Organization Active NPI

Hsmtx/Reunion Plaza, LLC

  • Skilled Nursing Facility
  • Tyler, TX
National Provider Identifier
1770649659
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
114375 Issued in TX
Legal business name
HSMTX/REUNION PLAZA, LLC
Doing business as
REUNION PLAZA SENIOR CARE CENTER
Practice address
1401 Rice Rd
Tyler, TX 75703-3233
Phone
(903) 561-6060
Fax
(903) 534-8045
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Charles A Davis
Title
VP Finance
Phone
(713) 934-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 114375 TX Primary

Addresses

Primary practice location

1401 Rice Rd
Tyler, TX 75703-3233

Mailing address

5300 Hollister St
Suite 550
Houston, TX 77040-6137
Phone (713) 934-7800

Other identifiers 1

IdentifierTypeStateIssuer
001017768MedicaidTX

Other names 1

  • REUNION PLAZA SENIOR 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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1770649659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER ST",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406137",
            "telephone_number": "713-934-7800",
            "fax_number": "713-895-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RICE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033233",
            "telephone_number": "903-561-6060",
            "fax_number": "903-534-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSMTX/REUNION PLAZA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "713-934-7800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017768",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REUNION PLAZA SENIOR CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.