Katy Long Term Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KATY LONG TERM CARE LLC

Practice address

25032 Lakecrest Manor Drive
Katy, TX 77493

Phone

(410) 773-1000

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

V Susan Fox

Title

President

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other names 1

• Sterling Oaks Rehabilitation Doing business as

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1508316514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25032 LAKECREST MANOR DRIVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77493",
            "telephone_number": "410-773-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Oaks Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katy Independent School District
• Katy Independent School District
• Katy Internal Medicine Associates, L.L.P.
• Katy Lakes Home Care LLC
• Katy Learning Center
• Katy LTC Holdings Group LTD
• Katy Main Clinic
• Katy Medics PLLC
• Katy Midwifery Co LLC
• Katy Midwifery Co LLC

• Skilled Nursing Facility in Katy, TX
• Providers in Katy, 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 Oct 13, 2016; 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.