# ST. DOMINIC VILLAGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487079851
- **Authorized official:** MR. GRADY M MULLINS (CFO)
- **Authorized official phone:** (713) 741-8736

## Contact information

- **Practice address:** 2401 HOLCOMBE BLVD, HOUSTON, TX 77021-2023
- **Practice address phone:** (713) 741-8736
- **Mailing address:** 2401 HOLCOMBE BLVD, HOUSTON, TX 77021-2023

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 06/15/2022