SSC Harris Jacinto City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118496 Issued in TX

Legal business name

SSC HARRIS JACINTO CITY LLC

Practice address

1405 Holland St
Houston, TX 77029-2845

Phone

(713) 455-1744

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacinto City Healthcare Center Doing business as

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1487723839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HOLLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292845",
            "telephone_number": "713-455-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC HARRIS JACINTO CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014494",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacinto City Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samer Srour, MD
• SRTH LLC
• Ivan Joseph Srut, O.D.
• SS National Hospice Solutions LLC
• SSBL Health Services LLC
• SSC Harris Spring Branch LLC
• SSC Houston Cypress Wood Operating Company LLC
• SSC Houston Northwest Operating Company LLC
• SSJJ Grace Dental Care
• SSK Dental PLLC

• 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 Apr 15, 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.