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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba RehabCare
- Rehabilitation Clinic/Center
- Greenfield, WI
- NPI 1326099128
Member Of
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.