PM Management-Corpus Christi NC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

113427 Issued in TX

Legal business name

PM MANAGEMENT-CORPUS CHRISTI NC LLC

Practice address

202 Fortune Dr
Corpus Christi, TX 78405-3919

Phone

(361) 289-0889

Fax

(361) 289-7516

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Greg Moore

Title

Manager

Phone

(512) 634-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trisun Care Center Corpus Christi Doing business as

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1194880120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 N MO PAC EXPY",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598376",
            "telephone_number": "512-634-4900",
            "fax_number": "512-634-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FORTUNE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053919",
            "telephone_number": "361-289-0889",
            "fax_number": "361-289-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-CORPUS CHRISTI NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-634-4900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "113427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "000662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trisun Care Center Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Leili Plasencia, PH.D.
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• John Charles Polk, P.T.

• Assisted Living Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.