Mission SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MISSION SCC LLC

Doing business as

Mission Nursing & Rehabilitation Center

Practice address

1013 S Bryan Rd
Mission, TX 78572-6608

Phone

(956) 580-2100

Fax

(956) 581-5161

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Micahel Templeton

Title

Chief Operations Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mission Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1053611988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547685",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726608",
            "telephone_number": "956-580-2100",
            "fax_number": "956-581-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Injury and Orthopedics Clinic LLC
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• Mission Open MRI & Diagnostic Center LLC
• Mission Orthopaedics PA
• Mission Psychological Center, P.a.
• Molecular Medical Laboratory, Inc
• Klarissa Marie Monroy
• Adan Montalvo
• Armando Montalvo, O.T.R.
• Erika Cecilia Bayona Montecillo, NP- FNP-BC

• Skilled Nursing Facility in Mission, TX
• Providers in Mission, 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 16, 2022; 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.