Organization Active NPI

Morningstar Operating #1, LTD.

  • Skilled Nursing Facility
  • Cleburne, TX
National Provider Identifier
1174533392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
112679 Issued in TX
Legal business name
MORNINGSTAR OPERATING #1, LTD.
Practice address
301 Lincoln Park Dr
Cleburne, TX 76033-7016
Phone
(817) 558-7392
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John R Wilcox
Title
President
Phone
(281) 363-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 112679 TX Primary

Addresses

Primary practice location

301 Lincoln Park Dr
Cleburne, TX 76033-7016

Mailing address

318 Briar Rock Rd
The Woodlands, TX 77380-3528
Phone (281) 363-1005

Other names 1

  • Fireside Lodge Rehabilitation Center of Cleburne Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174533392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BRIAR ROCK RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803528",
            "telephone_number": "281-363-1005",
            "fax_number": "281-292-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LINCOLN PARK DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337016",
            "telephone_number": "817-558-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR OPERATING #1, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-363-1005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fireside Lodge Rehabilitation Center of Cleburne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.