McPherson Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4263257 Issued in KS

Legal business name

MCPHERSON CARE CENTER LLC

Practice address

500 N Market Place Dr
Suite 203
Centerville, UT 84014-1708

Phone

(801) 296-5105

NPI assigned

Jan 29, 2009

Organization subpart

Yes

Parent organization

DNR TWO LLCAs reported in NPPES

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

Authorized official

Name

Trung K Lam

Title

Dir of Finance

Phone

(801) 296-5149

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1336387307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MARKET PLACE DR",
            "address_2": "SUITE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141708",
            "telephone_number": "801-296-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MARKET PLACE DR",
            "address_2": "SUITE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141708",
            "telephone_number": "801-296-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPHERSON CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR OF FINANCE",
        "authorized_official_telephone_number": "801-296-5149"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "4263257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004438960A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon C Maguire, PT, DPT, FCP
• Rachel Maldonado, AMFT
• Connie Lynn Martinez, L.M.T.
• Matts Place
• Courtney Ann McDonough
• Markham McReynolds
• Kristin Michelle Miller, LMT
• Arnold Brett Morrill, D.O
• Deanna Rae Moultrie, PHARMD
• Mountain West Podiatry LLC

• Skilled Nursing Facility in Centerville, UT
• Providers in Centerville, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.