MTR Management Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MTR MANAGEMENT GROUP LLC

Practice address

4510 27TH St
Lubbock, TX 79410-1709

Phone

(806) 795-4368

Fax

(806) 795-1189

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Amanda K Hall

Title

Member

Phone

(806) 795-4368

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bender Terrace Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Rodriguez, FNP

  • Nurse Practitioner
  • Lubbock, TX
  • NPI 1659301471
  NPD

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1306221247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 27TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101709",
            "telephone_number": "806-795-4368",
            "fax_number": "806-795-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 27TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101709",
            "telephone_number": "806-795-4368",
            "fax_number": "806-795-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTR MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "806-795-4368",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004072",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bender Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MPD Bender Terrace of Lubbock LLC
• MPS Home Therapies, PLLC
• MRI Central Lubbock Inc
• MRI Central Lubbock LLC
• Mta Ambulance Service of Lubbock, LLC
• Gisela Maria Mueller, RPT
• David Stuart Muff, M.D.
• Ghulam Mujtaba, MD
• Zachary Paul Mulkey, MD
• Melinda Tiffany Mullin, RN, BSN

• Skilled Nursing Facility in Lubbock, TX
• Providers in Lubbock, 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 Jul 21, 2015; 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.