Organization Active NPI

Friendship Haven Nursing Centers LTD

  • Skilled Nursing Facility
  • Friendswood, TX
National Provider Identifier
1609879402
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110078 Issued in TX
Legal business name
FRIENDSHIP HAVEN NURSING CENTERS LTD
Practice address
1500 Sunset Dr
Friendswood, TX 77546-4724
Phone
(281) 992-4300
Fax
(281) 992-0816
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Raleigh Lee
Title
Administrator
Phone
(281) 992-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110078 TX Primary

Addresses

Primary practice location

1500 Sunset Dr
Friendswood, TX 77546-4724

Mailing address

1500 Sunset Dr
Friendswood, TX 77546-4724
Phone (281) 992-4300

Other identifiers 3

IdentifierTypeStateIssuer
HH081SOtherTXBLUE CROSS/BLUE SHIELD
000428606MedicaidTX
167937501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1609879402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUNSET DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464724",
            "telephone_number": "281-992-4300",
            "fax_number": "281-992-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNSET DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464724",
            "telephone_number": "281-992-4300",
            "fax_number": "281-992-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HAVEN NURSING CENTERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RALEIGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-992-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "HH081S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167937501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.