Madisonville Managment

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112206 Issued in TX

Legal business name

MADISONVILLE MANAGMENT

Doing business as

Madisonville Care Center

Practice address

411 E Collard St
411 East Collard St.
Madisonville, TX 77864-3306

Phone

(936) 348-2735

Fax

(936) 348-6727

NPI assigned

Jun 21, 2006

Last updated

Aug 22, 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

Mrs. Ginger Marie Graham

Title

Asst. Admin.

Phone

(936) 348-2735

Specialties & licenses 1

Addresses

Other names 1

• MADISONVILLE CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194761676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E COLLARD ST",
            "address_2": "P.O. BOX 40",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778643306",
            "telephone_number": "936-348-2735",
            "fax_number": "936-348-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E COLLARD ST",
            "address_2": "411 EAST COLLARD ST.",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778643306",
            "telephone_number": "936-348-2735",
            "fax_number": "936-348-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISONVILLE MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASST. ADMIN.",
        "authorized_official_telephone_number": "936-348-2735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISONVILLE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison St Joseph Health Center (CHI St Joseph Health Madison Hospital)
• Madison St Joseph Health Center (CHI St Joseph Health Madison Hospital)
• Madisonville Cisd
• Madisonville II Enterprises, LLC (Madisonville Care Center)
• Madisonville III Enterprises, LLC (Madisonville Assisted Living)
• Leigh McWhorter
• Melissa Ann Meyer, MD
• Kelly Elizabeth Morgan, LPC
• Mary Helen Morrow, M.D.
• Mustang Therapies, PLLC

• Skilled Nursing Facility in Madisonville, TX
• Providers in Madisonville, 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 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.