Provider Demographics
NPI:1497820682
Name:QUILTED CARE - HOUSTON, LLC
Entity Type:Organization
Organization Name:QUILTED CARE - HOUSTON, LLC
Other - Org Name:TREEMONT HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-797-8735
Mailing Address - Street 1:PO BOX 631249
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77263-1249
Mailing Address - Country:US
Mailing Address - Phone:713-783-4100
Mailing Address - Fax:713-782-7964
Practice Address - Street 1:2501 WESTERLAND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2207
Practice Address - Country:US
Practice Address - Phone:713-783-4100
Practice Address - Fax:713-782-7964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000126Medicaid