J G & M LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

131802 Issued in TX

Legal business name

J G & M LLC

Doing business as

Brownwood Skilled Nursing Center

Practice address

2700 Memorial Park Dr
Brownwood, TX 76801-8481

Phone

(325) 643-9801

Fax

(325) 646-8449

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Monte Randall

Title

Coo

Phone

(940) 374-3804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brownwood Skilled Nursing Center Doing business as

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1891019071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 FM 2210 E",
            "city": "POOLVILLE",
            "state": "TX",
            "postal_code": "764875028",
            "telephone_number": "940-734-8304",
            "fax_number": "940-374-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MEMORIAL PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018481",
            "telephone_number": "325-643-9801",
            "fax_number": "325-646-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J G & M LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-374-3804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "131802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownwood Skilled Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syed Rashid Abbas Hussaini, DDS
• Rhonda Renee Hutcheson
• Wesley Glen Hutchins, DDS
• Independence Healthcare LLC
• Integracare of Olney Home Health, LLC (CenterWell Home Health)
• John Timothy Jacobs, R.PH.
• Megan Oliver Jacobson, PA-C
• James a. Crow, DDS
• Dawn James
• Mark Jerald Jensen, D.M.D.

• Skilled Nursing Facility in Brownwood, TX
• Providers in Brownwood, 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 2, 2011; 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.