Katy LTC Holdings Group LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

103448 Issued in TX

Legal business name

KATY LTC HOLDINGS GROUP LTD

Practice address

23553 West Fernhurst Dr
Katy, TX 77494-0686

Phone

(281) 394-1300

Fax

(281) 394-1301

NPI assigned

Feb 1, 2008

Organization subpart

Yes

Parent organization

SNF PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jake Hallsted

Title

Limited Partner

Phone

(832) 448-3700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• THE GRACE CARE CENTER OF KATY Doing business as

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1437337425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23553 WEST FERNHURST DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940686",
            "telephone_number": "281-394-1300",
            "fax_number": "281-394-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23553 WEST FERNHURST DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940686",
            "telephone_number": "281-394-1300",
            "fax_number": "281-394-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY LTC HOLDINGS GROUP LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNF PARTNERS LLC",
        "enumeration_date": "2008-02-01",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "LIMITED PARTNER",
        "authorized_official_telephone_number": "832-448-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "103448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI",
            "identifier": "208353701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GRACE CARE CENTER OF KATY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katy Independent School District
• Katy Internal Medicine Associates, L.L.P.
• Katy Lakes Home Care LLC
• Katy Learning Center
• Katy Long Term Care LLC
• Katy Main Clinic
• Katy Medics PLLC
• Katy Midwifery Co LLC
• Katy Midwifery Co LLC
• Katy Mills Dental

• Skilled Nursing Facility in Katy, TX
• Providers in Katy, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.