Hsmtx/Cleveland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116484 Issued in TX

Legal business name

HSMTX/CLEVELAND, LLC

Doing business as

Cleveland Health Care Center

Practice address

903 E Houston St
Cleveland, TX 77327

Phone

(281) 593-3737

Fax

(281) 593-3762

NPI assigned

Sep 2, 2006

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William H Neely

Title

Board Member/General Counsel

Phone

(615) 896-1191

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cleveland Health Care Center Doing business as

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1982706735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 MEDICAL COMPLEX DR STE 101",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756441",
            "telephone_number": "832-843-5038",
            "fax_number": "832-843-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E HOUSTON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-593-3737",
            "fax_number": "281-593-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSMTX/CLEVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOARD MEMBER/GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-896-1191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004448",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PROVIDER IDENTIFIER",
            "identifier": "160203901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR/CERTIFICATION",
            "identifier": "455952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cleveland, TX
• Providers in Cleveland, 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 May 31, 2018; 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.