MASON CONVALESCENT CARE CENTER (NPI# 1780671362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780671362 |
| Entity Type | Organization |
| Organization Name | MASON CONVALESCENT CARE CENTER |
| Other Organization Name | LEGACY LIVING CENTERS |
| Practice Address |
110 E College Street Mason TX 76856-0107 |
| Mailing Address |
110 E College Street Po Box 1668 Mason TX 76856-0107 |
| Practice Telephone | 3253476383 |
| Practice Fax Number | 3253476142 |
| Mailing Telephone | 3253476383 |
| Mailing Fax Number | 3253476142 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANICE PITA (INSURANCE/MEDICARE) |
| Authorized Official Telephone | 5806226300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 113248 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | HH321S | 01 |
| Other Name | Type Code |
|---|---|
| Legacy Living Centers | Doing Business As Name - Organization |
| Street Address |
110 E COLLEGE STREET |
| City | MASON |
| State | TX |
| Zip Code | 76856-0107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487974317 | Country Outpatient Physical Therapy | Clinic/Center | 205 E. College St, Mason, TX 76856 | 2010-06-02 |
| 1487872180 | James Phillip Morris | Marriage & Family Therapist | 104 S Pecan St, Mason, TX 76856 | 2007-04-20 |
| 1033247093 | Hill Country Preferred Senior Care, LLC | Home Health | 204 E College, Suite B, Mason, TX 76856 | 2007-03-01 |
| 1649351834 | Susan Jane Brew | Acupuncturist | 236 Pontotoc, Mason, TX 76856 | 2006-10-17 |
| 1356433700 | Mason Ambulance Service | Ambulance | 220 Moody, Mason, TX 76856 | 2006-09-29 |
| 1487757522 | Script Shoppe Inc | Pharmacy | 211 Moody St, Mason, TX 76856 | 2006-09-06 |
| 1003834144 | John R Taylor | Counselor | 1310 Martin, Mason, TX 76856 | 2006-07-17 |
| 1518928373 | Home Health Services of Mason Kimble & Menard Inc | Home Health | 717 E Rainey St, Mason, TX 76856 | 2006-03-31 |
| 1972500353 | Glenn A. Ruthven | Dentist | 217 North Live Oak Street, Mason, TX 76856 | 2005-06-30 |
| 1578644878 | James Edwin Casselman | Acupuncturist | 236 Pontotoc, Mason, TX 76856 | 2006-10-17 |
| Find all providers in zip 76856 | ||||
| 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 | ||||
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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.