Marbridge Foundation Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9685 Issued in TX

Legal business name

MARBRIDGE FOUNDATION INC.

Practice address

2504 Bliss Spillar Rd
Manchaca, TX 78652-4409

Phone

(512) 282-1000

Fax

(512) 381-2499

NPI assigned

Sep 28, 2006

Last updated

Feb 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. P. Duncan Murray

Title

Administrator

Phone

(512) 282-1811

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740372952. Details of each certification follow.

• CCN 675923 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675923

Legal name

MARBRIDGE FOUNDATION INC.

Doing business as

MARBRIDGE VILLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 30, 2002

Last certification

Apr 11, 2024

Beds

92

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 13, 1953 in TX

Enrollment address

2504 Bliss Spillar Rd
Manchaca, TX 78652-4409

Nursing home name

MARBRIDGE VILLA

Listed as

Marbridge VillaCCN 675923 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 30, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9280.1 residents per day on average

Penalties (3 years)

7Fines totaling $45,778

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Marbridge Villa2 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 Villa

  • Nursing Care Agency
  • Manchaca, TX
  • NPI 1730134909
  NPD tax ID

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Liam McCoy Fry, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1952322570

  Adp of the SNF, Corporate Director, Trustee of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L. Krol, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1841634854
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael L. Krol, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1841634854

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1740372952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786522250",
            "telephone_number": "512-282-1811",
            "fax_number": "512-381-2499"
        },
        {
            "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": "786524409",
            "telephone_number": "512-282-1000",
            "fax_number": "512-381-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBRIDGE FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-02-12",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "9685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICARE PART B CROSS OVER",
            "identifier": "022766202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000519101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022766201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Heinig, NEWBORN CARE SPECIAL
• Inner Dwellings Therapy & Wellness, PLLC
• Alicia L Jones
• Corie Jones
• Ricardo Lopez, LCSW
• Marbridge Villa
• Tammie D Martin, M.ED., LPC-S
• Jennifer Jo Merrill, LPC - ASSOCIATE
• Hannah Jean Milford, MA, LPC, LCDC, NCC
• Milton J Otto DDS

• Skilled Nursing Facility in Manchaca, TX
• Providers in Manchaca, 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 Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.