CARTER B INVESTMENT INC DBA FUQUA MEDICAL GROUP


Address: 12559 Gulf Freeway, Houston, TX 77034-4509
Phone: 2814843844

CARTER B INVESTMENT INC DBA FUQUA MEDICAL GROUP (NPI# 1205186780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205186780
Entity Type Organization
Organization Name CARTER B INVESTMENT INC DBA FUQUA MEDICAL GROUP
Practice Address 12559 Gulf Freeway
Houston
TX 77034-4509
Mailing Address 2525 S Voss Rd
Apt 364
Houston
TX 77057-4434
Practice Telephone 2814843844
Practice Fax Number 2814843880
Mailing Telephone 2814843844
Enumeration Date 2012-09-12
Last Update Date 2012-09-12
Authorized Official Name MR. CLAUDE E COX II (OWNER)
Authorized Official Telephone 2814843844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 687034 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS BOARD OF NURSING 687034 01

Office Location

Street Address 12559 GULF FREEWAY
City HOUSTON
State TX
Zip Code 77034-4509

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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1386726396 St. Dominic Village Nursing Facility/Intermediate Care Facility 2409 Holcombe Blvd, Houston, TX 77021-2023 2006-10-19
1023036761 Meridian Nursing Services Nursing Facility/Intermediate Care Facility 9894 Bissonnet St., Suite 415, Houston, TX 77036-8242 2006-07-18
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Competitor

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City HOUSTON
Zip Code 77034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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