MEDICARE: COURTYARD CONVALESCENT CENTER, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)	116034	TX
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	116034	TX
3	314000000X	Skilled Nursing Facility	108437	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548259336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURTYARD CONVALESCENT CENTER, L.P.

Provider Business Mailing Address
First Line	:	200 DRYDEN ROAD
Second Line	:	SUITE 2000
City	:	DRESHER
State	:	PA
Zip	:	19025
Country	:	US
Telephone Number	:	215-441-7700
Fax Number	:	215-441-4255

Provider Business Practice Location Address
First Line	:	7499 STANWICK DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-6199
Country	:	US
Telephone Number	:	713-644-8048
Fax Number	:	713-640-1682

Authorized Official
Title or Position	:	PRESIDENT OF GENERAL PARTNER
Name	:	MR. PETER J LICARI
Credential	:
Telephone Number	:	215-441-7700

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	10/26/2007

Similar Medicare Providers

1861644692 — ALPINE HEALTHCARE INCORPORATED
Practice Location Address:

12003 ENSENADA CANYON LN
HOUSTON, TX
77041-6199

Practice Phone: 713-384-6156
Practice Fax:

1063384089 — KATELYN NGUYEN
Practice Location Address:

625 BRITTMOORE RD
HOUSTON, TX
77079-6199

Practice Phone: 713-251-6700
Practice Fax:

1326542523 — ELIZABETH OLORUNSOGO UZOMA APRN
Practice Location Address:

5901 LONG DR
HOUSTON, TX
77087-1003

Practice Phone: 713-970-7000
Practice Fax:

1063694800 — GOLD OPTICAL INC
Practice Location Address:

6328 TELEPHONE RD
HOUSTON, TX
77087-5410

Practice Phone: 713-644-2375
Practice Fax: 713-673-6900

1174524649 — DR. MARSHALL GLENN PARKER DC
Practice Location Address:

7642 PARK PLACE BLVD
HOUSTON, TX
77087-4526

Practice Phone: 713-645-4191
Practice Fax:

1902891302 — EMILE FARES M.D.
Practice Location Address:

7338 MCHENRY ST
HOUSTON, TX
77087-3633

Practice Phone: 713-644-4442
Practice Fax: 713-644-8964

Directions to “COURTYARD CONVALESCENT CENTER, L.P. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.