Houston, LLC

Doing business as Kindred Rehabilitation Hospital Northeast Houston

  • Rehabilitation Hospital
  • Humble, TX
National Provider Identifier
1417225434
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
TRIUMPH REHABILITATION HOSPITAL OF NORTHEAST HOUSTON, LLC
Doing business as
Kindred Rehabilitation Hospital Northeast Houston
Practice address
18839 McKay Boulevard
Humble, TX 77338-5712
Phone
(281) 446-3655
Fax
(281) 446-1381
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Mr. Terrance K. Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

18839 McKay Boulevard
Humble, TX 77338-5712

Mailing address

18839 McKay Boulevard
Humble, TX 77338-5712
Phone (281) 446-3655

Other names 1

  • Kindred Rehabilitation Hospital Northeast Houston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 673051

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KINDRED REHABILITATION HOSPITAL NORTHEAST HOUSTON
Certification status
Terminated Voluntary: merger or closure, Aug 1, 2019
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 16, 2012
Last certification
Feb 8, 2018
Beds
46
Ownership / control type
Private (for profit)
Facility address
18839 McKay Boulevard
Humble, TX 77338

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1417225434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18839 MCKAY BOULEVARD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385712",
            "telephone_number": "281-446-3655",
            "fax_number": "281-446-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18839 MCKAY BOULEVARD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385712",
            "telephone_number": "281-446-3655",
            "fax_number": "281-446-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH REHABILITATION HOSPITAL OF NORTHEAST HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Rehabilitation Hospital Northeast Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Rehabilitation Hospital Northeast Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.