1902084494 NPI number — NEW ERA NURSING & REHABILITATION, LLP

Table of content: (NPI 1902084494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902084494 NPI number — NEW ERA NURSING & REHABILITATION, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ERA NURSING & REHABILITATION, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902084494
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 POST OAK BLVD
Provider Second Line Business Mailing Address:
SUITE 5800
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77056-6100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-251-6561
Provider Business Mailing Address Fax Number:
832-251-6562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3510 SHERMAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77003-2519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-224-5344
Provider Business Practice Location Address Fax Number:
713-224-0302
Provider Enumeration Date:
02/06/2008

Additional Information

Authorized Official

Authorized Official Last Name:
UDDIN
Authorized Official First Name:
SHAKEEL
Authorized Official Middle Name:
NMI
Authorized Official Title or Position:
PRESIDENT, PARTNER
Authorized Official Telephone Number:
713-858-5567

Provider Taxonomy Codes

  • Taxonomy code: 313M00000X , with the licence number:  119613 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001015920 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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