St. Dominic Village

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST. DOMINIC VILLAGE

Practice address

2401 Holcombe Blvd
Houston, TX 77021-2023

Phone

(713) 741-8736

NPI assigned

Feb 21, 2014

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Grady M Mullins

Title

Cfo

Phone

(713) 741-8736

Specialties & licenses 2

Addresses

Tax ID family

St Dominic Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Dominic Village

  • Nursing Facility/Intermediate Care Facility
  • Houston, TX
  • NPI 1386726396
  NPD tax ID

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1487079851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212023",
            "telephone_number": "713-741-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. DOMINIC VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-741-8736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Cyprain's Health Inc.
• Jacqueline Hope St. Cyr, DC
• St. David Home Health, Inc.
• Ashton St. Dizier, DC
• St. Dominic Village
• St. Felipe Hospice & Palliative Services, LLC
• St. Felix Palliative & Hospice Care, LLC
• St. Georgias LLC
• St. Helen Healthcare LLC
• St. Hope Community Health Center Clinic

• Skilled Nursing Facility in Houston, TX
• Providers in Houston, 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 Jun 15, 2022; 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.