MERIDIAN ROCKPORT ALF, LP
Assisted Living Facility
Rockport, Texas
Provider NPI: 1245224054
Organization Information:Organization Name: MERIDIAN ROCKPORT ALF, LP
Practice Location:
900 ENTERPRISE BLVD ROCKPORT, TX 78382 US
Tel: 361-729-5254 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
900 ENTERPRISE BLVD ROCKPORT, TX 78382 US
Tel: 361-729-5254 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 113898 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 129349 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01012064 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin