PM MANAGEMENT -CORSICANA NC II LLC NPI 1366814337

NPI Information

NPI: 1366814337
Provider Name: PM MANAGEMENT -CORSICANA NC II, LLC

Doing Business As: HERITAGE OAKS RETIREMENT VILLAGE (ALF)

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3002 W 2ND AVE
CORSICANA, TX
ZIP 75110
Phone: (903) 872-5130
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PM MANAGEMENT -CORSICANA NC II, LLC is an assisted living facility in Corsicana, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PM MANAGEMENT -CORSICANA NC II, LLC NPI is 1366814337. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Oaks Retirement Village (alf).

The provider's business location address is:

3002 W 2ND AVE
CORSICANA, TX
ZIP 75110-492
Phone: (903) 872-5130
Fax: (903) 872-5949

The provider's authorized official is Michael Beal .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 252-7600.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 3/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		142141	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142141	OTHER	TEXAS	TDADS FACILITY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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