Provider Demographics
NPI:1710286026
Name:THE WESTFIELD CORPORATION
Entity Type:Organization
Organization Name:THE WESTFIELD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-528-2008
Mailing Address - Street 1:4611 MONTROSE BLVD
Mailing Address - Street 2:A210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6127
Mailing Address - Country:US
Mailing Address - Phone:713-528-2008
Mailing Address - Fax:713-528-2080
Practice Address - Street 1:5126 ENYART ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-4429
Practice Address - Country:US
Practice Address - Phone:713-741-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133067310400000X
TX1404106322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility