SOUTHWEST LTC - BONNER LLC
NPI 1033772413
Skilled Nursing Facility in Jacksonville, TX

Active since April 21, 2019
810 BELLAIRE ST, JACKSONVILLE, TX 75766(903) 589-5300 Get Directions Write a Review

NPPES record last updated: April 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southwest Ltc - Bonner Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST LTC - BONNER LLC (NPI 1033772413), doing business as Legacy At Jacksonville, is a healthcare organization registered as a skilled nursing facility in Jacksonville, Texas and active in the NPI registry since April 2019. The organization lists Ronald Payne, President, as its authorized official.Information from the official NPPES registry record, last updated April 21, 2019.

NPPES Registry Identity

NPI1033772413
Entity TypeOrganization
Legal Business NameSOUTHWEST LTC - BONNER LLC
Location Address810 BELLAIRE STJacksonville, TX 75766-9045
Mailing Address5560 Tennyson Pkwy Ste 210Plano, TX 75024-3582 · (469) 916-6100
Organization SubpartNo
Authorized OfficialRonald PaynePresident · (469) 916-6100
Enumeration DateApril 21, 2019
NPI 1033772413 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Skilled Nursing Facility

Taxonomy 314000000X · Nursing & Custodial Care Facilities

(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… Show more

810 BELLAIRE ST, Jacksonville, TX 75766

Also on File with NPPES

Other Names1
Legacy At Jacksonville (Doing Business As)

Reviews for SOUTHWEST LTC - BONNER LLC

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapy Assistant
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Speech-Language Pathologist
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Physical Therapy Assistant
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Occupational Therapy Assistant
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Clinical Exercise Physiologist
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Physical Therapy Assistant
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Occupational Therapy Assistant
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Skilled Nursing Facility
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Registered Nurse (Gerontology)
810 BELLAIRE ST
JACKSONVILLE, TX 75766
Skilled Nursing Facility
810 BELLAIRE ST
JACKSONVILLE, TX 75766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033772413, enumerated as an "organization" on April 21, 2019.

The provider is located at 810 BELLAIRE ST JACKSONVILLE, TX 75766 and the phone number is (903) 589-5300.

Skilled Nursing Facility with taxonomy code 314000000X.