VILLA DEL MAR AT MAINLAND CENTER (THE RIO AT MAINLAND CENTER) - NPI NUMBER 1508288325

Summary

Provider Name: VILLA DEL MAR AT MAINLAND CENTER (THE RIO AT MAINLAND CENTER)

NPI Number: 1508288325

Clasification: Skilled Nursing Facility (314000000X)

Address:
1011 MAINLAND CENTER DRIVE
TEXAS CITY, TX
ZIP 77591

Phone Number: (713) 358-0700



Detailed Information

VILLA DEL MAR AT MAINLAND CENTER is a skilled nursing facility in Texas City, TX. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. The assigned NPI number for this provider is 1508288325 and is registered as an organization entity type.
The provider Is Doing Business As The Rio At Mainland Center.

The provider's business address is:

1011 MAINLAND CENTER DRIVE
TEXAS CITY, TX
ZIP 77591-666
Phone: (713) 358-0700
Fax: (713) 358-0701

The provider's authorized official is Jerry Williamson .
The authorized official title is Officer and has the following contact phone number (469) 767-7238.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 9/19/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1104913268 AMBASSADOR HEALTH CARE OF BRADY INC
Skilled Nursing Facility
1285628370 SOUTHWEST LTC GULF HEALTHCARE LTD
Skilled Nursing Facility
1255627238 OCEANVIEW HEALTHCARE, INC.
Skilled Nursing Facility
1386884179 OCEANVIEW HEALTHCARE, INC.
Skilled Nursing Facility
1114963162 MANOR CARE OF WEBSTER TX LLC
Skilled Nursing Facility
1235100058 PENBAR INC
Skilled Nursing Facility
1609931823 DANFORTH GARDENS NURSING & REHABILITATION, L.P.
Skilled Nursing Facility

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 314000000X Skilled Nursing Facility TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 001025697 MEDICAID TX
2 676360 MEDICARE OSCAR/CERTIFICATION TX

NPI Record

No. Field Name Field Value
1 NPI 1508288325
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name VILLA DEL MAR AT MAINLAND CENTER
5 Provider Other Organization Name THE RIO AT MAINLAND CENTER
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1011 MAINLAND CENTER DRIVE
8 Provider Business Practice Location Address City Name TEXAS CITY
9 Provider Business Practice Location Address State Name TX
10 Provider Business Practice Location Address Postal Code 775912666
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7133580700
13 Provider Business Practice Location Address Fax Number 7133580701
14 Provider Enumeration Date 1/14/2014
15 Last Update Date 9/19/2014
16 Authorized Official Last Name WILLIAMSON
17 Authorized Official First Name JERRY
18 Authorized Official Title or Position OFFICER
19 Authorized Official Telephone Number 4697677238
20 Healthcare Provider Taxonomy Code 1 314000000X
21 Provider License Number State Code 1 TX
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 001025697
24 Other Provider Identifier Type Code 1 05
25 Other Provider Identifier State 1 TX
26 Other Provider Identifier 2 676360
27 Other Provider Identifier Type Code 2 06
28 Other Provider Identifier State 2 TX
29 Is Organization Subpart N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.