Park Plaza Nursing Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110002 Issued in TX

Legal business name

PARK PLAZA NURSING CENTER, INC

Practice address

2210 Howard St
San Angelo, TX 76901-1318

Phone

(325) 944-0561

Fax

(325) 944-0562

NPI assigned

May 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Greg Loudermilk

Title

President Administrator

Phone

(325) 944-0561

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013910587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 HOWARD ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011318",
            "telephone_number": "325-944-0561",
            "fax_number": "325-944-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HOWARD ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011318",
            "telephone_number": "325-944-0561",
            "fax_number": "325-944-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA NURSING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LOUDERMILK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "325-944-0561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "110002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Padilla, PA-C
• Jam Tipton Page, BCBA
• Paint Rock Isd
• Amin Parhizgar, M.D.
• Park Plaza LTC Partners, Inc.
• James A. Parker Jr., MD
• John Porter Parker Jr., RPH
• Kimberly Jo Parks, M.A. CCC-SLP
• Shonna Y. Parks, CRNA
• Patricia L Pastors, LPC

• Skilled Nursing Facility in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.