# MEMORIAL HERMANN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Place Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124053970
- **Authorized official:** MR. DENNIS LARAWAY (CFO)
- **Authorized official phone:** (713) 242-2707

## Contact information

- **Practice address:** 7480 BEECHNUT ST, HOUSTON, TX 77074-4502
- **Practice address phone:** (713) 541-2900
- **Practice address fax:** (713) 338-4158
- **Mailing address:** PO BOX 301208, DALLAS, TX 75303-1208
- **Mailing address phone:** (713) 338-4127
- **Mailing address fax:** (713) 338-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 111656 | TX | — |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 04/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025488 | — | TX |