PM MANAGEMENT-CORPUS CHRISTI NC LLC (NPI# 1194880120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194880120 |
| Entity Type | Organization |
| Organization Name | PM MANAGEMENT-CORPUS CHRISTI NC LLC |
| Other Organization Name | TRISUN CARE CENTER CORPUS CHRISTI |
| Practice Address |
202 Fortune Dr Corpus Christi TX 78405-3919 |
| Mailing Address |
8701 N Mo Pac Expy Suite 300 Austin TX 78759-8376 |
| Practice Telephone | 3612890889 |
| Practice Fax Number | 3612897516 |
| Mailing Telephone | 5126344900 |
| Mailing Fax Number | 5126344950 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | GREG MOORE (MANAGER) |
| Authorized Official Telephone | 5126344900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 113427 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FACILITY ID NO. | 000662 | 01 |
| Other Name | Type Code |
|---|---|
| Trisun Care Center Corpus Christi | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245390780 | Pm Management-corpus Christi Nc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2006-12-12 |
| Street Address |
202 FORTUNE DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245390780 | Pm Management-corpus Christi Nc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2006-12-12 |
| 1538637582 | Jennifer Ayala | Occupational Therapy Assistant | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2018-11-07 |
| 1871075507 | Jacquelyn Akkerman | Occupational Therapy Assistant | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2018-08-29 |
| 1881176519 | Kevin Russell Gorman | Physical Therapy Assistant | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2018-08-29 |
| 1831630995 | Corpus Christi Scc LLC (alf) | Assisted Living Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2017-03-09 |
| 1851729610 | Corpus Christi Scc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2013-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293526 | Tsl Cc Opco, LLC | Assisted Living Facility | 5441 Lipes Blvd, Corpus Christi, TX 78413 | 2018-04-30 |
| 1447704853 | Maria Garcia | Assisted Living Facility | 4301 Key West Dr, Corpus Christi, TX 78411-5015 | 2016-08-15 |
| 1013175520 | Select Corpus Christi LLC | Assisted Living Facility | 5813 Esplanade Dr, Corpus Christi, TX 78414-4113 | 2008-05-30 |
| 1174724710 | Villa Quilt of Corpus South, Lp | Assisted Living Facility | 4834 Yorktown Blvd, Corpus Christi, TX 78413-5364 | 2007-05-30 |
| 1962627992 | Corpus Christi Assisted Living | Assisted Living Facility | 5813 Esplanade Drive, Corpus Christi, TX 78414 | 2007-04-16 |
| 1245309350 | Villa Quilt of Corpus Northwest Lp | Assisted Living Facility | 2822 Robby St, Corpus Christi, TX 78410-1833 | 2006-11-06 |
| 1831630995 | Corpus Christi Scc LLC (alf) | Assisted Living Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2017-03-09 |
| 1437608072 | Jmjseniorcitizengrouphome | Assisted Living Facility | 4301 Key West Dr, Corpus Christi, TX 78411-5015 | 2016-09-23 |
| 1356690747 | Csl Ce Corpus, LLC | Assisted Living Facility | 5813 Esplanade Dr, Corpus Christi, TX 78414-4113 | 2012-08-31 |
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| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
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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.