Organization Active NPI

PM Management - Allen NC LLC

  • Skilled Nursing Facility
  • Allen, TX
National Provider Identifier
1316279169
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PM MANAGEMENT - ALLEN NC LLC
Practice address
310 S Jupiter Rd
Allen, TX 75002-3039
Phone
(972) 727-5850
Fax
(972) 727-5625
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Cameran Jordan
Title
Receiver
Phone
(615) 542-7423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

310 S Jupiter Rd
Allen, TX 75002-3039

Mailing address

310 S Jupiter Rd
Allen, TX 75002-3039

Other names 1

  • Victoria Gardens of Allen Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0989333PM Management Allen, NC LLC310 S Jupiter, Allen, TX 75002Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Locations

14841 Dallas Pkwy
Ste 440
Dallas, TX 75254
Phone (214) 854-3124

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1316279169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S JUPITER RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S JUPITER RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023039",
            "telephone_number": "972-727-5850",
            "fax_number": "972-727-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT - ALLEN NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CAMERAN",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "615-542-7423"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Gardens of Allen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victoria Gardens of Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.