Marlandwood West SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARLANDWOOD WEST SCC LLC

Practice address

1700 Marlandwood Rd
Temple, TX 76502-2842

Phone

(254) 743-6200

Fax

(254) 773-2922

NPI assigned

Oct 14, 2013

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 1

Other names 1

• Senior Care of Marlandwood West Doing business as

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1699103457",
    "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": "1700 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022842",
            "telephone_number": "254-743-6200",
            "fax_number": "254-773-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLANDWOOD WEST SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025715",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care of Marlandwood West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Care of Marlandwood West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarence M Marion Jr.
• Heather Marie Marker, PA
• Alyssa Markowitz, PA-C
• Mitzi Michele Markum, APRN-CNP
• Marlandwood East SCC LLC
• Blake Marmie, MD
• Sean Marmolejo, LCSW
• Shamaeka Marshall-Gilmore, NP
• Cheyenne Noel Marshall, FNP
• E Gordon Marshall Jr., DDS

• Skilled Nursing Facility in Temple, TX
• Providers in Temple, 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 4, 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.