Heritage Park of Katy LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

001016156 Issued in TX

Legal business name

HERITAGE PARK OF KATY LLC

Practice address

6001 George Bush Drive
Katy, TX 77493-1991

Phone

(281) 395-1124

Fax

(281) 395-1111

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Linda Hare

Title

Director of Operations

Phone

(979) 826-3382

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Park of Katy Nursing and Rehabilitation Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mubarak Ali Khawaja, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1548285406
  NPD (past)
• David W. Reininger, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1306846043
  NPD (past)
• Remy Zockazock, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1215381900
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1689836645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 GEORGE BUSH DRIVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931991",
            "telephone_number": "281-395-1124",
            "fax_number": "281-395-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 GEORGE BUSH DRIVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931991",
            "telephone_number": "281-395-1124",
            "fax_number": "281-395-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PARK OF KATY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "979-826-3382"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "001016156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016156",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park of Katy Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenys Y Hercules
• Dionise M Heredia-Thomas
• Heritage Family Clinic
• Heritage Healthcare Solutions LLC
• Heritage Home Health LLC
• Hermann Medical Supplies, Inc
• Isabel Dolores Hernandez Ernesto
• Bianca Hernandez
• Dabney Hernandez, DMD
• Diana Hernandez

• Nursing Facility/Intermediate Care Facility in Katy, TX
• Providers in Katy, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.