Organization Active NPI

Mission Bend Healthcare and Rehabilitation, LLC

Doing business as West Houston Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1477953420
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
142335 Issued in TX
Legal business name
MISSION BEND HEALTHCARE AND REHABILITATION, LLC
Doing business as
West Houston Rehabilitation and Healthcare Center
Practice address
13428 Bissonnet
Houston, TX 77083
Phone
(713) 351-4300
Fax
(713) 351-4301
NPI assigned
Aug 27, 2014
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Timothy Crank
Title
Manager
Phone
(210) 757-4987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 142335 TX Primary

Addresses

Primary practice location

13428 Bissonnet
Houston, TX 77083

Mailing address

8502 Huebner Rd
Suite 400
San Antonio, TX 78240-2465
Phone (210) 757-4987

Other identifiers 1

IdentifierTypeStateIssuer
001026405MedicaidTX

Other names 1

  • West Houston Rehabilitation and Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

8502 Huebner Rd
Ste 400
San Antonio, TX 78240

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1477953420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 HUEBNER RD",
            "address_2": "SUITE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402465",
            "telephone_number": "210-757-4987",
            "fax_number": "210-694-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13428 BISSONNET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77083",
            "telephone_number": "713-351-4300",
            "fax_number": "713-351-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION BEND HEALTHCARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "CRANK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-757-4987"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "142335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Houston Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.