NPIMap

Organization Active NPI

Sacred Oak Medical Center, LLC

  • Psychiatric Hospital
  • Houston, TX
National Provider Identifier
1669821161
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SACRED OAK MEDICAL CENTER, LLC
Practice address
11500 Space Center Blvd
Houston, TX 77059
Phone
(832) 527-6674
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Raquel BiatiNPI 1861077406
Title
Ceo/Administrator
Phone
(281) 241-6460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

11500 Space Center Blvd
Houston, TX 77059

Mailing address

11500 Space Center Blvd
Houston, TX 77059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669821161. Details of each certification follow.

Hospital certification: CCN 454142

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SACRED OAK MEDICAL CENTER
Certification status
Terminated Involuntary: failure to meet health/safety requirements, May 1, 2019
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 10, 2017
Last certification
Aug 10, 2017
Beds
20
Ownership / control type
Private (for profit)
Facility address
11500 Space Center Blvd
Houston, TX 77059

National Provider Directory

National Provider Directory

Locations

3525 Broadway St
Ste 107
Pearland, TX 77581
Phone (281) 823-7377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1669821161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 SPACE CENTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 SPACE CENTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059",
            "telephone_number": "832-527-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED OAK MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "BIATI",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "281-241-6460"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.