Cane Island Care Center, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CANE ISLAND CARE CENTER, LP

Doing business as

Cane Island Post Acute Care Center

Practice address

21727 Provincial Boulevard
Katy, TX 77450-6508

Phone

(281) 717-1302

Fax

(281) 717-1303

NPI assigned

Dec 21, 2007

Last updated

Jan 5, 2009By 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

Mr. Thomas M. Clarke

Title

Ceo

Phone

(540) 265-0322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cane Island Post Acute Care Center Doing business as

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1588848972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 PROVINCIAL BOULEVARD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506508",
            "telephone_number": "281-717-1302",
            "fax_number": "281-717-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 PROVINCIAL BOULEVARD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506508",
            "telephone_number": "281-717-1302",
            "fax_number": "281-717-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANE ISLAND CARE CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-265-0322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cane Island Post Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Campos, PSY.D
• Jose Campos, L.C.S.A.
• Natalie Elizabeth Campos
• Alton Canady, D.C.
• Payton Canchola, DDS
• Alexis Cannon
• Simone JN-Marie Cannon, LPC
• Javier Cano
• Cantex Home Health Katy LLC (Theracare Home Health)
• Diana Carolina Cantu, LPA

• 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 Jan 5, 2009; 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.