Organization Active NPI

Mesquite Senior Care LLC

  • Skilled Nursing Facility
  • Mesquite, TX
National Provider Identifier
1134847148
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 18, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.