PM MANAGEMENT CORSICANA NC II LLC (NPI# 1891097432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891097432 |
| Entity Type | Organization |
| Organization Name | PM MANAGEMENT CORSICANA NC II LLC |
| Other Organization Name | HERITAGE OAKS RETIREMENT VILLAGE |
| Practice Address |
3002 W 2nd Ave Corsicana TX 75110-2492 |
| Mailing Address |
600 N Pearl St Ste 1050 Dallas TX 75201-7495 |
| Practice Telephone | 9038721530 |
| Practice Fax Number | 9038725949 |
| Mailing Telephone | 2142527600 |
| Mailing Fax Number | 2142527704 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MICHAEL BEAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142527600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 132227 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 131490 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001019214 | 05 | |
| TX | FACILITY ID | 005357 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Oaks Retirement Village | Doing Business As Name - Organization |
| Street Address |
3002 W 2ND AVE |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110-2492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850494 | Navarro Convalescent, Inc. | Skilled Nursing Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2408 | 2005-12-05 |
| 1649735036 | Southwest Ltc - Corsicana LLC | Skilled Nursing Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2019-02-10 |
| 1962983270 | Kristen Irene Kelly | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1811478159 | Monica Michelle Munoz | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1366814337 | Pm Management -corsicana Nc II, LLC | Assisted Living Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2015-10-29 |
| 1225409287 | Pm Management - Corsicana Nc II LLC | Assisted Living Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2015-10-15 |
| 1710329875 | Pritvi S Kumar | Physical Therapist | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2013-07-18 |
| 1851543318 | Christine Nicole Hunt | Physical Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2408 | 2008-10-15 |
| 1043414857 | Jimmie Jo Shelton | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2408 | 2007-06-14 |
| 1255535373 | Julie Lynn Kubin | Speech-Language Pathologist | 3002 W 2nd Ave, Corsicana, TX 75110-2408 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1174853600 | Pm Management - Corsicana Nc LLC | Skilled Nursing Facility | 3210 W State Highway 22, Corsicana, TX 75110-2449 | 2010-01-06 |
| 1609850494 | Navarro Convalescent, Inc. | Skilled Nursing Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2408 | 2005-12-05 |
| 1730163536 | Shamrock Care Center, Inc. | Skilled Nursing Facility | 3300 W 2nd Ave, Corsicana, TX 75110-2412 | 2005-12-05 |
| 1124019955 | Texas -waverley Group, Inc. | Skilled Nursing Facility | 3301 W Park Row Blvd, Corsicana, TX 75110-4846 | 2005-11-01 |
| 1437143211 | Southwest Care Associates Lp | Skilled Nursing Facility | 901 E 16th Ave, Corsicana, TX 75110-8130 | 2005-09-07 |
| 1750388617 | Twilight Home | Skilled Nursing Facility | 3001 W 4th Ave, Corsicana, TX 75110-3913 | 2005-07-06 |
| 1679039531 | City of Ennis | Skilled Nursing Facility | 3210 W Highway 22, Corsicana, TX 75110-2449 | 2019-02-15 |
| 1730644121 | Southwest Ltc - Corsicana West LLC | Skilled Nursing Facility | 3300 W 2nd Ave, Corsicana, TX 75110-2412 | 2019-02-10 |
| 1649735036 | Southwest Ltc - Corsicana LLC | Skilled Nursing Facility | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2019-02-10 |
| Find all providers in CORSICANA | ||||
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| 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.