Organization Active NPI

SLP Laporte LLC

  • Skilled Nursing Facility
  • La Porte, TX
National Provider Identifier
1912931015
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SLP LAPORTE LLC
Practice address
208 S Utah St
La Porte, TX 77571-5555
Phone
(281) 471-1810
Fax
(281) 471-8809
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Joshua Leonard
Title
President/Coo
Phone
(817) 410-7300

Specialties & licenses 1

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

Addresses

Primary practice location

208 S Utah St
La Porte, TX 77571-5555

Mailing address

1300 S University Dr
Suite 306
Fort Worth, TX 76107-5737
Phone (817) 410-7300

Other identifiers 2

IdentifierTypeStateIssuer
001028656MedicaidTX
004145OtherTXFACILITY ID NO.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1912931015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR",
            "address_2": "SUITE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075737",
            "telephone_number": "817-410-7300",
            "fax_number": "817-423-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S UTAH ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775715555",
            "telephone_number": "281-471-1810",
            "fax_number": "281-471-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP LAPORTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "817-410-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001028656",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "004145",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.