MEMORIAL MEDICAL CENTER (NPI# 1669860425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669860425 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER |
| Other Organization Name | THE CRESCENT |
| Practice Address |
11353 Sugar Park Ln Sugar Land TX 77478-1407 |
| Mailing Address |
815 N Virginia St Port Lavaca TX 77979-3025 |
| Practice Telephone | 2812762050 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | JASON ANGLIN (CEO) |
| Authorized Official Telephone | 3615526713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE CCN | 67-6323 | 01 |
| Other Name | Type Code |
|---|---|
| The Crescent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1497153589 | Memorial Medical Center | Family Medicine | 1016 N. Virginia St., Port Lavaca, TX 77979-0000 | 2014-12-05 |
| 1588075964 | Memorial Medical Center | Skilled Nursing Facility | 2100 Dove Crossing Ln, Navasota, TX 77868-5247 | 2014-05-19 |
| 1275717894 | Memorial Medical Center | Skilled Nursing Facility | 2750 Miller Ranch Rd, Pearland, TX 77584-9763 | 2007-12-18 |
| 1679549968 | Memorial Medical Center | Audiologist | 644 North Second Street, Springfield, IL 62781-0001 | 2006-02-27 |
| 1124099098 | Memorial Medical Center | General Acute Care Hospital | 701 N !st St, Mab 528, Springfield, IL 62781-0001 | 2006-01-30 |
| 1922092790 | Memorial Medical Center | Skilled Nursing Facility | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2005-09-07 |
| 1568017481 | Memorial Medical Center | Clinic/Center | 701 N 1st St, Springfield, IL 62781-0001 | 2019-08-07 |
| 1053964742 | Memorial Medical Center | Orthopaedic Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-07-22 |
| 1164954806 | Memorial Medical Center | Internal Medicine | 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 | 2017-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER | 8260 Atlee Rd Ste 1203, Mechanicsville, VA 23116-1844 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER INC | 1615 Maple Ln, Ashland, WI 54806-3610 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER OF EAST TEXAS | 1201 W Frank Ave, Lufkin, TX 75904-3357 |
| Street Address |
11353 SUGAR PARK LN |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77478-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477815173 | Khiem Sam Ngo | Occupational Therapist | 11353 Sugar Park Ln, Sugar Land, TX 77478-1407 | 2012-06-09 |
| 1083197198 | Eunice Mukami Ngiri | Occupational Therapy Assistant | 11353 Sugar Park Ln, Sugar Land, TX 77478-1407 | 2018-09-13 |
| 1043790132 | Mauri Elizabeth Reynolds | Speech-Language Pathologist | 11353 Sugar Park Ln, Sugar Land, TX 77478-1407 | 2018-08-17 |
| 1497002208 | Crescent Continuing Care Center Ltd Co | Skilled Nursing Facility | 11353 Sugar Park Ln, Sugar Land, TX 77478-1404 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794474 | Guiding Light Family Services of Texas, LLC | Clinic/Center | 322 Richland Drive, Sugarland, TX 77478 | 2020-03-11 |
| 1326671066 | Parimal Patel | Physical Therapist | 15591 Creekbend Dr Ste 201, Sugar Land, TX 77478 | 2020-02-21 |
| 1811529662 | Alexandria Gallien | Pharmacist | 13322 W Airport Blvd, Sugar Land, TX 77478 | 2020-02-10 |
| 1760022024 | Ronald Blancett | Physical Therapist | 56 Sugar Creek Center Blvd Suite 150, Sugar Land, TX 77478 | 2020-01-14 |
| 1871141549 | Lyanne Y Colon | Physical Therapist | 20403 University Blvd #100, Sugar Land, TX 77478 | 2019-08-27 |
| 1487201927 | Ephesians 2:10 Holdings, LLC | In Home Supportive Care | 1415 Sh-6, Suite A-310, Sugar Land, TX 77478 | 2019-08-20 |
| 1902466519 | Houston Regional Pain and Regenerative Medicine Pllc | Anesthesiology | 15555 Creek Bend Rd, Unit 200, Sugarland, TX 77478 | 2019-06-17 |
| 1891354072 | Adc Serives:dental PC | Clinic/Center | 12921 West Bellfort, Sugar Land, TX 77478 | 2019-06-11 |
| 1033677026 | Yang Dental, Pllc | Clinic/Center | 2220 Eldridge Rd Ste 150, Sugar Land, TX 77478 | 2019-03-08 |
| 1689159501 | Rafael Williams | Behavior Technician | 225 Matlage Way, Sugar Land, TX 77478 | 2018-09-26 |
| Find all providers in zip 77478 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639574825 | Sugarland Snf, LLC | Skilled Nursing Facility | 770 Brook Street, Sugar Land, TX 77478 | 2014-10-30 |
| 1417243478 | Aaliya I Amer,md Pa | Skilled Nursing Facility | 1107 Arden Oaks Dr, Sugar Land, TX 77479-6764 | 2011-06-28 |
| 1134439698 | Solo-care,inc | Skilled Nursing Facility | 14526 Marshall Bridge Ln, Sugar Land, TX 77498-2188 | 2010-10-18 |
| 1730281585 | Hsmtx/sugar Land, LLC | Skilled Nursing Facility | 333 Matlage Way, Sugar Land, TX 77478 | 2006-09-02 |
| 1245632132 | Apollo Healthcare At Sugarland, Lp | Skilled Nursing Facility | 1803 Wescott Ave, Sugar Land, TX 77479 | 2014-09-23 |
| 1497002208 | Crescent Continuing Care Center Ltd Co | Skilled Nursing Facility | 11353 Sugar Park Ln, Sugar Land, TX 77478-1404 | 2012-08-10 |
| 1356631188 | N2 Healthcare Services | Skilled Nursing Facility | 19901 Southwest Fwy, Suite 125, Sugar Land, TX 77479-6538 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77478 |
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| 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.