MSPF-IV Mansfield Oe, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

120626 Issued in TX

Legal business name

MSPF-IV MANSFIELD OE, LP

Doing business as

The Plaza at Mansfield

Practice address

301 N Miller Rd
Mansfield, TX 76063-9144

Phone

(817) 276-4800

Fax

(817) 276-4850

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Ronck

Title

President

Phone

(214) 651-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Plaza at Mansfield Doing business as

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1255502795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD",
            "address_2": "SUITE 1850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194402",
            "telephone_number": "214-651-4050",
            "fax_number": "214-651-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MILLER RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639144",
            "telephone_number": "817-276-4800",
            "fax_number": "817-276-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSPF-IV MANSFIELD OE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "RONCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-651-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "120626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR",
            "identifier": "5493",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plaza at Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Mansfield, TX
• Providers in Mansfield, 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 Apr 8, 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.