NPI age
19 years
Enumerated 2006-10-19
● Active Type 2 · Organization
St. Dominic Village
St. Dominic Village is 1 of 201 nursing facility/intermediate care facility organizations in Texas.
Primary specialty
Nursing Facility/Intermediate Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mullins
Cfo
Last NPPES update
2022-06-15
Source: monthly bulk 2026-05
How this organization compares
Across 201 active nursing facility/intermediate care facility providers in Texas.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2409 Holcombe Blvd
Houston, TX 770212023
Mailing address
2409 Holcombe Blvd
Houston, TX 770212023
Authorized official
Grady Mullins
Cfo
📞 7137418736
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Juan Gomez Physical Therapy Assistant NPI 1518646389
- Laquisia Taylor, OTR Occupational Therapist NPI 1598218471
Specialties
-
Nursing Facility/Intermediate Care Facility PrimaryAn 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.