Organization Active NPI

MRC Senior Living Corpus Christi

Doing business as Mirador

  • Skilled Nursing Facility
  • Corpus Christi, TX
National Provider Identifier
1467914242
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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
MiradorCCN 676303 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Dec 29, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4133.5 residents per day on average
Chain
Methodist Retirement Communities6 facilities in the chain
Penalties (3 years)
2Fines totaling $22,922

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Organization, Charlotte, NC Corporation Adp of the SNF Jan 1, 2022
Lisa Gonzales Individual Operational/Managerial Control Jun 18, 2025
Adp of the SNF Oct 7, 2025
Alicia Besser Individual Corporate DirectorBoard Member Jul 1, 2024
Kip Gilts Individual Corporate DirectorBoard Member Jul 1, 2020
Donald Stephens Individual Corporate OfficerTreasurer/Cfo May 1, 2019
Walter Woodward Individual Corporate DirectorBoard Member Jul 1, 2024
Truist Bank Organization, Atlanta, GA Financial institution 5% Or Greater Mortgage Interest Dec 6, 2019
Richard Morgan Individual Corporate DirectorBoard Member Jul 1, 2017
Romonica Malone-Wardley Individual Corporate DirectorBoard Member Jul 1, 2023
William King Individual Corporate DirectorBoard Member Jan 1, 2018
Individual Adp of the SNF May 1, 2019
Charles Childress Individual Operational/Managerial Control Sep 30, 2024
Alan Dwight Brown Individual Corporate OfficerPresident & Ceo Apr 13, 2020
Corporate DirectorBoard Member Without Vote Apr 13, 2020
Amy Thomas Individual Operational/Managerial Control Apr 1, 2018
Billy Williamson Individual Corporate DirectorBoard Member Jul 15, 2020
Methodist Retirement Communities Organization, The Woodlands, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest May 1, 2019 100%
Dale D Conger Individual Corporate DirectorBoard Member Feb 21, 2020
Ed Simmons Individual Corporate DirectorBoard Member Jul 1, 2024
James S Bunch Individual Corporate DirectorBoard Member Aug 13, 2020
Matthew Currie Individual Corporate OfficerCoo Aug 21, 2025
Alyce Baggett Individual Corporate DirectorBoard Member Jul 1, 2013
Coastal Bend Family Practice, PA Organization, Corpus Christi, TX Corporation Adp of the SNF May 1, 2019
Organization, Minneapolis, MN Consulting firm Adp of the SNF Jul 31, 2025
William a Koerner Individual Corporate DirectorBoard Member Feb 21, 2020
The Aldersgate Trust Organization, The Woodlands, TX Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 30, 2019 100%
Adp of the SNF Apr 30, 2019
MRC Senior Living Corpus Christi Organization, Corpus Christi, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2019 100%
Organization, Homosassa, FL Corporation, Medical provider/supplier Adp of the SNF Jan 1, 2025
Todd K. Partin Individual Operational/Managerial Control May 1, 2019
Frankie F Watson Individual Corporate DirectorBoard Member 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.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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

Verify at the official NPI Registry.