Memorial Hermann Health System

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

000609 Issued in TX

Legal business name

MEMORIAL HERMANN HEALTH SYSTEM

Practice address

3803 FM 1092 Rd
Missouri City, TX 77459-2209

Phone

(281) 499-4800

Fax

(713) 338-4158

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Laraway

Title

Cfo

Phone

(713) 242-2707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memorial Hermann Ft. Bend Rehab Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 450717

Legal name

FORT BEND MEDICAL CENTER HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Oct 1, 1999

Provider type (POS)

Hospital – Short-term

Participating since

Aug 2, 1983

Last certification

Jun 30, 1992

Beds

80

Ownership / control type

Private (for profit)

Facility address

3803 FM 1092 at Hwy 6
Missouri City, TX 77459

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1841232006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 FM 1092 RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592209",
            "telephone_number": "281-499-4800",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146021401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Ft. Bend Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Earls, LPC
• Melissa Y. Carpentier, PLLC
• Debbie A Melton-Myers, LPC
• Memorial Family for Hospice and Palliative Care, LLC
• Memorial Hermann
• Christine Alexis Mendoza, COTA
• Siegfred Bacharo Mendoza
• Eva Meng
• Maxwell Mensah
• Mary E Mercer, RPH

• Rehabilitation Hospital Unit in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Rehabilitation Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.