Active NPI
Mesquite Senior Care LLC
- Skilled Nursing Facility
- Mesquite, TX
National Provider Identifier
1134847148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MESQUITE SENIOR CARE LLC
- Practice address
- 1000 Wiggins Pkwy
Mesquite, TX 75150-7465 - Phone
- (972) 686-3000
- Fax
- (972) 698-2671
- NPI assigned
- Aug 16, 2022
- 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
- Cyndi Matheny
- Title
- President of Manager
- Phone
- (423) 883-7920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1000 Wiggins Pkwy
Mesquite, TX 75150-7465
Mailing address
1000 Wiggins Pkwy
Mesquite, TX 75150-7465
Phone (972) 686-3000
Other names 1
- Christian Care Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Addison, TX
- NPI 1023017175
-
- Geriatric Medicine (Internal Medicine) Physician
- Mesquite, TX
- NPI 1306861448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660780800000",
"number": "1134847148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WIGGINS PKWY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507465",
"telephone_number": "972-686-3000",
"fax_number": "972-698-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WIGGINS PKWY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507465",
"telephone_number": "972-686-3000",
"fax_number": "972-698-2671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESQUITE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A",
"authorized_official_last_name": "MATHENY",
"authorized_official_first_name": "CYNDI",
"authorized_official_title_or_position": "PRESIDENT OF MANAGER",
"authorized_official_telephone_number": "423-883-7920"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Christian Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Christian Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.