Active NPI
Martin Duncan Personal Care Home
- Assisted Living Facility
- Devine, TX
National Provider Identifier
1104986371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 118599
- Legal business name
- MARTIN DUNCAN PERSONAL CARE HOME
- Practice address
- 266 W County Road 5719
Devine, TX 78016-4028 - Phone
- (830) 709-3544
- Fax
- (830) 709-3544
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Duncan
- Title
- Owner
- Phone
- (830) 709-3544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 118599 | TX | Primary |
Addresses
Primary practice location
266 W County Road 5719
Devine, TX 78016-4028
Mailing address
266 W County Road 5719
Devine, TX 78016-4028
Phone (830) 709-3544
Other names 1
- Martin Duncan Boarding Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104986371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 W COUNTY ROAD 5719",
"city": "DEVINE",
"state": "TX",
"postal_code": "780164028",
"telephone_number": "830-709-3544",
"fax_number": "830-709-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 W COUNTY ROAD 5719",
"city": "DEVINE",
"state": "TX",
"postal_code": "780164028",
"telephone_number": "830-709-3544",
"fax_number": "830-709-3544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN DUNCAN PERSONAL CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-709-3544",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "118599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin Duncan Boarding Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Devine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.