PEND OREILLE RIVER ASSOCIATES, LLC (NPI# 1093890410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093890410 |
| Entity Type | Organization |
| Organization Name | PEND OREILLE RIVER ASSOCIATES, LLC |
| Other Organization Name | LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTHWEST HOUSTON |
| Practice Address |
8902 West Road Houston TX 77064-8635 |
| Mailing Address |
1390 E Bitters Rd San Antonio TX 78216-2914 |
| Practice Telephone | 2105640100 |
| Practice Fax Number | 2105640157 |
| Mailing Telephone | 2105640100 |
| Mailing Fax Number | 2105640157 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | MARTIN TOMERLIN (PRESIDENT) |
| Authorized Official Telephone | 2105640100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001015021 | 05 |
| Other Name | Type Code |
|---|---|
| Legend Oaks Healthcare and REhabilitation - Northwest Houston | Doing Business As Name - Organization |
| Street Address |
8902 WEST ROAD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77064-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664475 | Khanh Pham | Optometrist | 17282 Tx-249, Houston, TX 77064 | 2020-06-24 |
| 1427672047 | 5203 Crest Ridge Drive | Nursing Care | 10050 West Road, Houston, TX 77064 | 2020-05-29 |
| 1467936641 | Krishelle Lagman | Specialist/Technologist | 17314 Tx-249, Ste 230, Houston, TX 77064 | 2018-09-24 |
| 1689192544 | Joshua Lee Trevino | In Home Supportive Care | 10802 Legacy Park Dr #10207, Houston, TX 77064 | 2017-08-31 |
| 1487178224 | Angle Homecare Corporation | Home Health | 10518 Encino Pass Trl, Houston, TX 77064 | 2017-08-02 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1710389333 | Ma Corazon Ann Garcia | Registered Nurse | 9506 Summer Run Dr, Houston, TX 77064 | 2014-09-25 |
| 1144640194 | Krystal Sennet | Speech-Language Pathologist | 17200 Tx-249, Suite 150, Houston, TX 77064 | 2014-04-17 |
| 1770908212 | Debra Norvick | Physical Therapy Assistant | 17200 Hwy 249 Suite 150, Houston, TX 77064 | 2014-02-20 |
| 1831442623 | Meagan Rivas | Speech-Language Pathologist | 17200 Hwy 249, 170, Houston, TX 77064 | 2012-10-18 |
| Find all providers in zip 77064 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134676 | Ml - Easton Commons LLC | Skilled Nursing Facility | 8561 Easton Commons Dr, Houston, TX 77095 | 2019-10-02 |
| 1558831347 | State of Texas Veterans Land Board | Skilled Nursing Facility | 14041 Cottingham Road, Houston, TX 77048 | 2018-12-05 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1558896589 | Websteridence Opco, LLC | Skilled Nursing Facility | 9814 Grant Rd, Houston, TX 77070-4558 | 2017-04-27 |
| 1508398256 | Houstonidence Opco, LLC | Skilled Nursing Facility | 8550 Jason Street, Houston, TX 77074-2907 | 2017-03-31 |
| 1811432263 | Apollo Healthcare At Willowbrook, LLC | Skilled Nursing Facility | 13220 Breton Ridge Street, Houston, TX 77070 | 2016-12-21 |
| 1811358229 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 8902 West Rd, Houston, TX 77064-8635 | 2016-03-11 |
| 1003276437 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 12921 Misty Willow Dr, Houston, TX 77070-5287 | 2016-02-26 |
| 1194198366 | Ltc of West Houston LLC | Skilled Nursing Facility | 13428 Bissonnet St, Houston, TX 77083-6275 | 2015-11-09 |
| 1295114296 | Clear Brook Scc LLC | Skilled Nursing Facility | 10800 Flora Mae Meadows Rd, Houston, TX 77089-5974 | 2015-05-22 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.