Marbridge Villa

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MARBRIDGE VILLA

Practice address

2504 Bliss Spillar Rd
Manchaca, TX 78652

Phone

(512) 282-1811

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

P. Duncan Murray

Title

Administrator

Phone

(512) 282-1811

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Marbridge Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marbridge Foundation Inc.

  • Skilled Nursing Facility
  • Manchaca, TX
  • NPI 1740372952
  NPD tax ID

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1730134909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BLISS SPILLAR RD",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "78652",
            "telephone_number": "512-282-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BLISS SPILLAR RD",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "78652",
            "telephone_number": "512-282-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBRIDGE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "P. DUNCAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-282-1811"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022766201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inner Dwellings Therapy & Wellness, PLLC
• Alicia L Jones
• Corie Jones
• Ricardo Lopez, LCSW
• Marbridge Foundation Inc.
• Tammie D Martin, M.ED., LPC-S
• Jennifer Jo Merrill, LPC - ASSOCIATE
• Hannah Jean Milford, MA, LPC, LCDC, NCC
• Milton J Otto DDS
• Jill Elizabeth Niemtschk, LPC

• Nursing Care Agency in Manchaca, TX
• Providers in Manchaca, TX by specialty
• Nursing Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.