PM Management-Georgetown NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122659 Issued in TX

Legal business name

PM MANAGEMENT-GEORGETOWN NC LLC

Practice address

121 FM 971
Georgetown, TX 78626-4546

Phone

(512) 868-6200

Fax

(512) 869-4180

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 Jr.

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Park Place 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": "1583280000000",
    "number": "1104986645",
    "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",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FM 971",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264546",
            "telephone_number": "512-868-6200",
            "fax_number": "512-869-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-GEORGETOWN NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "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",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "005364",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Place Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary W Pinkard, FNP-C
• Martha Lane Pinto, M.ED.
• Marilyn S Piper, LPC
• Platinum Resort 103 LLC
• PM Management-Georgetown Al LLC
• Teresa M Poindexter, PHYSICAL THERAPIST
• Shanni Ponce, P.T.
• Matthew Scott Poole, PA-C
• Revanth Poondla, MD
• Honoree McGraw Pope, PT, DPT

• Skilled Nursing Facility in Georgetown, TX
• Providers in Georgetown, 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 4, 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.