Basic Information
| Provider Information | |||||||||
| NPI: | 1386684322 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PHCC-WESTWOOD REHABILITATION AND HEALTH CARE CENTER, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | WESTWOOD REHABILITATION AND HEALTHCARE CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8702 S COURSE DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770992773 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814985796 | ||||||||
| FaxNumber: | 2814985726 | ||||||||
| Practice Location | |||||||||
| Address1: | 8702 S COURSE DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770992773 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814985796 | ||||||||
| FaxNumber: | 2814985726 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 01/28/2015 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MEYERS | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | ARTHUR | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT, CFO | ||||||||
| AuthorizedOfficialTelephone: | 2105456320 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 118975 | TX | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.