Monterey Care Center, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

108794 Issued in TX

Legal business name

MONTEREY CARE CENTER, L.P.

Practice address

3101 10TH St
Wichita Falls, TX 76309-2103

Phone

(940) 766-0281

Fax

(940) 723-4935

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Peter J Licari

Title

President of General Partner

Phone

(215) 441-7700

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Monterey Care Center Doing business as

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1174513618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DRYDEN ROAD",
            "address_2": "SUITE 2000",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "19025",
            "telephone_number": "215-441-7700",
            "fax_number": "215-441-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763092103",
            "telephone_number": "940-766-0281",
            "fax_number": "940-723-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY CARE CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "LICARI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "215-441-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108794",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "115322",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "115322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Ann Moll, O.D.
• Megan C Monroe Ramos, WHNP
• Megan Elizabeth Montalvo
• Diane Montano, BSW
• Misty D Montellano, NP-C
• Monterey SNF LLC
• Darice Montgomery, LPC
• Darla Jo Montgomery, MA, LPC
• John Montgomery, M.D.
• Theodore Montgomery, DC

• Skilled Nursing Facility in Wichita Falls, TX
• Providers in Wichita Falls, 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 Oct 29, 2007; 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.