ST. DOMINIC VILLAGE – Nursing Facility/Intermediate Care Facility, NPI 1386726396

ST. DOMINIC VILLAGE is a healthcare provider. based in Houston, Texas. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. 114382 (TX). The NPI Number for ST. DOMINIC VILLAGE is 1386726396

Main info

Organization
Name
ST. DOMINIC VILLAGE
NPI
1386726396
Phone
(713) 741-8701
Address
2409 HOLCOMBE BLVD
Authorized Official
GRADY MULLINS CFO
Enumeration Date
19 October 2006
Last Update Date
15 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ST. DOMINIC VILLAGE

  • Holcombe Boulevard, Houston, Harris County, Texas, 77021, United States

    HOUSTON, TX 770212023

    Phone: (713) 741-8701

    Fax: (713) 741-9811

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070326000561OSkilled Nursing FacilityTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77021)

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Reviews

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Frequently asked questions

How do payers reference ST. DOMINIC VILLAGE?
For ST. DOMINIC VILLAGE, use NPI 1386726396 as the unique 10-digit identifier.
Is ST. DOMINIC VILLAGE shown as active in public data?
Registry records indicate ST. DOMINIC VILLAGE maintains an active NPI.
What expertise is attributed to ST. DOMINIC VILLAGE?
ST. DOMINIC VILLAGE's specialty line reads Nursing Facility/Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Is ST. DOMINIC VILLAGE associated with Houston?
Public fields place ST. DOMINIC VILLAGE around Houston, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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