PHCC - Cedar Bayou Rehabilitation & Health Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PENDING Issued in TX

Legal business name

PHCC - CEDAR BAYOU REHABILITATION & HEALTH CARE CENTER, LLC

Practice address

2000 W. Baker Rd.
Baytown, TX 77521-2166

Phone

(210) 545-6320

Fax

(210) 545-2730

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James A. Meyers Jr.

Title

Member

Phone

(210) 545-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Bayou Rehabilitation & Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1912175688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W. BAKER RD.",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212166",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W. BAKER RD.",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212166",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCC - CEDAR BAYOU REHABILITATION & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-545-6320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Bayou Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamille Briana Perkins
• Andrew Huy Pham, DDS
• Duc Pham, DO
• Mai Thao Pham, MD
• Trang Pham
• PHCC-Rehabilitation and Health Care Center at Baytown, LLC
• Megan Philkhana, MD
• Demetrice Phillip
• Molly Mae Phillips
• Shawntre Gene Phillips

• Skilled Nursing Facility in Baytown, TX
• Providers in Baytown, 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 Feb 15, 2008; 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.