PM Management - Lewisville NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PM MANAGEMENT - LEWISVILLE NC LLC

Doing business as

Vista Ridge Nursing & Rehabilitation Center

Practice address

700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339

Phone

(972) 906-9789

Fax

(972) 956-9491

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Cameran Jordan

Title

Receiver

Phone

(615) 542-7423

Specialties & licenses 1

Addresses

Other names 1

• Vista Ridge Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1174854236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E VISTA RIDGE MALL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678339",
            "telephone_number": "972-906-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E VISTA RIDGE MALL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678339",
            "telephone_number": "972-906-9789",
            "fax_number": "972-956-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT - LEWISVILLE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CAMERAN",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "615-542-7423"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Ridge Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Ridge Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lewisville, TX
• Providers in Lewisville, 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 May 28, 2024; 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.