Organization Active NPI

Apollo Healthcare at Willowbrook, LLC

Doing business as The Medical Resort at Willowbrook

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1811432263
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
APOLLO HEALTHCARE AT WILLOWBROOK, LLC
Doing business as
The Medical Resort at Willowbrook
Practice address
13220 Breton Ridge Street
Houston, TX 77070
Phone
(707) 666-3490
NPI assigned
Dec 21, 2016
Last updated
Jan 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Archana Thota, M.D.NPI 1790789436
Title
President
Phone
(832) 912-4773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

13220 Breton Ridge Street
Houston, TX 77070

Mailing address

6125 Luther LN # 309
Dallas, TX 75225-6202

Other names 1

  • The Medical Resort at Willowbrook Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1811432263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 LUTHER LN # 309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 BRETON RIDGE STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "707-666-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTHCARE AT WILLOWBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-912-4773",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Resort at Willowbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 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.