Provider Demographics
NPI:1225416480
Name:EVEREST REAL ESTATE INVESTMENTS, LLP
Entity Type:Organization
Organization Name:EVEREST REAL ESTATE INVESTMENTS, LLP
Other - Org Name:ICON SKILLED NURSING & REHABILITATION FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIR-EGBONWONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-883-5500
Mailing Address - Street 1:19211 MCKAY DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5502
Mailing Address - Country:US
Mailing Address - Phone:281-883-5500
Mailing Address - Fax:281-883-5501
Practice Address - Street 1:19211 MCKAY DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5502
Practice Address - Country:US
Practice Address - Phone:713-660-0555
Practice Address - Fax:281-883-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility