Living Centers of Texas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117768 Issued in TX

Legal business name

LIVING CENTERS OF TEXAS, INC.

Doing business as

Mulberry Manor

Practice address

1670 Lingleville Rd
Stephenville, TX 76401

Phone

(254) 968-2158

Fax

(254) 968-7679

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Devin Ehrlich

Title

Evp

Phone

(800) 929-4762

Specialties & licenses 1

Addresses

Other names 1

• Mulberry Manor Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205973799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 LINGLEVILLE RD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-968-2158",
            "fax_number": "254-968-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 LINGLEVILLE RD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-968-2158",
            "fax_number": "254-968-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING CENTERS OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "800-929-4762"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulberry Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie D. Sharp DC
• Kiana Angelique Leveston
• Mikaelah Lewis
• Light Shines Counseling PLLC
• Susan Lightsey
• Living Water Counseling & Consulting PLLC
• Deborah Lodrigue, LPC INTREN
• Leeann Stafford Loggins, OT
• Craig Longley, D.C.
• Danny Antony Lopez

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