Healthcare Provider Details

I. General information

NPI: 1972545424
Provider Name (Legal Business Name): PHCC-THE POINTE REHABILITATION AND HEALTH CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17231 MILL FOREST RD
WEBSTER TX
77598-4308
US

IV. Provider business mailing address

17231 MILL FOREST RD
WEBSTER TX
77598-4308
US

V. Phone/Fax

Practice location:
  • Phone: 281-488-5224
  • Fax: 281-461-8576
Mailing address:
  • Phone: 281-488-5224
  • Fax: 281-461-8576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number111941
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES ARTHUR MEYERS JR.
Title or Position: PRESIDENT, CFO
Credential:
Phone: 210-545-6320