MSHC Bonner Street Plaza LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

129146 Issued in TX

Legal business name

MSHC BONNER STREET PLAZA LLC

Practice address

421 S Bonner St
Jacksonville, TX 75766-2330

Phone

(903) 586-9871

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Carla Power

Title

Cfo

Phone

(903) 792-0838

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1386936664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BONNER STREET",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662330",
            "telephone_number": "903-586-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S BONNER ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662330",
            "telephone_number": "903-586-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSHC BONNER STREET PLAZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-792-0838"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "129146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Morgan, FNP-C
• Leslie Anne Moseley, LPC-INTERN, NCC
• Mother Frances Hospital Jacksonville
• Mother Frances Hospital Jacksonville (CHRISTUS Mother Frances Hospital - Jacksonville)
• Shaza Moussa, MD
• Jessica Lee Murillo, RN
• Amanda Murphy
• Sarah Elizabeth Murphy
• MWS Enterprises, LLC (The Trinity Assisted Living)
• Katrina Felicia Myers

• Skilled Nursing Facility in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.