Active NPI
Marshall Manor Nursing Home and Rehabilitation, LLC
Doing business as Marshall Manor Nursing and Rehab Center
- Skilled Nursing Facility
- Marshall, TX
National Provider Identifier
1902936354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 120459
- Legal business name
- MARSHALL MANOR NURSING HOME AND REHABILITATION, LLC
- Doing business as
- Marshall Manor Nursing and Rehab Center
- Practice address
- 1007 S Washington Ave
Marshall, TX 75670-5333 - Phone
- (903) 935-7971
- Fax
- (903) 935-1908
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 3, 2008
- Organization subpart
- Yes
- Parent organization
- MARSHALL SENIOR CARE L L C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda K Benson-Chambers, RN,
- Title
- Administrator
- Phone
- (903) 935-7971
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 120459 | TX | |
| Skilled Nursing Facility | 314000000X | 120459 | TX | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | 120459 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 120459 | TX |
Addresses
Primary practice location
1007 S Washington Ave
Marshall, TX 75670-5333
Mailing address
1007 S Washington Ave
Marshall, TX 75670-5333
Phone (903) 935-7971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001004571 | Medicaid | TX |
Other names 1
- Marshall Manor Nursing and Rehab Center
National Provider Directory
National Provider Directory- Part of
- Marshall Senior Care LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Marshall Manor Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Marshall, TX
- NPI 1952565624
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Marshall, TX
- NPI 1609856632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1902936354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756705333",
"telephone_number": "903-935-7971",
"fax_number": "903-935-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756705333",
"telephone_number": "903-935-7971",
"fax_number": "903-935-1908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL MANOR NURSING HOME AND REHABILITATION, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHALL SENIOR CARE L L C",
"enumeration_date": "2007-03-06",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "BENSON-CHAMBERS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "903-935-7971",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN,"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "TX",
"license": "120459",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "120459",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "TX",
"license": "120459",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "120459",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001004571",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshall Manor Nursing and Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marshall, TX
- Marshall Internal Medicine Associates
- Marshall Isd
- Marshall Manor Healthcare LLC (Marshall Manor Nursing & Rehabilitation Center)
- Marshall Manor Homecare, LLC (Marshall Manor HomeCare)
- Marshall Manor Homecare, LLC (Manor HomeCare)
- Marshall Medical Equipment
- Marshall Rural Health Clinic
- Marshall Rural Health Clinic
- Marshall Senior Care LLC (Marshall Manor Nursing & Rehabilitation Center)
- Marshall Smiles PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.