Organization Active NPI

Hsmtx/Lindbergh-Beaumont, LLC

Doing business as Beaumont Health Care Center

  • Skilled Nursing Facility
  • Beaumont, TX
National Provider Identifier
1699877449
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116485 Issued in TX
Legal business name
HSMTX/LINDBERGH-BEAUMONT, LLC
Doing business as
Beaumont Health Care Center
Practice address
795 Lindbergh Dr
Beaumont, TX 77707
Phone
(409) 842-2228
Fax
(409) 842-2874
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
William H Neely
Title
Board Member/General Counsel
Phone
(615) 896-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116485 TX Primary

Addresses

Primary practice location

795 Lindbergh Dr
Beaumont, TX 77707

Mailing address

13415 Medical Complex Dr Ste 101
Tomball, TX 77375-6441
Phone (832) 843-5038

Other identifiers 2

IdentifierTypeStateIssuer
021454601OtherTXTEXAS PROVIDER IDENTIFIER
001004452MedicaidTX

Other names 1

  • Beaumont Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1699877449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 MEDICAL COMPLEX DR STE 101",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756441",
            "telephone_number": "832-843-5038",
            "fax_number": "832-843-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 LINDBERGH DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-842-2228",
            "fax_number": "409-842-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSMTX/LINDBERGH-BEAUMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOARD MEMBER/GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-896-1191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PROVIDER IDENTIFIER",
            "identifier": "021454601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004452",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.