Organization Active NPI

Sam Houston Gardens Nursing & Rehabilitation, L.P.

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1518022664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
115035 Issued in TX
Legal business name
SAM HOUSTON GARDENS NURSING & REHABILITATION, L.P.
Practice address
1615 Hillendahl Blvd
Houston, TX 77055-3413
Phone
(713) 365-0561
Fax
(713) 365-9742
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theresa L Loftice
Title
Ar Manager
Phone
(972) 479-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 115035 TX Primary

Addresses

Primary practice location

1615 Hillendahl Blvd
Houston, TX 77055-3413

Mailing address

1615 Hillendahl Blvd
Houston, TX 77055-3413
Phone (713) 365-0561

Other identifiers 1

IdentifierTypeStateIssuer
5383MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518022664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILLENDAHL BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553413",
            "telephone_number": "713-365-0561",
            "fax_number": "713-365-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HILLENDAHL BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553413",
            "telephone_number": "713-365-0561",
            "fax_number": "713-365-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM HOUSTON GARDENS NURSING & REHABILITATION, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTICE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "972-479-0844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "115035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5383",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.