# HERITAGE PARK OF KATY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Park of Katy Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689836645
- **Authorized official:** LINDA HARE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (979) 826-3382

## Contact information

- **Practice address:** 6001 GEORGE BUSH DRIVE, KATY, TX 77493-1991
- **Practice address phone:** (281) 395-1124
- **Practice address fax:** (281) 395-1111
- **Mailing address:** 6001 GEORGE BUSH DRIVE, KATY, TX 77493-1991
- **Mailing address phone:** (281) 395-1124
- **Mailing address fax:** (281) 395-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 001016156 | TX | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 08/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016156 | — | TX |