# HEARTLAND OF WEST HOUSTON TX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ManorCare Health Services-West Houston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497790083
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 2939 WOODLAND PARK DR, HOUSTON, TX 77082-2687
- **Practice address phone:** (821) 870-9100
- **Practice address fax:** (821) 558-7700
- **Mailing address:** 333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 252-5541
- **Mailing address fax:** (419) 252-5548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 108939 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 12/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001015385 | — | TX |