Weimar Medical Holdings LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WEIMAR MEDICAL HOLDINGS LLC

Doing business as

Weimar Medical Center

Practice address

400 Youens Dr
Weimar, TX 78962-3680

Phone

(979) 725-8274

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By 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. Irving B Sawyers Jr.

Title

President

Phone

(210) 787-6689

Specialties & licenses 1

Addresses

Other names 1

• Weimar Medical Center Doing business as

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 1720407935. Details of each certification follow.

• CCN 670114 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670114

Legal name

WEIMAR MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, Oct 17, 2017

Provider type (POS)

Hospital – Short-term

Participating since

Feb 26, 2016

Last certification

Jan 18, 2017

Beds

38

Ownership / control type

Private (for profit)

Facility address

400 Youens Dr
Weimar, TX 78962

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1720407935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N. RIVERSIDE DR.",
            "address_2": "SUITE 165",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-283-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 YOUENS DR",
            "city": "WEIMAR",
            "state": "TX",
            "postal_code": "789623680",
            "telephone_number": "979-725-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMAR MEDICAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "SAWYERS",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-787-6689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weimar Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Bancroft Vretis, RPH
• Pattie Stephens Vretis, RPH
• Weimar Assisted Living Partners, Inc. (Homestead Assisted Living)
• Weimar II Enterprises, LLC (The Homestead Assisted Living)
• Weimar Independent School District
• Winnie-Stowell Hospital District (Parkview Manor Nursing & Rehabilitation)
• Youens, Duchicela & Associates, P.a. (Youens & Duchicela Clinic)
• Robert A Youens, M.D.

• General Acute Care Hospital in Weimar, TX
• Providers in Weimar, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.