PM Management-Austin NC II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122585 Issued in TX

Legal business name

PM MANAGEMENT-AUSTIN NC II, LLC

Doing business as

Gracy Woods II Living Center

Practice address

12042 Bittern Holw
Austin, TX 78758-3350

Phone

(512) 228-3350

Fax

(512) 228-3369

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Benjamin M Hanson Jr.

Title

Manager

Phone

(512) 344-4235

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gracy Woods II Living Center Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1467512004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 W 5TH ST",
            "address_2": "SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034893",
            "telephone_number": "512-344-4235",
            "fax_number": "877-639-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BITTERN HOLW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583350",
            "telephone_number": "512-228-3350",
            "fax_number": "512-228-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-AUSTIN NC II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-344-4235",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "005356",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003644",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracy Woods II Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plus Faith TX Incorporated
• Molly L Pluss, DC
• Catherine Victoria Plyler, DIETITIAN
• Sarah B Plyler, LMFT
• Steven Anthony Plyler, PTA
• PM Management-Austin NC LLC (Gracy Woods Nursing Center)
• PMC Healthcare & Diagnostis of Austin, PC
• Mark G Poag, M.D.
• Cindy Melissa Pocasangre, DNP, APRN, CPNP-PC
• Alicia R Poche, PT

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, 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 22, 2014; 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.