LEGEND HEALTHCARE MIDLAND, LLC (NPI# 1790979623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790979623 |
| Entity Type | Organization |
| Organization Name | LEGEND HEALTHCARE MIDLAND, LLC |
| Practice Address |
3000 Mockingbird Midland TX 79705-1608 |
| Mailing Address |
608 Sandau San Antonio TX 78216-4131 |
| Practice Telephone | 4326940077 |
| Practice Fax Number | 4326940078 |
| Mailing Telephone | 2105640100 |
| Mailing Fax Number | 2105640157 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | MARTIN TOMERLIN (MANAGER) |
| Authorized Official Telephone | 2105640100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
3000 MOCKINGBIRD |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122238 | Anson Hospital District | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2019-03-12 |
| 1972087492 | Sylvia Menefee | Physical Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-09-20 |
| 1619458734 | Jason Francis Laack | Occupational Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-27 |
| 1700367059 | Judy Elaine Mcdaniel | Physical Therapist | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-24 |
| 1295216653 | Holli Dynae Truex | Physical Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-23 |
| 1427539980 | Melanie Wanae Harris | Occupational Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-23 |
| 1194206649 | Rachel Nicole Yero | Occupational Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-23 |
| 1811478365 | Christian Eric Estrada | Occupational Therapist | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-23 |
| 1871985440 | Timeka Hunt | Occupational Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2015-02-19 |
| 1053630400 | Midland Scc, LLC | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2010-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| 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 |
|---|---|---|---|---|
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1558737965 | Visions Senior Care Corporation | Skilled Nursing Facility | 3121 Roosevelt Ave, Midland, TX 79701-6739 | 2015-08-19 |
| 1639353881 | Serenity Meadows Care Center Corporation | Skilled Nursing Facility | 2300 Camp Dr, Apt 1103, Midland, TX 79701-2005 | 2007-12-24 |
| 1003913773 | Trinity Haven Healthcare Center, Inc. | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2006-09-17 |
| 1487767026 | Midmichigan Stratford Village | Skilled Nursing Facility | 2121 Rockwell Drive, Midland, MI 48642-9316 | 2006-08-17 |
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1124014998 | Terrace West Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2800 N Midland Dr, Midland, TX 79707-5536 | 2005-09-27 |
| 1710984117 | Midland Nursing Center LLC | Skilled Nursing Facility | 3615 E Ashman Rd, Midland, MI 48642-8858 | 2005-06-30 |
| 1588122238 | Anson Hospital District | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2019-03-12 |
| 1790201911 | Fpacp Hogan Park LLC | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2017-08-18 |
| Find all providers in MIDLAND | ||||
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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.