NPIMap

Organization Active NPI

Mesa Springs Retirement Village, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Abilene, TX
National Provider Identifier
1962537068
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
117944 Issued in TX
Legal business name
MESA SPRINGS RETIREMENT VILLAGE, INC.
Practice address
7171 Buffalo Gap Rd
Abilene, TX 79606-5450
Phone
(325) 670-2182
Fax
(325) 692-6228
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Stephen Kimmel
Title
Cfo
Phone
(325) 670-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 117944 TX Primary

Addresses

Primary practice location

7171 Buffalo Gap Rd
Abilene, TX 79606-5450

Mailing address

7171 Buffalo Gap Rd
Abilene, TX 79606-5450
Phone (325) 670-2182

Other identifiers 1

IdentifierTypeStateIssuer
000537801MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Mesa Springs Retirement Village Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1962537068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065450",
            "telephone_number": "325-670-2182",
            "fax_number": "325-692-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065450",
            "telephone_number": "325-670-2182",
            "fax_number": "325-692-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA SPRINGS RETIREMENT VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-670-2182"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "117944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000537801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.