Trinity Mission of Granbury, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116586 Issued in TX

Legal business name

TRINITY MISSION OF GRANBURY, LLC

Practice address

600 Reunion CT
Granbury, TX 76048-1610

Phone

(817) 573-3773

Fax

(817) 573-0103

NPI assigned

May 12, 2006

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

COVENANT DOVE, LLCAs reported in NPPES

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

Authorized official

Name

Christopher J Murphy

Title

Vice President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1033169636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 REUNION CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481610",
            "telephone_number": "817-573-3773",
            "fax_number": "817-573-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REUNION CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481610",
            "telephone_number": "817-573-3773",
            "fax_number": "817-573-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MISSION OF GRANBURY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001875",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Belinda Jean Tuck, LPC

• Skilled Nursing Facility in Granbury, TX
• Providers in Granbury, 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 Apr 12, 2012; 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.