MARSHALL MANOR HEALTHCARE LLC (NPI# 1093958936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093958936 |
| Entity Type | Organization |
| Organization Name | MARSHALL MANOR HEALTHCARE LLC |
| Other Organization Name | MARSHALL MANOR NURSING & REHABILITATION CENTER |
| Practice Address |
1007 S Washington Ave Marshall TX 75670-5333 |
| Mailing Address |
410 Monmouth Ave Suite 130 Lakewood NJ 08701-3711 |
| Practice Telephone | 9039357971 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MR. MENDY SHAPIRO (MANAGER) |
| Authorized Official Telephone | 7329619000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 120459 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Marshall Manor Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1007 S WASHINGTON AVE |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902936354 | Marshall Manor Nursing Home and Rehabilitation, LLC | Clinic/Center | 1007 S Washington Ave, Marshall, TX 75670-5333 | 2007-03-06 |
| 1861973463 | Jennifer Morris | Occupational Therapy Assistant | 1007 S Washington Ave, Marshall, TX 75670-5333 | 2018-08-22 |
| 1952565624 | Marshall Senior Care LLC | Durable Medical Equipment & Medical Supplies | 1007 S Washington Ave, Marshall, TX 75670-5333 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| 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 |
|---|---|---|---|---|
| 1275914731 | Priscilla Rittenhouse | Skilled Nursing Facility | 4694 Bluff Turn, Marshall, VA 20115-3005 | 2015-06-10 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1306125018 | Searcy Snf Operations LLC | Skilled Nursing Facility | 942 Highway 65 N, Marshall, AR 72650-7772 | 2011-08-11 |
| 1306026729 | Nacogdoches County Hospital District | Skilled Nursing Facility | 5915 Elysian Fields Road, Marshall, TX 75672-2083 | 2007-11-14 |
| 1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
| 1265556294 | Wilkinson Care Center, Inc. | Skilled Nursing Facility | 415 Elderberry Ln, Marshall, NC 28753-6369 | 2007-03-16 |
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| 1003911207 | Mar-saline Manor, Inc. | Skilled Nursing Facility | 809 E Gordon St, Marshall, MO 65340-2811 | 2006-09-13 |
| 1184732364 | Grace Care of Texas | Skilled Nursing Facility | 509 S Grove St, Marshall, TX 75670-4069 | 2006-08-28 |
| 1124134598 | Grace Care of Texas | Skilled Nursing Facility | 207 W Merritt St, Marshall, TX 75670-6240 | 2006-08-21 |
| Find all providers in MARSHALL | ||||
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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.