M & B New Boston, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107018 Issued in TX

Legal business name

M & B NEW BOSTON, LLC

Practice address

1 Autumn Circle
New Boston, TX 75570

Phone

(903) 628-0477

Fax

(903) 628-0478

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy L Ruffner

Title

Administrator

Phone

(903) 628-0477

Specialties & licenses 1

Addresses

Other names 1

• Autumn Wind Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1134630908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUTUMN CIRCLE",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "75570",
            "telephone_number": "903-628-0477",
            "fax_number": "903-628-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUTUMN CIRCLE",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "75570",
            "telephone_number": "903-628-0477",
            "fax_number": "903-628-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & B NEW BOSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "RUFFNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-628-0477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "107018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wind Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Andrew Hunt, PT
• Inspire New Boston LLC
• Jiby James
• Janis Lea Kasitati, M.S., LPC
• Elizabeth Dorman Land, DPT
• Malta Independent School District
• Mark Duane Perry
• Jamie Linda Martin, APRN-FNP
• Jason D. McCandless, P.A.
• McCurtain Memorial Medical Management, Inc.

• Assisted Living Facility in New Boston, TX
• Providers in New Boston, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.