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NPI Code Detail

MEDICARE: TRANSITIONAL LEARNING CENTER AT GALVESTON

MEDICARE: TRANSITIONAL LEARNING CENTER AT GALVESTON
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
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
2310400000XAssisted Living Facility140773TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1150287OTHERTXTEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE
2149997OTHERTXTEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE

General Provider Information

NPI Number : 1922044734
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSITIONAL LEARNING CENTER AT GALVESTON
Provider Business Mailing Address
First Line : 1275 SPACE PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3311
Country : US
Telephone Number : 409-762-6661
Fax Number : 409-763-3430
Provider Business Practice Location Address
First Line : 1275 SPACE PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3311
Country : US
Telephone Number : 409-762-6661
Fax Number : 409-763-3430
Authorized Official
Title or Position : CFO
Name : JOHN DECKER
Credential :
Telephone Number : 409-762-6661
Provider Enumeration Date : 06/21/2006
Last Update Date : 10/22/2025

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Directions to “TRANSITIONAL LEARNING CENTER AT GALVESTON ” 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.