Mshc Bonner Street Plaza Llc

LBN: Mshc Bonner Street Plaza Llc
Mshc Bonner Street Plaza Llc is an health care organization with primary practice located at 421 S Bonner St , Jacksonville TX 75766-2330. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mshc Bonner Street Plaza Llc can be contacted via phone (903) 586-9871, or through Power, Carla via phone (903) 792-0838.

Contact Information

Primary practice address
421 S Bonner St Jacksonville TX 75766-2330
Phone: (903) 586-9871
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Power, Carla
Phone: (903) 792-0838

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 129146 Texas

Profile Details

NPI number 1386936664
LBN Legal business name Mshc Bonner Street Plaza Llc
DBA Doing business as
Authorized official Power, Carla
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2011
Last updated Jul 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386936664 NPPES
Texas MEDICAID 005275

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