Matagorda Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109311 Issued in TX

Legal business name

MATAGORDA NURSING AND REHABILITATION CENTER LLC

Practice address

4521 Avenue F
Bay City, TX 77414-8011

Phone

(979) 245-7369

Fax

(979) 245-3440

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Hopkins, LNFA

Title

President

Phone

(361) 576-9454

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1841297850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7230",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779037230",
            "telephone_number": "361-576-9454",
            "fax_number": "361-576-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774148011",
            "telephone_number": "979-245-7369",
            "fax_number": "979-245-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-576-9454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150060501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5336",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matagorda Episcopal Health Outreach Program Corporation (MEHOP Women and Children Center)
• Matagorda Episcopal Health Outreach Program Corporation
• Matagorda Episcopal Health Outreach Program Corporation (Vibrance Health Pharmacy Bay City)
• Matagorda Episcopal Health Outreach Program Corporation (MEHOP Physician Group)
• Matagorda Family Practice, PLLC
• Matagorda Regional County District (MRMC Specialty Office)
• Patricia A. Maxwell, M.D.
• Lucy Beth May
• Kristen Elizabeth McArver
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)

• Skilled Nursing Facility in Bay City, TX
• Providers in Bay City, 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 Sep 18, 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.