NPIMap

Organization Active NPI

Retama Manor

  • Skilled Nursing Facility
  • Weslaco, TX
National Provider Identifier
1386771988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RETAMA MANOR
Practice address
721 S Airport Dr
Weslaco, TX 78596-6617
Phone
(956) 968-8502
Fax
(956) 968-0286
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ted Thornell
Title
Administrator
Phone
(956) 968-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

721 S Airport Dr
Weslaco, TX 78596-6617

Mailing address

721 S Airport Dr
Weslaco, TX 78596-6617
Phone (956) 968-8502

National Provider Directory

National Provider Directory
Tax ID family
FMSC Wharton Operating Company LP2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386771988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966617",
            "telephone_number": "956-968-8502",
            "fax_number": "956-968-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966617",
            "telephone_number": "956-968-8502",
            "fax_number": "956-968-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETAMA MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNELL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-968-8502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • 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.