Organization Active NPI

Lifecare Corporation

  • Nursing Facility/Intermediate Care Facility
  • Rosenberg, TX
National Provider Identifier
1861556474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
116671 Issued in TX
Legal business name
LIFECARE CORPORATION
Practice address
3010 Bamore Rd
Rosenberg, TX 77471-5712
Phone
(281) 342-2142
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack P Gay
Title
President Owner
Phone
(713) 222-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 116671 TX Primary

Addresses

Primary practice location

3010 Bamore Rd
Rosenberg, TX 77471-5712

Mailing address

PO Box 2526
Houston, TX 77252-2526

Other names 1

  • Ft Bend Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

3010 Bamore Rd
Rosenberg, TX 77471
Phone (281) 342-2142

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861556474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772522526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BAMORE RD",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715712",
            "telephone_number": "281-342-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "713-222-0076"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "116671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Bend Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.