FIVE STAR MEMORIAL WOODS LLC (NPI# 1760400261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760400261 |
| Entity Type | Organization |
| Organization Name | FIVE STAR MEMORIAL WOODS LLC |
| Other Organization Name | THE FORUM AT MEMORIAL WOODS HEALTHCARE CENTER |
| Practice Address |
777 N Post Oak Rd Houston TX 77024-3800 |
| Mailing Address |
400 Centre St Newton MA 02458-2094 |
| Practice Telephone | 7139560732 |
| Practice Fax Number | 7139560732 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968375 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR MEMORIAL WOODS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 113230 | TX | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 100820 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 129232 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Forum at Memorial Woods Healthcare Center | Doing Business As Name - Organization |
| Street Address |
777 N POST OAK RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413592 | Raymond Bryan Ruwaldt II | Occupational Therapist | 777 N Post Oak Rd, Houston, TX 77024-3800 | 2020-10-07 |
| 1114574134 | Snh Longhorn Tenant LLC | Assisted Living Facility | 777 N Post Oak Rd, Houston, TX 77024-3800 | 2019-08-23 |
| 1538413653 | Sasha Marie Ringdahl Iversen Do, Pllc | Physical Medicine & Rehabilitation | 777 N Post Oak Rd, Houston, TX 77024-3800 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| 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.