Organization Active NPI

PM Management-Trinity NC LLC

  • Assisted Living Facility
  • Round Rock, TX
National Provider Identifier
1104986652
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
114677 Issued in TX
Legal business name
PM MANAGEMENT-TRINITY NC LLC
Practice address
100 College St
Round Rock, TX 78664-4415
Phone
(512) 244-1967
Fax
(512) 255-8120
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Greg Moore
Title
Manager
Phone
(512) 634-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 114677 TX Primary

Addresses

Primary practice location

100 College St
Round Rock, TX 78664-4415

Mailing address

8701 N Mo Pac Expy
Suite 300
Austin, TX 78759-8376
Phone (512) 634-4900

Other identifiers 1

IdentifierTypeStateIssuer
000631OtherTXFACILITY ID NO.

Other names 1

  • Altenheim Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1104986652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 N MO PAC EXPY",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598376",
            "telephone_number": "512-634-4900",
            "fax_number": "512-634-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644415",
            "telephone_number": "512-244-1967",
            "fax_number": "512-255-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-TRINITY NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-634-4900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "114677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "000631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altenheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.