Provider Demographics
NPI:1043389034
Name:THC - HOUSTON, LLC
Entity Type:Organization
Organization Name:THC - HOUSTON, LLC
Other - Org Name:KINDRED HOSPITAL (HOUSTON NW)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:11297 FALLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4230
Mailing Address - Country:US
Mailing Address - Phone:281-517-1000
Mailing Address - Fax:281-517-1003
Practice Address - Street 1:11297 FALLBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-517-1000
Practice Address - Fax:281-517-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000706282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021017101Medicaid
TXHH0891OtherBLUE CROSS
TXHH0891OtherBLUE CROSS
TX=========OtherAETNA
TX=========OtherGREAT WEST
TX=========OtherUNITED HEALTHCARE
TX=========OtherTRICARE CHAMPUS
TX021017101Medicaid
TX=========OtherHUMANA
TXHH0891OtherBLUE CROSS