Active NPI
Courtyard Convalescent Center, L.P.
- Skilled Nursing Facility
- Houston, TX
National Provider Identifier
1548259336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 108437
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005005 | Medicaid | TX |
Other names 1
- Courtyard Convalescent Center
National Provider Directory
National Provider DirectoryNPI 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.