Marshall SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARSHALL SNF LLC

Practice address

207 W Merritt St
Marshall, TX 75670-6240

Phone

(903) 938-3793

Fax

(718) 865-0662

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Mendy Shapiro

Title

Member

Phone

(732) 961-9000

Specialties & licenses 1

Addresses

Other names 1

• Marshall Manor West Doing business as

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1619208469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE",
            "address_2": "SUITE 130",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MERRITT ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706240",
            "telephone_number": "903-938-3793",
            "fax_number": "718-865-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-961-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Manor West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Medical Equipment
• Marshall Rural Health Clinic
• Marshall Rural Health Clinic
• Marshall Senior Care LLC
• Marshall Smiles PLLC
• Marshall Womens Clinic
• Marvin Kenneth Hall III
• Robert James Matlock, DDS
• Matthewson Drug Co Inc
• Matthewson Drug Co Inc

• Skilled Nursing Facility in Marshall, TX
• Providers in Marshall, 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 Dec 1, 2016; 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.