Active NPI
PM Management - Allen NC LLC
- Skilled Nursing Facility
- Allen, TX
National Provider Identifier
1316279169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0989333 | PM Management Allen, NC LLC | Certificate of waiver | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.