MSHC BONNER STREET PLAZA LLC
NPI 1386936664
Skilled Nursing Facility in Jacksonville, TX

Active since May 05, 2011
421 S BONNER ST, JACKSONVILLE, TX 75766(903) 586-9871 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mshc Bonner Street Plaza Llc NPPES

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

MSHC BONNER STREET PLAZA LLC (NPI 1386936664) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Texas and active in the NPI registry since May 2011. The organization lists Carla Power, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386936664
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMSHC BONNER STREET PLAZA LLC
Location Address421 S BONNER STJacksonville, TX 75766-2330
Mailing Address421 Bonner StreetJacksonville, TX 75766-2330 · (903) 586-9871
Organization SubpartNo
Authorized OfficialCarla PowerCfo · (903) 792-0838
Enumeration DateMay 5, 2011
Last NPPES UpdateJuly 12, 2011
NPI 1386936664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 129146
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.
421 S BONNER ST, Jacksonville, TX 75766

Other Identifiers 2

Medicaid005275TX
Medicare PIN676092TX

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
421 S BONNER ST
JACKSONVILLE, TX 75766
Skilled Nursing Facility
421 S BONNER ST
JACKSONVILLE, TX 75766
Physical Therapy Assistant
421 S BONNER ST
JACKSONVILLE, TX 75766
Occupational Therapy Assistant
421 S BONNER ST
JACKSONVILLE, TX 75766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mshc Bonner Street Plaza LLC's NPI number?

The NPI number for Mshc Bonner Street Plaza LLC is 1386936664. It was assigned to this organization in the NPPES registry on May 5, 2011.

Where is Mshc Bonner Street Plaza LLC located?

Mshc Bonner Street Plaza LLC is located at 421 S Bonner St, Jacksonville, TX 75766. The listed phone number is (903) 586-9871.

What is Mshc Bonner Street Plaza LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Mshc Bonner Street Plaza LLC was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.