Missionary Baptist Foundation of America, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

114751 Issued in TX

Legal business name

MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC

Doing business as

Senior Village Nursing Home

Practice address

3101 S Main St
Perryton, TX 79070-5345

Phone

(806) 435-5403

Fax

(806) 435-5055

NPI assigned

Jan 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah B Rice

Title

Director of Operations

Phone

(806) 747-3447

Specialties & licenses 1

Addresses

Other names 1

• Senior Village Nursing Home Doing business as

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386615920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 13TH ST",
            "address_2": "SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013940",
            "telephone_number": "806-747-3447",
            "fax_number": "806-747-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S MAIN ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705345",
            "telephone_number": "806-435-5403",
            "fax_number": "806-435-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "806-747-3447"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "114751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Village Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Kirklin, DDS
• Rex L Mann, M.D.
• Casey Don McGarraugh, PA-C
• Jennifer Theresa McGaughy, D.O.
• Erma Jean McGinn, CRNA
• Alyce Ann Morton, FNP-C
• James W Morton, M.D.
• Newstart Physical Therapy, LLC
• O'Beirne Family Care, PLLC
• Rachel O'Beirne

• Nursing Facility/Intermediate Care Facility in Perryton, TX
• Providers in Perryton, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.