Villa del Mar at Mainland Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VILLA DEL MAR AT MAINLAND CENTER

Doing business as

The Rio at Mainland Center

Practice address

1011 Mainland Center Drive
Texas City, TX 77591-2666

Phone

(713) 358-0700

Fax

(713) 358-0701

NPI assigned

Jan 14, 2014

Last updated

Sep 19, 2014By 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

Jerry Williamson

Title

Officer

Phone

(469) 767-7238

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rio at Mainland Center Doing business as

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1508288325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704070",
            "telephone_number": "469-767-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAINLAND CENTER DRIVE",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912666",
            "telephone_number": "713-358-0700",
            "fax_number": "713-358-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DEL MAR AT MAINLAND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-767-7238"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rio at Mainland Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jija Varghese, MSN,RN,FNP-C
• Bianca Velazquez
• Anastasia Yamira Venegas, REGISTERED NURSE
• Vericare, P.C. (Vericare)
• Vickie Taylor Community Health Clinic
• Visionary Mental Health (Texas Care Texas City)
• Long Van Vu, OD
• Huy Q Vuong, DDS
• Walgreen Co (Walgreens #10583)
• Nashawnda Denise Walker

• Skilled Nursing Facility in Texas City, TX
• Providers in Texas City, 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 Sep 19, 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.