MRP II Healthcare Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MRP II HEALTHCARE MANAGEMENT, LLC

Doing business as

Silver Creek Place

Practice address

1300 Silver Creek Azle Rd
Azle, TX 76020-3844

Phone

(817) 238-8126

Fax

(817) 238-8784

NPI assigned

Jul 5, 2009

Organization subpart

No

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

Authorized official

Name

Rick Pruitt

Title

Manager

Phone

(817) 475-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silver Creek Place Doing business as

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246752000000",
    "number": "1629207212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 WATERFORD GLEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639131",
            "telephone_number": "817-475-2022",
            "fax_number": "817-225-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SILVER CREEK AZLE RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203844",
            "telephone_number": "817-238-8126",
            "fax_number": "817-238-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRP II HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-05",
        "last_updated": "2009-07-05",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-475-2022"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "000643",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Montgomery, LPC-ASSOCIATE
• Jennifer Ann Moore, PTA
• Laura Carolyn Moore, FNP
• Rachel Adams Moore, FNP-BC
• Marshall Morrison, MD
• Eric Christopher Murphy, PTA
• Roddy J Murr, R.PH.
• Garrett Dental Myers, DDS
• Kriss E Myers, M.D.
• Audrey Ann Nacol, PHARM.D.

• Assisted Living Facility in Azle, TX
• Providers in Azle, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.