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.

NPPES Registry Identity

NPI1033772413
Entity TypeOrganization
Primary Taxonomy314000000X
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.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

810 BELLAIRE ST, Jacksonville, TX 75766

Other Names 1

Doing Business AsLegacy At Jacksonville

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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.