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NPI Code Detail

MEDICARE: PHP MISSION CARE CENTERS - HOUSTON LP

MEDICARE: PHP MISSION CARE CENTERS - HOUSTON LP
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
1314000000XSkilled Nursing Facility111103TX

Other Identifiers

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

General Provider Information

NPI Number : 1831171651
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHP MISSION CARE CENTERS - HOUSTON LP
Provider Business Mailing Address
First Line : 5420 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4823
Country : US
Telephone Number : 972-931-3800
Fax Number : 972-767-6222
Provider Business Practice Location Address
First Line : 6150 SOUTH LOOP E
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1010
Country : US
Telephone Number : 713-643-2628
Fax Number : 713-643-8175
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MRS. JAMIE LATTURE COLLIER
Credential :
Telephone Number : 972-931-3800
Provider Enumeration Date : 11/17/2005
Last Update Date : 01/14/2016

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