Active NPI
MRC Senior Living Corpus Christi
Doing business as Mirador
- Skilled Nursing Facility
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MRC SENIOR LIVING CORPUS CHRISTI
- Doing business as
- Mirador
- Practice address
- 5857 Timbergate Dr
Corpus Christi, TX 78414-4237 - Phone
- (281) 210-0138
- NPI assigned
- Apr 2, 2019
- Last updated
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Stephens
- Title
- Cfo
- Phone
- (281) 210-0138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5857 Timbergate Dr
Corpus Christi, TX 78414-4237
Mailing address
1440 Lake Front Cir Ste 140
The Woodlands, TX 77380-3607
Phone (281) 210-0138
Other names 1
- Mirador
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190424002200 | TX | Part A Provider - Skilled Nursing Facility | 9032451927 | Practice locations: Corpus Christi, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467914242. Details of each certification follow.
Skilled nursing facility certification: CCN 676303
- Legal name
- MRC SENIOR LIVING CORPUS CHRISTI
- Doing business as
- CLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Dec 29, 2011
- Last certification
- May 29, 2025
- Beds
- 41
- Ownership / control type
- Nonprofit Corporation
- Most recent change of ownership
- May 1, 2019
- Organization structure
- Corporation
- Incorporated
- Mar 15, 2019 in TX
- Enrollment address
- 5857 Timbergate Drive
Corpus Christi, TX 78414-4237 - Nursing home name
- MIRADOR
- Affiliated entity
- METHODIST RETIREMENT COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mirador
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 29, 2011
- Medicare certification status
- Active
- Certified beds
- 41
- Chain
- Methodist Retirement Communities
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
1445 Ross Ave
Ste 3800
Dallas, TX 75202
Ownership & related parties
All disclosed owners & managing parties 29
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2022 | ||
| Lisa Gonzales | Operational/Managerial Control | Jun 18, 2025 | |
| Adp of the SNF | Oct 7, 2025 | ||
| Alicia Besser | Corporate Director | Jul 1, 2024 | |
| Kip Gilts | Corporate Director | Jul 1, 2020 | |
| Donald Stephens | Corporate Officer | May 1, 2019 | |
| Walter Woodward | Corporate Director | Jul 1, 2024 | |
| Truist Bank | 5% Or Greater Mortgage Interest | Dec 6, 2019 | |
| Richard Morgan | Corporate Director | Jul 1, 2017 | |
| Romonica Malone-Wardley | Corporate Director | Jul 1, 2023 | |
| William King | Corporate Director | Jan 1, 2018 | |
| Adp of the SNF | May 1, 2019 | ||
| Charles Childress | Operational/Managerial Control | Sep 30, 2024 | |
| Alan Dwight Brown | Corporate Officer | Apr 13, 2020 | |
| Corporate Director | Apr 13, 2020 | ||
| Amy Thomas | Operational/Managerial Control | Apr 1, 2018 | |
| Billy Williamson | Corporate Director | Jul 15, 2020 | |
| Methodist Retirement Communities | 5% Or Greater Direct Ownership Interest | May 1, 2019 | 100% |
| Dale D Conger | Corporate Director | Feb 21, 2020 | |
| Ed Simmons | Corporate Director | Jul 1, 2024 | |
| James S Bunch | Corporate Director | Aug 13, 2020 | |
| Matthew Currie | Corporate Officer | Aug 21, 2025 | |
| Alyce Baggett | Corporate Director | Jul 1, 2013 | |
| Coastal Bend Family Practice, PA | Adp of the SNF | May 1, 2019 | |
| Adp of the SNF | Jul 31, 2025 | ||
| William a Koerner | Corporate Director | Feb 21, 2020 | |
| The Aldersgate Trust | 5% Or Greater Indirect Ownership Interest | Apr 30, 2019 | 100% |
| Adp of the SNF | Apr 30, 2019 | ||
| MRC Senior Living Corpus Christi | 5% Or Greater Direct Ownership Interest | May 1, 2019 | 100% |
| Adp of the SNF | Jan 1, 2025 | ||
| Todd K. Partin | Operational/Managerial Control | May 1, 2019 | |
| Frankie F Watson | Corporate Director | Nov 12, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1376166710
Adp of the SNF
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba MRC The Crossings
- Skilled Nursing Facility
- League City, TX
- NPI 1639569460
Methodist Retirement Communities
-
dba Cornerstone Retirement Community
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1942200852
The Aldersgate Trust
-
dba Crestview Retirement Community
- Skilled Nursing Facility
- Bryan, TX
- NPI 1578563342
Methodist Retirement Communities, The Aldersgate Trust
-
dba Pincrest Retirement Community
- Skilled Nursing Facility
- Lufkin, TX
- NPI 1659371565
Methodist Retirement Communities, The Aldersgate Trust
-
dba MRC CreekSide
- Skilled Nursing Facility
- Huntsville, TX
- NPI 1831199751
Methodist Retirement Communities, The Aldersgate Trust
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1467914242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 LAKE FRONT CIR STE 140",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803607",
"telephone_number": "281-210-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5857 TIMBERGATE DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144237",
"telephone_number": "281-210-0138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRC SENIOR LIVING CORPUS CHRISTI",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2024-10-03",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "281-210-0138"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mirador",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mirador",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.