PM Management -Corsicana NC II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

142141 Issued in TX

Legal business name

PM MANAGEMENT -CORSICANA NC II, LLC

Practice address

3002 W 2ND Ave
Corsicana, TX 75110-2492

Phone

(903) 872-5130

Fax

(903) 872-5949

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Oaks Retirement Village (ALF) Doing business as

Tax ID family

Heritage Oaks Retirement Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PM Management - Corsicana NC II LLC

  • Assisted Living Facility
  • Corsicana, TX
  • NPI 1225409287
  NPD tax ID

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1366814337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102492",
            "telephone_number": "903-872-5130",
            "fax_number": "903-872-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT -CORSICANA NC II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "142141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS FACILITY LICENSE",
            "identifier": "142141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oaks Retirement Village (ALF)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Oaks Retirement Village (ALF)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip R. Taft Psy.D. PLLC
• Justin B Pillans, DDS
• PM Management - Corsicana NC II LLC
• PM Management - Corsicana NC III LLC
• PM Management - Corsicana NC LLC
• PM Management Corsicana NC II LLC
• Podiatric Medical Partners of Texas, PA
• Tara Podjenski, LPC
• Maria Del Pilar Ponce, APRN
• Rosetta Porter, MCD, CCC-SLP

• Assisted Living Facility in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.