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ST. DOMINIC VILLAGE
NPI 1386726396
Nursing Facility/Intermediate Care Facility in Houston, TX

Active since October 19, 2006CLIA 45D0490299 · Waiver
5/5
Overall Rating
2409 HOLCOMBE BLVD, HOUSTON, TX 77021(713) 741-8701(713) 741-9811 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Dominic Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. DOMINIC VILLAGE (NPI 1386726396) is a healthcare organization registered as a nursing facility/intermediate care facility in Houston, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Grady Mullins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386726396
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameST. DOMINIC VILLAGE
Location Address2409 HOLCOMBE BLVDHouston, TX 77021-2023
Mailing Address2409 Holcombe BlvdHouston, TX 77021-2023 · (713) 741-8701 · Fax (713) 741-9811
Phone(713) 741-8701
Fax(713) 741-9811
Organization SubpartNo
Authorized OfficialGrady MullinsCfo · (713) 741-8736
Enumeration DateOctober 19, 2006
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1386726396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in TX · 114382
Definition
An 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 services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
2409 HOLCOMBE BLVD, Houston, TX 77021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0490299

St Dominic Village · Houston, TX
Active · expires Aug 31, 2026
CLIA Number45D0490299
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBryant K. Sam
Laboratory Phone(713) 741-8701
Laboratory LocationSt Dominic Village2409 Holcombe Blvd, Houston, TX 77021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for St Dominic Village Nursing Home (CMS certification number 676170), from CMS Care Compare.

St Dominic Village Nursing Home

Nursing home · Houston, TX
5/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number676170
Certified Beds158 beds97 residents per day on average
Medicare & Medicaid Participant SinceJanuary 10, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
18.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.03 · LPN 1.11 · RN 0.6
4.74 hrs per resident per day
Weekend Nurse Staffing
4.27 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.4%
Registered Nurse Turnover
22.2%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
6 totaling $33,163.51
Medicare Payment Denials
0
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAQUISIA TAYLOR OTR
Occupational Therapist
2409 HOLCOMBE BLVD
HOUSTON, TX 77021
Harris County (713) 741-8726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Dominic Village's NPI number?

The NPI number for St. Dominic Village is 1386726396. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is St. Dominic Village located?

St. Dominic Village is located at 2409 Holcombe Blvd, Houston, TX 77021. The listed phone number is (713) 741-8701.

What is St. Dominic Village's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does St. Dominic Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0490299) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St. Dominic Village a Medicare-certified nursing home?

Yes. St Dominic Village Nursing Home is a Medicare-certified nursing home with 158 certified beds.

What quality rating does St. Dominic Village have?

CMS rates St Dominic Village Nursing Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does St. Dominic Village accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list St. Dominic Village as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Dominic Village was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.