PM Management - San Antonio NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

135408 Issued in TX

Legal business name

PM MANAGEMENT - SAN ANTONIO NC LLC

Doing business as

Trisun Care Center - Lakeside

Practice address

8707 Lakeside Pkwy
San Antonio, TX 78245-3245

Phone

(512) 634-4900

NPI assigned

Apr 20, 2012

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trisun Care Center - Lakeside Doing business as

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1154688661",
    "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": "8707 LAKESIDE PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453245",
            "telephone_number": "512-634-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT - SAN ANTONIO NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "135408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001020529",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trisun Care Center - Lakeside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trisun Care Center - Lakeside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Lorenzo Plunkett
• Chelsea Pluta
• Jeanne Ruth Ply, SLP
• Julia Plyako
• PM Management - San Antonio Al LLC (Lakeside Assisted Living by Trisun Healthcare)
• PM Management-Babcock NC LLC (Mesa Vista Inn Health Center)
• PM Management-Windcrest NC LLC (Trisun Care Center-Windcrest)
• PM Management-Wurzbach NC LLC (Trisun Care Center-Wurzbach)
• PM&R Associates of San Antonio PLLC
• PMC Healthcare and Diagnostics of San Antonio, PC

• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, 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.