MEMORIAL MEDICAL CENTER (NPI# 1326436189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326436189 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER |
| Other Organization Name | ASHFORD GARDENS |
| Practice Address |
7210 Northline Dr Houston TX 77076-1517 |
| Mailing Address |
815 N Virginia St Port Lavaca TX 77979-3025 |
| Practice Telephone | 7136992882 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | JASON ANGLIN (CEO) |
| Authorized Official Telephone | 3615526713 |
| 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 | MEDICARE CCN | 67-5423 | 01 |
| Other Name | Type Code |
|---|---|
| Ashford Gardens | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1497153589 | Memorial Medical Center | Family Medicine | 1016 N. Virginia St., Port Lavaca, TX 77979-0000 | 2014-12-05 |
| 1588075964 | Memorial Medical Center | Skilled Nursing Facility | 2100 Dove Crossing Ln, Navasota, TX 77868-5247 | 2014-05-19 |
| 1275717894 | Memorial Medical Center | Skilled Nursing Facility | 2750 Miller Ranch Rd, Pearland, TX 77584-9763 | 2007-12-18 |
| 1679549968 | Memorial Medical Center | Audiologist | 644 North Second Street, Springfield, IL 62781-0001 | 2006-02-27 |
| 1124099098 | Memorial Medical Center | General Acute Care Hospital | 701 N !st St, Mab 528, Springfield, IL 62781-0001 | 2006-01-30 |
| 1922092790 | Memorial Medical Center | Skilled Nursing Facility | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2005-09-07 |
| 1568017481 | Memorial Medical Center | Clinic/Center | 701 N 1st St, Springfield, IL 62781-0001 | 2019-08-07 |
| 1053964742 | Memorial Medical Center | Orthopaedic Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-07-22 |
| 1164954806 | Memorial Medical Center | Internal Medicine | 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 | 2017-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER | 8260 Atlee Rd Ste 1203, Mechanicsville, VA 23116-1844 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER INC | 1615 Maple Ln, Ashland, WI 54806-3610 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER OF EAST TEXAS | 1201 W Frank Ave, Lufkin, TX 75904-3357 |
| Street Address |
7210 NORTHLINE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77076-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105366 | Ashford Health Care Center Ltd. Co | Skilled Nursing Facility | 7210 Northline Dr, Houston, TX 77076-1517 | 2005-09-22 |
| 1396225884 | Lizy Jacob | Occupational Therapy Assistant | 7210 Northline Dr, Houston, TX 77076-1517 | 2018-08-15 |
| 1649750159 | Ma.charito Del Rosario Basa | Occupational Therapist | 7210 Northline Dr, Houston, TX 77076-1517 | 2018-08-15 |
| 1982873741 | Senior Connections of Texas, Pllc | Psychologist | 7210 Northline Dr, Houston, TX 77076-1517 | 2008-02-26 |
| 1053514869 | Laura Lynn Curtis | Occupational Therapist | 7210 Northline Dr, Houston, TX 77076-1517 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189969 | Ameri Care Home Health Inc | In Home Supportive Care | 11625 W Hardy Toll, Houston, TX 77076 | 2019-11-19 |
| 1013484906 | Nm Health Services, North Pa | Counselor | 6660 Airline Drive, Houston, TX 77076 | 2018-10-29 |
| 1245753888 | Sharonetta Maloid | Homemaker | 511 East 11th Street, New Roads, LA 77076 | 2017-07-25 |
| 1932659356 | Lori Star | Nurse Practitioner | 6700 North Freeway, 110, Houston, TX 77076 | 2016-10-10 |
| 1548662273 | Acorn Dental | Dentist | 419 W Little York St, Unit H, Houston, TX 77076 | 2014-09-25 |
| 1003240326 | St. Anthonys Rehab & Wellness Center | Chiropractor | 5406 Airline Dr, F1, Houston, TX 77076 | 2013-08-22 |
| 1316293848 | Hieu Tin Nguyen Pham | Dentist | 920 E Little York Rd, #300, Houston, TX 77076 | 2012-08-02 |
| 1053645515 | Gabriel Ramiro Salazar | Physician Assistant | 7007 North Fwy #200, Houston, TX 77076 | 2009-09-30 |
| 1437388451 | Veronica Eugenia Hurtado | Obstetrics & Gynecology | 415 W. Little York Rd. Ste C., Ste. C, Houston, TX 77076 | 2009-07-12 |
| 1720268683 | Carroll Mervin West | Dentist | 6134 Airline Dr, Suite 20j, Houston, TX 77076 | 2007-11-08 |
| Find all providers in zip 77076 | ||||
| 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.