Organization Active NPI

National Nursing & Rehab Houston, LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1740698588
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PEND Issued in TX
Legal business name
NATIONAL NURSING & REHAB HOUSTON, LLC
Practice address
16100 Cairnway Dr
Suite 300
Houston, TX 77084-3562
Phone
(281) 858-1660
Fax
(281) 858-8797
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Mr. Steve D Wallace
Title
Ceo
Phone
(210) 822-0475

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PEND TX Primary
Nursing Care Agency 251J00000X 016721 TX
In Home Supportive Care Agency 253Z00000X 016721 TX

Addresses

Primary practice location

16100 Cairnway Dr
Suite 300
Houston, TX 77084-3562

Mailing address

85 NE Loop 410
Suite 500
San Antonio, TX 78216-5866
Phone (210) 822-0475

Other identifiers 2

IdentifierTypeStateIssuer
351900101MedicaidTX
016721OtherTXDADS LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

16100 Cairnway Dr
Ste 300
Houston, TX 77084
Phone (281) 858-1660

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1740698588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410",
            "address_2": "SUITE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165866",
            "telephone_number": "210-822-0475",
            "fax_number": "210-822-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 CAIRNWAY DR",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843562",
            "telephone_number": "281-858-1660",
            "fax_number": "281-858-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NURSING & REHAB HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-822-0475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "PEND",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "016721",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "016721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351900101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS LICENSE NUMBER",
            "identifier": "016721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.