Organization Active NPI

Courtyard Convalescent Center, L.P.

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1548259336
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
108437 Issued in TX
Legal business name
COURTYARD CONVALESCENT CENTER, L.P.
Practice address
7499 Stanwick Drive
Houston, TX 77087-6199
Phone
(713) 644-8048
Fax
(713) 640-1682
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. Peter J Licari
Title
President of General Partner
Phone
(215) 441-7700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 108437 TX Primary
Nursing Facility Supplies (DME) 332BN1400X 116034 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 116034 TX

Addresses

Primary practice location

7499 Stanwick Drive
Houston, TX 77087-6199

Mailing address

200 Dryden Road
Suite 2000
Dresher, PA 19025
Phone (215) 441-7700

Other identifiers 1

IdentifierTypeStateIssuer
005005MedicaidTX

Other names 1

  • Courtyard Convalescent Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1548259336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DRYDEN ROAD",
            "address_2": "SUITE 2000",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "19025",
            "telephone_number": "215-441-7700",
            "fax_number": "215-441-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 STANWICK DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770876199",
            "telephone_number": "713-644-8048",
            "fax_number": "713-640-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD CONVALESCENT CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "LICARI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "215-441-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108437",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "116034",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "116034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2007; 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.