Organization Active NPI

HMG Park Manor of Friendswood, LLC

Doing business as Park Manor of Friendswood

  • Skilled Nursing Facility
  • Friendswood, TX
National Provider Identifier
1487078168
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HMG PARK MANOR OF FRIENDSWOOD, LLC
Doing business as
Park Manor of Friendswood
Practice address
1500 Sunset Dr
Friendswood, TX 77546-4724
Phone
(281) 992-4300
Fax
(281) 992-0964
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Nita Reneau
Title
Executive Assistant
Phone
(281) 419-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1500 Sunset Dr
Friendswood, TX 77546-4724

Mailing address

4 Waterway Square Place
Suite 350
The Woodlands, TX 77380-2695
Phone (281) 419-5520

Other names 1

  • Park Manor of Friendswood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1487078168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WATERWAY SQUARE PLACE",
            "address_2": "SUITE 350",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802695",
            "telephone_number": "281-419-5520",
            "fax_number": "281-419-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNSET DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464724",
            "telephone_number": "281-992-4300",
            "fax_number": "281-992-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMG PARK MANOR OF FRIENDSWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "RENEAU",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "281-419-5520"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Manor of Friendswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.