Manor Assisted Care LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000229 Issued in TX

Legal business name

MANOR ASSISTED CARE LLC

Practice address

104 Chowning Dr
Suite 104
Desoto, TX 75115-4900

Phone

(972) 224-4015

Fax

(972) 224-4339

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Keith A PowellNPI 1831334382

Title

Managing Member

Phone

(972) 224-4015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manor Care EMS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith A Powell

  • Ambulance
  • Desoto, TX
  • NPI 1831334382
  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1609011303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751060425",
            "telephone_number": "972-224-4015",
            "fax_number": "972-224-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHOWNING DR",
            "address_2": "SUITE 104",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154900",
            "telephone_number": "972-224-4015",
            "fax_number": "972-224-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-224-4015"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201118101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Care EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Therapeutic Solutions
• Mahesh Kottapalli, M.D., P.a.
• Danika Mamon, D.C.
• Keisha Lagail Manahan
• Brittany Nicole Manning, LPCI
• Larry Clinton Marable I, LCDC
• Albert Marban, PT
• Margaret & Pathana'S Promise House LLC
• Johnatan Mariano, ANP
• Mark D. Towns, MD, Louis Hunke MD, Thomas Deacon MD

• Ambulance in Desoto, TX
• Providers in Desoto, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.