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MEMORIAL HERMANN AFFILIATED SERVICES NPI 1124205968


NPI Information

NPI: 1124205968
Provider Name: MEMORIAL HERMANN AFFILIATED SERVICES

Doing Business As: UNIVERSITY PLACE RETIREMENT COMMUNITY

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 45D0915807

Address:
7480 BEECHNUT ST
HOUSTON, TX
ZIP 77074
Phone: (713) 541-2900
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MEMORIAL HERMANN AFFILIATED SERVICES is an adult care home custodial care facility in Houston, TX. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MEMORIAL HERMANN AFFILIATED SERVICES NPI is 1124205968. The provider is registered as an organization entity type.
The provider Is Doing Business As University Place Retirement Community.

The provider's business location address is:

7480 BEECHNUT ST
HOUSTON, TX
ZIP 77074-539
Phone: (713) 541-2900

The provider's authorized official is Winston E. Dollahon .
The authorized official title is Administrator and has the following contact phone number (713) 541-2900.

The CLIA number assigned to this NPI record is 45D0915807 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 10/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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