CEDAR BAYOU SCC LLC (NPI# 1730577636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730577636 |
| Entity Type | Organization |
| Organization Name | CEDAR BAYOU SCC LLC |
| Other Organization Name | CEDAR BAYOU NURSING & REHAB CENTER |
| Practice Address |
2000 W Baker Rd Baytown TX 77521-2259 |
| Mailing Address |
600 N Pearl St Ste 1050 Dallas TX 75201-7495 |
| Practice Telephone | 2814279120 |
| Practice Fax Number | 2814274262 |
| Mailing Telephone | 2142527600 |
| Mailing Fax Number | 2142527704 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MICHAEL BEAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142527600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001026731 | 05 | |
| TX | VENDOR ID/FACILITY ID | 5541 103620 | 01 |
| Other Name | Type Code |
|---|---|
| Cedar Bayou Nursing & Rehab Center | Doing Business As Name - Organization |
| Street Address |
2000 W BAKER RD |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236448 | Fpacp Cedar Bayou LLC | Skilled Nursing Facility | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2019-03-26 |
| 1467933234 | Sara J Rodriguez | Occupational Therapist | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-08-28 |
| 1184105421 | Brenda Nelli Reyes | Physical Therapy Assistant | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-08-24 |
| 1467933648 | Anthia Mariette Rablot | Occupational Therapy Assistant | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-08-24 |
| 1245710375 | Kassidy Grevemberg | Occupational Therapy Assistant | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-08-17 |
| 1821578055 | Deltrice Daniel | Physical Therapist | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-08-16 |
| 1376043075 | Natalie Marie Deerhake | Speech-Language Pathologist | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| 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 |
|---|---|---|---|---|
| 1194237404 | Rollingbrook Rehab LLC | Skilled Nursing Facility | 750 Rollingbrook Dr., Baytown, TX 77521-4059 | 2017-10-26 |
| 1356887772 | Fpacp Baytown LLC | Skilled Nursing Facility | 2000 Beaumont Rd, Baytown, TX 77520-3114 | 2017-01-09 |
| 1912175688 | Phcc - Cedar Bayou Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 2000 W. Baker Rd., Baytown, TX 77521-2166 | 2008-02-15 |
| 1396886263 | San Jacinto Methodist Hospital | Skilled Nursing Facility | 1700 James Bowie Dr, Baytown, TX 77520-3302 | 2007-02-12 |
| 1356497010 | St. James House of Baytown | Skilled Nursing Facility | 5800 W Baker Rd, Baytown, TX 77520-1618 | 2007-01-26 |
| 1245272780 | Phcc-rehabilitation and Health Care Center At Baytown, LLC | Skilled Nursing Facility | 3921 N Main St, Baytown, TX 77521-3307 | 2006-06-11 |
| 1417918210 | Nexion Health At Baytown Inc | Skilled Nursing Facility | 2000 Beaumont St, Baytown, TX 77520-3114 | 2006-03-31 |
| 1720049513 | Nexion Health At Allenbrook, Inc. | Skilled Nursing Facility | 4109 Allenbrook Dr, Baytown, TX 77521-3239 | 2006-03-31 |
| 1962497487 | Garrett-beck Corporation | Skilled Nursing Facility | 1106 Park St, Baytown, TX 77520-2322 | 2005-09-12 |
| 1699236448 | Fpacp Cedar Bayou LLC | Skilled Nursing Facility | 2000 W Baker Rd, Baytown, TX 77521-2259 | 2019-03-26 |
| Find all providers in BAYTOWN | ||||
Please comment or provide details below to improve the information on CEDAR BAYOU SCC LLC.
| 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.