Bannockburn Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000 Issued in TX

Legal business name

BANNOCKBURN GROUP, LLC

Doing business as

Ralls Nursing Home

Practice address

1111 Avenue P
Ralls, TX 79357-3502

Phone

(806) 253-2596

Fax

(806) 253-2749

NPI assigned

Mar 6, 2013

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Jay Wyatt

Title

Managing Member

Phone

(806) 771-0272

Specialties & licenses 1

Addresses

Other names 1

• Ralls Nursing Home Doing business as

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1578804233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 GENOA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243838",
            "telephone_number": "806-771-0272",
            "fax_number": "806-771-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AVENUE P",
            "city": "RALLS",
            "state": "TX",
            "postal_code": "793573502",
            "telephone_number": "806-253-2596",
            "fax_number": "806-253-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNOCKBURN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "806-771-0272"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralls Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childress County Hospital District (Ralls Nursing Home)
• City of Ralls (Ralls EMS)
• Juan Luis Garcia, PTA
• Jerry D McCuan, RPH
• Ralls Family Medicine PLLC

• Skilled Nursing Facility in Ralls, TX
• Providers in Ralls, 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 Mar 6, 2013; 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.