Provider Demographics
NPI:1902084494
Name:NEW ERA NURSING & REHABILITATION, LLP
Entity Type:Organization
Organization Name:NEW ERA NURSING & REHABILITATION, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAKEEL
Authorized Official - Middle Name:NMI
Authorized Official - Last Name:UDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-858-5567
Mailing Address - Street 1:2800 POST OAK BLVD
Mailing Address - Street 2:SUITE 5800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6100
Mailing Address - Country:US
Mailing Address - Phone:832-251-6561
Mailing Address - Fax:832-251-6562
Practice Address - Street 1:3510 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-2519
Practice Address - Country:US
Practice Address - Phone:713-224-5344
Practice Address - Fax:713-224-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119613313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001015920Medicaid
TX455833Medicare PIN