Webster SNF Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEBSTER SNF MANAGEMENT LLC

Practice address

750 W Texas Ave
Webster, TX 77598-3259

Phone

(281) 332-3496

Fax

(281) 332-8047

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Elie Deitsch

Title

Manager

Phone

(516) 596-5222

Specialties & licenses 1

Addresses

Other names 1

• Webster Residence and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1881067544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE",
            "address_2": "SUITE C129",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422060",
            "telephone_number": "516-596-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W TEXAS AVE",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983259",
            "telephone_number": "281-332-3496",
            "fax_number": "281-332-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER SNF MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "DEITSCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-596-5222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Watson-Millet, M.D.
• Keyonna Watson, FNP-C
• Kimberly Marie Watson
• Webster Dental Associates
• Webster Rehabilitation Specialists LLC
• Webster Sports Medicine and Injury Clinic LLC
• Webster Surgical Specialty Hospital, LLC
• Alicia Weffer, PTA
• Diane Lynn Wegelt-Wundrow, CRNA
• Jacqueline Marie Wegge, MD

• Skilled Nursing Facility in Webster, TX
• Providers in Webster, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.