MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC (NPI# 1386615920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615920 |
| Entity Type | Organization |
| Organization Name | MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC |
| Other Organization Name | SENIOR VILLAGE NURSING HOME |
| Practice Address |
3101 S Main St Perryton TX 79070-5345 |
| Mailing Address |
1212 13th St Suite 100 Lubbock TX 79401-3940 |
| Practice Telephone | 8064355403 |
| Practice Fax Number | 8064355055 |
| Mailing Telephone | 8067473447 |
| Mailing Fax Number | 8067471632 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SARAH B RICE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8067473447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 114751 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Senior Village Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902877681 | Missionary Baptist Foundation of America, Inc | Nursing Facility/Intermediate Care Facility | 5502 4th St, Lubbock, TX 79416-4220 | 2006-01-30 |
| 1730150657 | Missionary Baptist Foundation of America, Inc | Nursing Facility/Intermediate Care Facility | 1003 Loop Rd, Alpine, TX 79830-3229 | 2006-01-30 |
| 1275503658 | Missionary Baptist Foundation of America, Inc | Nursing Facility/Intermediate Care Facility | 101 Liberty Ln, Anson, TX 79501-2105 | 2006-01-26 |
| 1184695033 | Missionary Baptist Foundation of America, Inc | Nursing Facility/Intermediate Care Facility | 111 Hospital Dr, Junction, TX 76849-3020 | 2006-01-30 |
| Street Address |
3101 S MAIN ST |
| City | PERRYTON |
| State | TX |
| Zip Code | 79070-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612012 | Senior Village | Skilled Nursing Facility | 3101 S Main St, Perryton, TX 79070-5345 | 2005-10-13 |
| 1568876241 | Stratford Hospital District D/b/a Senior Valley Nursing Home | Skilled Nursing Facility | 3101 S Main St, Perryton, TX 79070-5345 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366956088 | Candace Dawn Lizardo | Counselor | 1613 S. Colgate, Perryton, TX 79070 | 2017-11-17 |
| 1609257401 | Tamren Jade Terhune | Dietitian, Registered | 5 S. Industrial, Perryton, TX 79070 | 2015-06-17 |
| 1902933203 | Jerry Eugene Whitehead | Chiropractor | 2400 S Main, Perryton, TX 79070 | 2007-02-27 |
| 1164560256 | United Supermarkets LLC | Pharmacy | 2802 Hwy 83 South, Perryton, TX 79070 | 2007-02-02 |
| 1730733452 | Jim Leon Dansby | Pharmacist | 2802 Hwy 83 South, Perryton, TX 79070 | 2019-07-31 |
| 1487850442 | Chiropractic Health Center | Chiropractor | 2400 S Main, Perryton, TX 79070 | 2007-06-26 |
| 1205963592 | Jarel Whitehead | Chiropractor | 2400 S Main, Perryton, TX 79070 | 2007-02-27 |
| 1356483622 | Area Eye Center Pa | Optometrist | 119 S Main St, Perryton, TX 79070-2658 | 2007-02-13 |
| 1215004247 | Stephanie Dawn Pulpan | Optometrist | 119 S Main St, Perryton, TX 79070-2658 | 2006-11-28 |
| 1851330633 | D and K Medical | Durable Medical Equipment & Medical Supplies | 104 1/2 S Main St, Perryton, TX 79070-2659 | 2006-06-06 |
| Find all providers in zip 79070 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.