Covenant Care Center of Big Spring LLC Mountainview Lodge

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE

Practice address

2009 Virginia Ave
Big Spring, TX 79720-5909

Phone

(432) 263-1271

Fax

(432) 263-5338

NPI assigned

Jan 4, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGEAs reported in NPPES

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

Authorized official

Name

Ronald Sanborn

Title

Owner

Phone

(832) 717-5519

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Covenant Care Center of Big Spring LLC

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1457408387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 VIRGINIA AVE",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205909",
            "telephone_number": "432-263-1271",
            "fax_number": "432-263-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 VIRGINIA AVE",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205909",
            "telephone_number": "432-263-1271",
            "fax_number": "432-263-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-717-5519"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4921",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connect2Speech, LLC
• Thomas W Cooper, LPC
• Trina S Cormack, M.D
• Jason Loren Cornish, PHARM.D.
• Steve Merl Corson, R.PH
• Covenant Care Center of Big Spring, LLC (Mountain View Lodge)
• Rochelle Crow, RD
• Elizabeth Amy Cuellar, LMSW
• Michelle Andrea Cummins, DNP
• Baily J Curry, LVN

• Skilled Nursing Facility in Big Spring, TX
• Providers in Big Spring, 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 Dec 21, 2007; 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.