PM Management-Pflugerville NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122862 Issued in TX

Legal business name

PM MANAGEMENT-PFLUGERVILLE NC LLC

Doing business as

Pflugerville Care Center

Practice address

521 S Heatherwilde Blvd.
Pflugerville, TX 78660-3668

Phone

(512) 670-5800

Fax

(512) 670-5818

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pflugerville Care Center Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1023178662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S HEATHERWILDE BLVD.",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603668",
            "telephone_number": "512-670-5800",
            "fax_number": "512-670-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-PFLUGERVILLE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "005300",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003643",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pflugerville Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pflugerville Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• PM Management - Pflugerville Al, LLC (Heatherwilde Assisted Living)
• Cassandra Lynne Polanski, PT, DPT
• Howard Polansky, DMD
• Li Juan Polvadore
• Mary-Ellen Pon, LCSW
• Abigail Laura Ponce

• Skilled Nursing Facility in Pflugerville, TX
• Providers in Pflugerville, 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 Mar 5, 2020; 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.