Organization
HSMTX/CLEVELAND, LLC
Active
Other names
Cleveland Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H NEELY (BOARD MEMBER/GENERAL COUNSEL)
(615) 896-1191
Entity
Organization
Contact information
Practice address
903 E HOUSTON ST, CLEVELAND, TX 77327
(281) 593-3737
(281) 593-3762
Mailing address
13415 MEDICAL COMPLEX DR STE 101, TOMBALL, TX 77375-6441
(832) 843-5038
(832) 843-5050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004448
—
TX
01
—
160203901
TEXAS PROVIDER IDENTIFIER
TX
01
—
455952
MEDICARE OSCAR/CERTIFICATION
—
Enumeration date
09/02/2006
Last updated
05/31/2018
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