Provider Demographics
NPI:1871827105
Name:NORTHPOINTE LTC LTD
Entity Type:Organization
Organization Name:NORTHPOINTE LTC LTD
Other - Org Name:GRACE CARE CENTER AT NORTHPOINTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIMITED PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLSTED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-448-3700
Mailing Address - Street 1:11830 NORTHPOINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-5536
Mailing Address - Country:US
Mailing Address - Phone:281-205-9400
Mailing Address - Fax:281-516-2540
Practice Address - Street 1:11830 NORTHPOINTE BLVD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-5536
Practice Address - Country:US
Practice Address - Phone:281-205-9400
Practice Address - Fax:281-516-2540
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNF PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-18
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001017816Medicaid
TX001017816Medicaid