Provider Demographics
NPI:1386684322
Name:PHCC-WESTWOOD REHABILITATION AND HEALTH CARE CENTER, LLC
Entity Type:Organization
Organization Name:PHCC-WESTWOOD REHABILITATION AND HEALTH CARE CENTER, LLC
Other - Org Name:WESTWOOD REHABILITATION AND HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-545-6320
Mailing Address - Street 1:8702 S COURSE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2773
Mailing Address - Country:US
Mailing Address - Phone:281-498-5796
Mailing Address - Fax:281-498-5726
Practice Address - Street 1:8702 S COURSE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2773
Practice Address - Country:US
Practice Address - Phone:281-498-5796
Practice Address - Fax:281-498-5726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118975314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676116Medicare Oscar/Certification