PM Management-Georgetown Al LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122277 Issued in TX

Legal business name

PM MANAGEMENT-GEORGETOWN AL LLC

Doing business as

Park Place Assisted Living

Practice address

101 FM 971
Georgetown, TX 78626-4546

Phone

(512) 930-0730

Fax

(512) 948-0006

NPI assigned

Dec 12, 2006

Last updated

May 19, 2009By 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

Greg Moore

Title

Manager

Phone

(512) 634-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park Place Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1952461493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 N MO PAC EXPY",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598376",
            "telephone_number": "512-634-4900",
            "fax_number": "512-634-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FM 971",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264546",
            "telephone_number": "512-930-0730",
            "fax_number": "512-948-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MANAGEMENT-GEORGETOWN AL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-634-4900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NO.",
            "identifier": "000319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Pineda Osorio
• Rosemary W Pinkard, FNP-C
• Martha Lane Pinto, M.ED.
• Marilyn S Piper, LPC
• Platinum Resort 103 LLC
• PM Management-Georgetown NC LLC (Park Place Care Center)
• Teresa M Poindexter, PHYSICAL THERAPIST
• Shanni Ponce, P.T.
• Matthew Scott Poole, PA-C
• Revanth Poondla, MD

• Skilled Nursing Facility in Georgetown, TX
• Providers in Georgetown, 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 May 19, 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.