Provider Demographics
NPI:1972545424
Name:PHCC-THE POINTE REHABILITATION AND HEALTH CARE CENTER, LLC
Entity type:Organization
Organization Name:PHCC-THE POINTE REHABILITATION AND HEALTH CARE CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-545-6320
Mailing Address - Street 1:17231 MILL FOREST RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4308
Mailing Address - Country:US
Mailing Address - Phone:281-488-5224
Mailing Address - Fax:281-461-8576
Practice Address - Street 1:17231 MILL FOREST RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4308
Practice Address - Country:US
Practice Address - Phone:281-488-5224
Practice Address - Fax:281-461-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111941314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TX67-5848Medicare ID - Type Unspecified