Missionary Baptist Foundation of America, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

115673 Issued in TX

Legal business name

MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC

Practice address

5502 4TH St
Lubbock, TX 79416-4220

Phone

(806) 793-1111

Fax

(806) 799-0644

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Sarah B Rice

Title

Director of Operations

Phone

(806) 747-3447

Specialties & licenses 1

Addresses

Other names 1

• Whisperwood Nursing & Rehab Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902877681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 13TH ST",
            "address_2": "SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013940",
            "telephone_number": "806-747-3447",
            "fax_number": "806-747-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164220",
            "telephone_number": "806-793-1111",
            "fax_number": "806-799-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "806-747-3447"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whisperwood Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miracle Ear Center
• Camie Miranda
• Lindsey Mireles, FNP
• Tyler Misko
• Mission Rehabilitation Services
• John Mistrot, M.D.
• Brittany Elise Mitchell, MD
• Georgia Mitchell, DMD
• Jennifer T. Mitchell, M.D.
• Kelly T. Mitchell, M.D.

• Nursing Facility/Intermediate Care Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.