Gazebo Terrace Convalescent Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

122969 Issued in TX

Legal business name

GAZEBO TERRACE CONVALESCENT CENTER

Practice address

1303 Highway 290 E
Brenham, TX 77833-5928

Phone

(979) 830-7100

Fax

(979) 830-0820

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ron L Pohlmeyer

Title

Administrator

Phone

(979) 830-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1447414156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 290 E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335928",
            "telephone_number": "979-830-7100",
            "fax_number": "979-830-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 290 E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335928",
            "telephone_number": "979-830-7100",
            "fax_number": "979-830-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAZEBO TERRACE CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "POHLMEYER",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-830-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "122969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Forka, PMHNP-BC
• Ryan William Frieben, M.D.
• Chad Michael Gandy
• Garral Tiaden, O.D.
• Gary L. Appelt, MD,PA
• Gazebo Terrace Skilled Care and Rehabilitation, LLC (Gazebo Terrace Skilled Care & Rehabilitation)
• Gentletouch Healthcare, Inc.
• Melissa L. Gerke, D.D.S.
• Tammy Goebel, PT
• Jennifer Goforth, COTA

• Nursing Facility/Intermediate Care Facility in Brenham, TX
• Providers in Brenham, 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 Jul 11, 2008; 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.