PM Management-New Braunfels NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

124934 Issued in TX

Legal business name

PM MANAGEMENT-NEW BRAUNFELS NC LLC

Doing business as

Sundance Inn Health Center

Practice address

2034 Sundance Pkwy
New Braunfels, TX 78130-2750

Phone

(830) 221-1400

Fax

(830) 643-0132

NPI assigned

Mar 14, 2008

Last updated

Mar 2, 2020By 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

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sundance Inn Health Center Doing business as

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1588835888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 SUNDANCE PKWY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302750",
            "telephone_number": "830-221-1400",
            "fax_number": "830-643-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-NEW BRAUNFELS NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "124934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS FACILITY ID",
            "identifier": "103443",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Inn Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sundance Inn Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Pistocchi
• Erika Yesmin Platz, DPT
• Calvin Wayne Plumb, D.C.
• Ply Family Wellness PLLC
• Wesley Ply, DC
• Gregoria Poe
• Janey Polk, PA-C
• Jennifer Polk, MS, CCC-SLP
• William Anson Pollan, D.O., MPH
• Karen Polson

• Skilled Nursing Facility in New Braunfels, TX
• Providers in New Braunfels, 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 2, 2020; 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.